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Medical Coding Basics
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Subject
:
medical-transcription
Instructions:
Answer 50 questions in 15 minutes.
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study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. -scopy
3 (ex 311)
Upper Back
Smaller - lateral leg bone
Visual Examination
2. myo/
Muscle
To cut into
Toe Bones
Free moving joints that are surrounded by joint capsules.
3. Tibia
Upper roof of the mouth
Shin
Structural protein found in skin and connective tissue.
CMS
4. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Removal - Excision - Resection
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Lunula
5. gloss/
Suture
Above
Tongue
Head
6. Infra
Far from the point of attachment of the trunk.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Upper Arm bone
Below
7. inter
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Between
The bone is broken and pierces an organ.
Upper roof of the mouth
8. Anterior/Ventral
Nose
Front part of the body.
Below - deficient
Visual Examination
9. What are the 3 classifications of Hypertension?
Structural protein found in skin and connective tissue.
Between
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
The bone is crushed or shattered.
10. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Through
Before - in front of
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
11. How long should Medical Records be retained?
Far from the point of attachment of the trunk.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Lower Jawbone
Interior of the nose
12. Lateral
Side
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Discolored - flat lesion
Out - out of
13. arth/
MM/DD/YY
Cartilage
Death of tissue due to loss of blood supply
Surgical Repair
14. What are bones connected together with?
Fat cell
Upper Jawbone
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Fibrous bands of ligaments
15. -centisis
Movement away from the midline
Suture
Free moving joints that are surrounded by joint capsules.
Surgical Puncture
16. ex
Ankle
Tongue
Out - out of
Death of tissue due to loss of blood supply
17. oophor
Lunula
Bacterial inflammatory skin disease with lesions - pustules and vesicles
The bone is crushed or shattered.
Ovary
18. How many digits does an ICD-9 Category code have?
Active - retired - survivors and their families of the Armed Forces.
Stomach
3 (ex 311)
Neck Bones
19. Phalanges
Finger Bones
Tongue
CMS-1500
Before
20. Thoracic
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Upper Back
Skull - Ribcage and Spine.
Between
21. Sphenoid Bones
Hematopoietic tissue
Mouth
In front of the temporal bones
Skin
22. -megaly
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Surgical Fixation
Mouth
Enlargement
23. Sphenoid Bones
No.
In front of the temporal bones
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
26
24. Frontal - Coronal
Below
All
Front part of the body.
Vertical plane dividing the body into Anterior and Posterior sections.
25. oste/
Smaller - lateral leg bone
Skin
Horizontal plane dividing the upper and lower parts of the body.
Bone
26. What is Fiscal Intermediary?
Hematopoietic tissue
1. The amount of time - intensity of effort and medical skill required for the service 2.Overhead; the practice costs related to performing the service 3. Cost of Medical Malpractice insurance
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Hind foot bone
27. How long should Medical Records be retained?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Before - in front of
Enlargement
Head
28. What is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
4. (ex 311.0)
Vertical plane dividing the body into Anterior and Posterior sections.
Structural protein found in skin and connective tissue.
29. Vesicle
1. Insurance Reform 2. Administrative Simplification
Before
Near the point of attachment to the trunk.
Small collection of clear fluid; blister
30. What does a Surgical Package (aka Global Surgery) include?
Pain
Vertical plane dividing the body into Anterior and Posterior sections.
Surgical Procedure Performed -Local infiltration/metatarsal/digit block/anesthesia -Pre-Op E/M services on day before surgery -Immediate Post-Op care -Normal - uncomplicated Post-Op care
Under
31. Vomer
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Bone that forms the wall between the nostrils
Ovary
Beside
32. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Upper Jawbone
Neck Bones
Movement toward the midline
33. pan
All
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Half
34. How many regions is the spinal/vertebral column divided into?
Without
A new procedure or service since the previous edition.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
5
35. Carpals
Middle of the body.
Wrist bones
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
36. How is the Patients DOB entered on the claim form?
Turning Outward
Horizontal plane dividing the upper and lower parts of the body.
Nose
MM/DD/YY
37. -rrhagia
Bursting forth blood
Surgical Puncture
Horizontal plane dividing the upper and lower parts of the body.
Back part of the body.
38. a - an
Opening
Ankle
Without
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
39. cardi/
A break at the distal end of the bone - usually when someone tries to break their fall.
Heart
Cartilage
Active - retired - survivors and their families of the Armed Forces.
40. What is a compression fracture?
The fractured area of the bone collapses on itself.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Hind foot bone
Ankle
41. What does a Surgical Package (aka Global Surgery) include?
Ankle
Death of tissue due to loss of blood supply
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Surgical Procedure Performed -Local infiltration/metatarsal/digit block/anesthesia -Pre-Op E/M services on day before surgery -Immediate Post-Op care -Normal - uncomplicated Post-Op care
42. -centisis
Turning Inward
Surgical Puncture
To view
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
43. What is Employee Liability Insurance?
False
Fallopian tubes
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Absence of hair
44. What is the Axial Skeleton comprised of?
Below - deficient
Fibrous bands of ligaments
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Skull - Ribcage and Spine.
45. -algia
Before
Pain
Head
Beside
46. Metatarsal
Vulva
Middle of the foot bone
Upper Back
Toe Bones
47. What is the moon like white area at the base of the nail called?
Abnormal condition
Lunula
Fibrous bands of ligaments
Ankle
48. Supination
Cancer that has spread to a secondary site.
Lower medial arm bone
A pregnant woman who has had at least one pregnancy.
Turning the palm or foot upward
49. What is primary malignancy?
Upper Jawbone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
50. Inferior nasal conchae
Interior of the nose
Side
Pain
1. The provider's usual charge for the service 2. The average charge of all the other providers in the same geographical area 3. The actual charge submitted on the claim The lowest amount is used as basis for the payment.
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