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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can 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. Transverse/Cross Sectional
Within
Horizontal plane dividing the upper and lower parts of the body.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Head

2. What is Carcinoma in situ?
Upper Jawbone
Cancer that has localized and not spread at all.
Liver
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

3. Lumbar
Lower Back
Beside
1. Column 1/ Column 2; identified unbundled codes.2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day.
Above

4. How many regions is the spinal/vertebral column divided into?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
CMS-1500
Lower arm bone in line with the thumb
5

5. How many volumes is the ICD-9 manual divided into?
Forms the roof of the nasal cavity
Turning Outward
5
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

6. oste/
Slow
Forms the front part of the skull and the forehead.
Bone
Bones the palm of the hand

7. Humerus
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Upper Arm bone
Record
In front of the temporal bones

8. hin/
Bones the palm of the hand
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Nose
Vertical plane dividing the body to the left and the right sides.

9. Parietal Bones
Toe Bones
Forms the sides of the cranium
Mouth
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

10. nat/
A working diagnosis that has not yet been established.
Osseous
Birth
A break at the distal end of the bone - usually when someone tries to break their fall.

11. When are V codes used?
The bone is broken and pierces an organ.
When a person who is not sick/injured seeks health services for a specific thing (immunizations - organ donors) -When a person with a chronic condition presents for specific treatment of that condition (diabtetes) -When a circumstance influences the
Lower medial arm bone
Skull - Ribcage and Spine.

12. cardi/
Below - deficient
Surgical Repair
Heart
Side

13. Proximal
Near the point of attachment to the trunk.
Turning Inward
Under
Enlargement

14. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
To view
Office of Inspector General (OIG)
The fractured area of the bone collapses on itself.

15. What are bones connected together with?
Major skin pigment
Fibrous bands of ligaments
Abnormal condition
Surgical Fixation

16. Eversion
Turning Outward
Forms the back of the skull
Below
New

17. What are bones connected together with?
Abnormal condition
Fibrous bands of ligaments
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Before - in front of

18. What is CHAMPVA
Within
CMS-1500
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Before - in front of

19. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Above
Lower arm bone in line with the thumb

20. Infra
Cancer that has localized and not spread at all.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Below
Half

21. inter
Disease Condition
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
The bone is broken and pierces an organ.
Between

22. -rrhaphy
Above
Below
Suture
Epinephrine and Steriods

23. brady
Upper roof of the mouth
Noninvasive - non-spreading - nonmalignant.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Slow

24. Sesamoid Bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
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
Far from the point of attachment of the trunk.

25. What are the two types of edits that the NCCI implements?
Finger Bones
The Axial Skeleton and the Appendicular Skeleton
Osseous
1. Column 1/ Column 2; identified unbundled codes.2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day.

26. -pathy
Disease Condition
Liver
Back part of the body.
Far from the point of attachment of the trunk.

27. pneum/
Lung
Stone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Cartilage

28. When was the Health Information and Accountability Act (HIPAA) created?
Before
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Hind foot bone
1996

29. Sagittal
Ankle
Moving forward
Vertical plane dividing the body to the left and the right sides.
Measure

30. Zygoma
Strong - broad and have large surfaces for muscles to attach to.
Death of tissue due to loss of blood supply
Cheek Bone
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

31. What does a Surgical Package (aka Global Surgery) include?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
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
Below
Upper Jawbone

32. What is a Colles Fracture?
Epinephrine and Steriods
MM/DD/YY
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
A break at the distal end of the bone - usually when someone tries to break their fall.

33. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Free moving joints that are surrounded by joint capsules.
Lunula
Between

34. Phalanges
Karatin
Stone
Finger Bones
Surgical Fixation

35. What are the 3 layers of skin?
5. (ex 311.56)
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.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Far from the point of attachment of the trunk.

36. What is in a Medical Record?
4. (ex 311.0)
Slow
Skull - Ribcage and Spine.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

37. poly
Lower medial arm bone
All
Fallopian tubes
Many

38. -scopy
Visual Examination
Toe Bones
Noninvasive - non-spreading - nonmalignant.
To cut into

39. ante
3 (ex 311)
Stone
Before
Fat cell

40. Retraction
Moving forward
Mouth
Moving backward
Skin

41. Coccygeal
Coccyx (Tailbone)
Heart
5. (ex 311.56)
Stone

42. brady
Slow
Cartilage
A pregnant woman who has had at least one pregnancy.
Middle of the foot bone

43. When billing an insurance company - what information must be included?
Skin
Office of Inspector General (OIG)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1. Insurance Reform 2. Administrative Simplification

44. per
Through
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
All
Bones the palm of the hand

45. hin/
Below - deficient
Nose
Skin
Movement away from the midline

46. Protraction
False
When a person who is not sick/injured seeks health services for a specific thing (immunizations - organ donors) -When a person with a chronic condition presents for specific treatment of that condition (diabtetes) -When a circumstance influences the
Moving forward
Vulva

47. When are E codes used?
Stomach
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
In the cause of injury - poisoning - accidents or other adverse effects.
In front of the temporal bones

48. Gangrene
Skin
Death of tissue due to loss of blood supply
Turning Inward
Blood Condition

49. neo
Cartilage
Epinephrine and Steriods
New
To cut into

50. What are Medical Ethics?
Through
Nose
1. Insurance Reform 2. Administrative Simplification
Standards of conduct based on moral principals.