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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. Coccygeal
Surgical Fixation
Fallopian tubes
Forms the sides of the cranium
Coccyx (Tailbone)

2. cardi/
Strong - broad and have large surfaces for muscles to attach to.
Heart
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Cartilage

3. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Forms the sides of the cranium
Noninvasive - non-spreading - nonmalignant.
Mass

4. supra
Above
The bone is broken and pierces an organ.
Removal - Excision - Resection
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

5. -therapy
Little - scanty
Separation - Breakdown
Upper roof of the mouth
Treatment

6. Macule
Discolored - flat lesion
The bone is broken and pierces an organ.
Back part of the body.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

7. Parietal Bones
Neck Bones
Forms the sides of the cranium
Standards of conduct based on moral principals.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

8. What is Carcinoma in situ?
In front of the temporal bones
Reimbursement is sent directly from payer to the provider.
Cancer that has localized and not spread at all.
Enlargement

9. Frontal - Coronal
Cancer that has localized and not spread at all.
Vertical plane dividing the body into Anterior and Posterior sections.
A new procedure or service since the previous edition.
Within

10. Fibula
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.
Birth
Smaller - lateral leg bone
Before

11. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
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
Forms the front part of the skull and the forehead.

12. Maxilla
Upper Jawbone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
26
Karatin

13. How many digits does an ICD-9 Subclassification code have?
Hardening
5. (ex 311.56)
Noninvasive - non-spreading - nonmalignant.
Little - scanty

14. What hormones do the adrenal glands secrete?
Back part of the body.
Far from the point of attachment of the trunk.
Skin
Epinephrine and Steriods

15. Palatine Bones
Upper roof of the mouth
Hematopoietic tissue
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

16. What are bones connected together with?
Fibrous bands of ligaments
Cancer that has localized and not spread at all.
Out - out of
Discolored - flat lesion

17. Proximal
Near the point of attachment to the trunk.
The fractured area of the bone collapses on itself.
Cartilage
Skull - Ribcage and Spine.

18. Can you have TRICARE and CHAMPVA at the same time?
Lower medial arm bone
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
No.

19. Ulna
Lower medial arm bone
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Structural protein found in skin and connective tissue.
Lunula

20. Phalanges
Under
Finger Bones
Opening
Coccyx (Tailbone)

21. Infra
Below
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
The fractured area of the bone collapses on itself.
Lunula

22. hin/
Vulva
Nose
Little - scanty
Osseous

23. endo
Within
Separation - Breakdown
A break at the distal end of the bone - usually when someone tries to break their fall.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

24. What are the 5 regions of the spine?
A working diagnosis that has not yet been established.
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Surgical Fixation

25. What is Employee Liability Insurance?
False
Opening
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

26. When was the Health Information and Accountability Act (HIPAA) created?
Bone that forms the wall between the nostrils
Through
Forms the sides of the cranium
1996

27. What is a Qualified Diagnosis
Disease Condition
Measure
A working diagnosis that has not yet been established.
Neck Bones

28. Coccygeal
In the cause of injury - poisoning - accidents or other adverse effects.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Front part of the body.
Coccyx (Tailbone)

29. hyster/
Below - deficient
Turning Outward
Uteris
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

30. What is Fiscal Intermediary?
Lower arm bone in line with the thumb
Cheek Bone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Turning Inward

31. What is hair made of?
Karatin
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.
Out - out of
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

32. hepato/
Liver
Surgical Fixation
Finger Bones
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.

33. Frontal Bone
Forms the front part of the skull and the forehead.
Without
Noninvasive - non-spreading - nonmalignant.
Noninvasive - non-spreading - nonmalignant.

34. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Below - deficient
Little - scanty
Within

35. -ectomy
Absence of hair
Removal - Excision - Resection
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Moving backward

36. Who investigates and prosecutes Health Care fraud?
Office of Inspector General (OIG)
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
False
Against

37. Abduction
Liver
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Office of Inspector General (OIG)
Movement away from the midline

38. Lumbar
Lower Back
Small collection of clear fluid; blister
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Above

39. mast/
Back part of the body.
Skull - Ribcage and Spine.
Breast
Beside

40. epi
Strong - broad and have large surfaces for muscles to attach to.
CMS-1500
Middle of the body.
Above

41. How many bones are in the spine?
The fractured area of the bone collapses on itself.
Bone that forms the wall between the nostrils
26
Office of Inspector General (OIG)

42. Anterior/Ventral
Forms the roof of the nasal cavity
The bone is broken and pierces an organ.
Above
Front part of the body.

43. What are the insides of bones comprised of?
Lung
Hematopoietic tissue
Interior of the nose
Shin

44. supra
Stone
Movement toward the midline
Half
Above

45. What is the Civil Monetary Penalties Law (CMPL)?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Ankle
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Out - out of

46. Melanin
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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.
Major skin pigment
Shoulder - collar - pelvic - arms and legs.

47. What is hair made of?
Mass
Death of tissue due to loss of blood supply
Absence of hair
Karatin

48. -pathy
Mass
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.
Liver
Disease Condition

49. What is Benign?
Noninvasive - non-spreading - nonmalignant.
Epinephrine and Steriods
Treatment
A change in the code description since the last edition.

50. Phalanges
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Finger Bones
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Upper Arm bone