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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 is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
Upper Jawbone
Birth
Upper Back

2. How is Medicare's RBRVS calculated?
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
Movement toward the midline
Ankle
The bone is broken and pierces an organ.

3. What is Carcinoma in situ?
Within
Forms the back of the skull
Cancer that has localized and not spread at all.
Intestine

4. hyster/
Above
Lunula
Uteris
Above

5. pre
Office of Inspector General (OIG)
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Finger Bones
Before - in front of

6. cholecyst/
Discolored - flat lesion
Movement toward the midline
The Axial Skeleton and the Appendicular Skeleton
Gall bladder

7. oste/
Death of tissue due to loss of blood supply
Bone
A new procedure or service since the previous edition.
Smaller - lateral leg bone

8. How many volumes is the ICD-9 manual divided into?
Absence of hair
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Lower Jawbone
Lower Back

9. hemi
Suture
Half
Osseous
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

10. cardi/
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.
Lunula
Heart
Wrist bones

11. chondro/
Strong - broad and have large surfaces for muscles to attach to.
1996
Cartilage
Liver

12. Coccygeal
To cut into
The Axial Skeleton and the Appendicular Skeleton
Suture
Coccyx (Tailbone)

13. Mandible
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Free moving joints that are surrounded by joint capsules.
Lower Jawbone
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.

14. Medial
Middle of the body.
Abnormal condition
Interior of the nose
Opening

15. How many digits does an ICD-9 Subcategory code have?
Forms the roof of the nasal cavity
Heart
4. (ex 311.0)
Surgical Fixation

16. Occipital Bone
Forms the back of the skull
Cancer that has spread to a secondary site.
Shin
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

17. Who investigates and prosecutes Health Care fraud?
The bone is broken and pierces an organ.
Out - out of
Office of Inspector General (OIG)
Upper Back

18. Inversion
Stone
Movement away from the midline
Sacrum
Turning Inward

19. What is in a Medical Record?
Head
Without
Osseous
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

20. hemi
Gall bladder
3 (ex 311)
Half
Interior of the nose

21. Phalanx
Karatin
Toe Bones
Vertical plane dividing the body into Anterior and Posterior sections.
Forms the two lower sides of the cranium

22. Abduction
Noninvasive - non-spreading - nonmalignant.
Epinephrine and Steriods
Movement away from the midline
Many

23. cephal/
Out - out of
Discharge - Flow
Absence of hair
Head

24. Lacrimal 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
5
Bones at the corner of each eye that cradle the tearducts
New

25. Lipocyte
Fat cell
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Near the point of attachment to the trunk.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

26. per
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
False
Through
Bursting forth blood

27. Alopecia
Absence of hair
Bursting forth blood
Upper Jawbone
Visual Examination

28. What is Employer Liability?

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29. Malleolus
Beside
Ankle
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Opening

30. How is the Patients DOB entered on the claim form?
MM/DD/YY
Ankle
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Side

31. How are bones categorized?
Vulva
The Axial Skeleton and the Appendicular Skeleton
Above
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

32. -scopy
Office of Inspector General (OIG)
To view
Smaller - lateral leg bone
Fallopian tubes

33. How many digits does an ICD-9 Category code have?
3 (ex 311)
Little - scanty
Noninvasive - non-spreading - nonmalignant.
A new procedure or service since the previous edition.

34. Inversion
Small collection of clear fluid; blister
Beside
Turning Inward
The bone is broken and pierces an organ.

35. hin/
Nose
In front of the temporal bones
Forms the sides of the cranium
Forms the sides of the cranium

36. What is the False Claims Act (FCA)
MM/DD/YY
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Reimbursement is sent directly from payer to the provider.
Wrist bones

37. colp/
3 (ex 311)
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
The bone is crushed or shattered.
Vagina

38. chondro/
Cartilage
Before - in front of
1. Insurance Reform 2. Administrative Simplification
Nose

39. -stomy
Gall bladder
Cancer that has spread to a secondary site.
Wrist bones
Opening

40. Cervical
In front of the temporal bones
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Neck Bones
Lower Jawbone

41. Retraction
Below - deficient
Moving backward
Surgical Repair
Noninvasive - non-spreading - nonmalignant.

42. poly
Mass
Many
4. (ex 311.0)
Stomach

43. brady
Vertical plane dividing the body into Anterior and Posterior sections.
Upper roof of the mouth
Slow
Surgical Puncture

44. ante
5. (ex 311.56)
26
Discharge - Flow
Before

45. What are bones connected together with?
Discolored - flat lesion
The fractured area of the bone collapses on itself.
Above
Fibrous bands of ligaments

46. What is the Civil Monetary Penalties Law (CMPL)?
Free moving joints that are surrounded by joint capsules.
Visual Examination
Hardening
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

47. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
A change in the code description since the last edition.
Surgical Fixation

48. What is the moon like white area at the base of the nail called?
Heart
Horizontal plane dividing the upper and lower parts of the body.
Lunula
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

49. lapar/
Abdomen
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
The bone is broken and pierces an organ.
Major skin pigment

50. Distal
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Suture
Far from the point of attachment of the trunk.
Forms the sides of the cranium