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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. What are the 3 layers of skin?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Stone
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Standards of conduct based on moral principals.

2. Hypo
Below - deficient
The Axial Skeleton and the Appendicular Skeleton
Treatment
4. (ex 311.0)

3. -rrhea
Separation - Breakdown
Discharge - Flow
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Without

4. para
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Beside
Muscle
Below - deficient

5. -lysis
Separation - Breakdown
The bone is broken and pierces an organ.
Smaller - lateral leg bone
Coccyx (Tailbone)

6. nat/
Birth
Within
Vertical plane dividing the body into Anterior and Posterior sections.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

7. What are the 3 classifications of Hypertension?
Bones at the corner of each eye that cradle the tearducts
A pregnant woman who has had at least one pregnancy.
Upper Back
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

8. Lateral
Wrist bones
Surgical Puncture
Side
Sacrum

9. -scopy
Office of Inspector General (OIG)
Visual Examination
Stomach
A pregnant woman who has had at least one pregnancy.

10. When billing an insurance company - what information must be included?
Cheek Bone
Sacrum
Against
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

11. Sesamoid Bones
Lung
CMS-1500
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Discolored - flat lesion

12. cholecyst/
Many
Below
1. Insurance Reform 2. Administrative Simplification
Gall bladder

13. What is a Comminuted Fracture?
The bone is crushed or shattered.
Gall bladder
Surgical Repair
Discharge - Flow

14. Tibia
Birth
Vertical plane dividing the body into Anterior and Posterior sections.
Shin
Above

15. -emia
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Abnormal condition
Toe Bones
Blood Condition

16. Long Bones
False
5
Moving forward
Strong - broad and have large surfaces for muscles to attach to.

17. -scopy
To view
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.
Small with irregular shapes (ie wrist and ankle)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

18. per
Stone
Epinephrine and Steriods
Through
Beside

19. Who developed HCPCs codes?
CMS
5. (ex 311.56)
The bone is crushed or shattered.
Visual Examination

20. When are E codes used?
1. For treatment (discussing the case with another professional)2.Payment (When providers submit claims on the patient's behalf).3. Operations: Staff training and Quality Improvement.
In the cause of injury - poisoning - accidents or other adverse effects.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Osseous

21. What is in a Medical Record?
5. (ex 311.56)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Movement toward the midline
Below

22. mast/
Breast
Small with irregular shapes (ie wrist and ankle)
Skull - Ribcage and Spine.
Painful - difficult

23. tetra
Lower medial arm bone
Four
Under
Below

24. Transverse/Cross Sectional
Back part of the body.
Stone
Above
Horizontal plane dividing the upper and lower parts of the body.

25. poly
Forms the sides of the cranium
Lower Jawbone
Lower medial arm bone
Many

26. Collagen
Bones the palm of the hand
Bone
Structural protein found in skin and connective tissue.
Ankle

27. Coccygeal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
26
Coccyx (Tailbone)
In the cause of injury - poisoning - accidents or other adverse effects.

28. epi
To cut into
The fractured area of the bone collapses on itself.
Far from the point of attachment of the trunk.
Above

29. -oma
Mass
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Movement toward the midline

30. What does a Surgical Package (aka Global Surgery) include?
Out - out of
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
5
Many

31. endo
Within
Without
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Middle of the foot bone

32. pneum/
Lung
Cancer that has spread to a secondary site.
Below
Forms the roof of the nasal cavity

33. -centisis
The bone is broken and pierces an organ.
The bone is broken and pierces an organ.
Skull - Ribcage and Spine.
Surgical Puncture

34. Radius
Lower arm bone in line with the thumb
A new procedure or service since the previous edition.
A new procedure or service since the previous edition.
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

35. What is CHAMPVA
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
New
Under
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

36. How many digits does an ICD-9 Subcategory code have?
Cancer that has spread to a secondary site.
Before - in front of
4. (ex 311.0)
Shoulder - collar - pelvic - arms and legs.

37. -osis
Small with irregular shapes (ie wrist and ankle)
Bones the palm of the hand
Middle of the body.
Abnormal condition

38. Mandible
Tongue
Lower Jawbone
Lower arm bone in line with the thumb
Hind foot bone

39. -meter
A working diagnosis that has not yet been established.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Cheek Bone
Measure

40. Mandible
To view
Lower Jawbone
Moving forward
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

41. Fibula
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Lunula
CMS-1500
Smaller - lateral leg bone

42. How long should Medical Records be retained?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Hind foot bone
Hematopoietic tissue
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

43. What is Employee Liability Insurance?
Upper Arm bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Fat cell
Visual Examination

44. What are the 3 classifications of Hypertension?
The Axial Skeleton and the Appendicular Skeleton
Cancer that has spread to a secondary site.
Horizontal plane dividing the upper and lower parts of the body.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

45. -itis
Inflammation
The Axial Skeleton and the Appendicular Skeleton
Under
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

46. Parietal Bones
Forms the sides of the cranium
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

47. -pexy
Surgical Fixation
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.
Horizontal plane dividing the upper and lower parts of the body.
A break at the distal end of the bone - usually when someone tries to break their fall.

48. What are the two provisions of HIPPA?
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.
1. Insurance Reform 2. Administrative Simplification
Discharge - Flow
Bones at the corner of each eye that cradle the tearducts

49. Frontal Bone
Pain
Moving backward
Below - deficient
Forms the front part of the skull and the forehead.

50. supra
Sacrum
Above
5. (ex 311.56)
Uteris