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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. When can a provider share PHI without specific permission from the patient?

2. When are V codes used?
Half
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 backward
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

3. anti
Standards of conduct based on moral principals.
Head
Against
Below - deficient

4. Medial
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Middle of the body.
Forms the roof of the nasal cavity
Vertical plane dividing the body into Anterior and Posterior sections.

5. Palatine 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 - deficient
Structural protein found in skin and connective tissue.
Upper roof of the mouth

6. ante
Before
Many
Bones at the corner of each eye that cradle the tearducts
Bones at the corner of each eye that cradle the tearducts

7. -scopy
Tongue
Visual Examination
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Hind foot bone

8. cardi/
Heart
Intestine
Removal - Excision - Resection
5

9. -gram
Opening
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Record
Side

10. dys
Small collection of clear fluid; blister
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
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
Painful - difficult

11. What is hair made of?
Hematopoietic tissue
Karatin
Vertical plane dividing the body to the left and the right sides.
Upper roof of the mouth

12. Vomer
Bone that forms the wall between the nostrils
Toe Bones
Standards of conduct based on moral principals.
Under

13. What is the Axial Skeleton comprised of?
Head
Skull - Ribcage and Spine.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
The fractured area of the bone collapses on itself.

14. How long should Medical Records be retained?
Fallopian tubes
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Enlargement

15. Gangrene
Without
Fibrous bands of ligaments
Movement toward the midline
Death of tissue due to loss of blood supply

16. What is the moon like white area at the base of the nail called?
Office of Inspector General (OIG)
Lunula
Horizontal plane dividing the upper and lower parts of the body.
Surgical Puncture

17. Lateral
Lower Jawbone
Back part of the body.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Side

18. When was the Health Information and Accountability Act (HIPAA) created?
Beside
Interior of the nose
Abnormal condition
1996

19. What is the National Correct Coding Initiative (NCCI)?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Removal - Excision - Resection
Skull - Ribcage and Spine.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

20. mast/
To cut into
New
Hematopoietic tissue
Breast

21. Lacrimal Bones
Before
Ovary
Enlargement
Bones at the corner of each eye that cradle the tearducts

22. Posterior/Dorsal
Absence of hair
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Record
Back part of the body.

23. -pexy
Fallopian tubes
Hardening
Cheek Bone
Surgical Fixation

24. Humerus
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Upper Arm bone
Mouth
Under

25. epi
Neck Bones
Above
Forms the back of the skull
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

26. What are the 2 types of sweat glands?
Below
Discharge - Flow
The fractured area of the bone collapses on itself.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

27. stomat/
Mouth
Death of tissue due to loss of blood supply
Upper Back
Cancer that has spread to a secondary site.

28. What is Carcinoma in situ?
Mass
Cancer that has localized and not spread at all.
Treatment
Ankle

29. What is CHAMPVA
Moving backward
Cancer that has localized and not spread at all.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

30. lapar/
Coccyx (Tailbone)
Abnormal condition
Abdomen
Heart

31. salping/
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Active - retired - survivors and their families of the Armed Forces.
Breast
Fallopian tubes

32. What is Employee Liability Insurance?
Coccyx (Tailbone)
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.
Karatin
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

33. Alopecia
Middle of the foot bone
Breast
Bone
Absence of hair

34. What are the 3 classifications of Hypertension?
Blood Condition
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
CMS-1500
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

35. pan
All
Fallopian tubes
Blood Condition
Many

36. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Bursting forth blood
Toe Bones
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

37. Eversion
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
Vagina
Forms the back of the skull
Turning Outward

38. para
Bones the palm of the hand
4. (ex 311.0)
Beside
Skin

39. -centisis
Back part of the body.
1. Insurance Reform 2. Administrative Simplification
Surgical Puncture
Vagina

40. -lysis
Skull - Ribcage and Spine.
Lung
Separation - Breakdown
Upper Arm bone

41. Sagittal
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Vertical plane dividing the body to the left and the right sides.
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
To cut into

42. What is secondary malignancy?
4. (ex 311.0)
Out - out of
Hind foot bone
Cancer that has spread to a secondary site.

43. pneum/
Vertical plane dividing the body into Anterior and Posterior sections.
Back part of the body.
Lung
Removal - Excision - Resection

44. oglio
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
The bone is crushed or shattered.
Little - scanty
Middle of the foot bone

45. nat/
Birth
Bone
Above
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

46. episi/
Vulva
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.
Separation - Breakdown
1996

47. pan
All
Finger Bones
Before
Half

48. Hypo
Cartilage
3 (ex 311)
Bones the palm of the hand
Below - deficient

49. How is the Patients DOB entered on the claim form?
Lung
Sacrum
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
MM/DD/YY

50. Medial
Between
Out - out of
Middle of the body.
Lower Jawbone