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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. Phalanges
Finger Bones
Pain
MM/DD/YY
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

2. Transverse/Cross Sectional
Neck Bones
Painful - difficult
Horizontal plane dividing the upper and lower parts of the body.
Mouth

3. -sclerosis
Bones the palm of the hand
Below - deficient
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Hardening

4. Metatarsal
Middle of the foot bone
Forms the sides of the cranium
Shoulder - collar - pelvic - arms and legs.
Turning the palm or foot upward

5. -emia
Abnormal condition
Forms the sides of the cranium
False
Blood Condition

6. arth/
Cartilage
Vertical plane dividing the body to the left and the right sides.
Between
Below - deficient

7. Lumbar
Vertical plane dividing the body to the left and the right sides.
Lower Back
Near the point of attachment to the trunk.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

8. Ethmoid Bone
Fat cell
Before - in front of
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Forms the roof of the nasal cavity

9. pneum/
A break at the distal end of the bone - usually when someone tries to break their fall.
Treatment
Lung
1996

10. Thoracic
Gall bladder
Upper Back
Lower arm bone in line with the thumb
Without

11. Carpals
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Wrist bones
Bones the palm of the hand
Uteris

12. How is the Patients DOB entered on the claim form?
Treatment
MM/DD/YY
Discharge - Flow
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

13. What are the 5 regions of the spine?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Surgical Fixation
Bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

14. Humerus
MM/DD/YY
The fractured area of the bone collapses on itself.
Upper Arm bone
Surgical Repair

15. Who developed HCPCs codes?
Small collection of clear fluid; blister
Strong - broad and have large surfaces for muscles to attach to.
CMS
Osseous

16. Who does TRICARE cover?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Active - retired - survivors and their families of the Armed Forces.
Smaller - lateral leg bone
CMS-1500

17. Tibia
Far from the point of attachment of the trunk.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Shin
Skin

18. hemi
Against
Half
CMS-1500
Bone that forms the wall between the nostrils

19. Distal
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Far from the point of attachment of the trunk.
Above
5

20. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
The fractured area of the bone collapses on itself.
Reimbursement is sent directly from payer to the provider.
No.

21. How is Medicare's RBRVS calculated?
MM/DD/YY
New
Back part of the body.
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

22. Radius
Bone that forms the wall between the nostrils
Lower arm bone in line with the thumb
A new procedure or service since the previous edition.
Separation - Breakdown

23. Sesamoid Bones
Cancer that has localized and not spread at all.
Enlargement
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

24. Lacrimal Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Horizontal plane dividing the upper and lower parts of the body.
Lung
Bones at the corner of each eye that cradle the tearducts

25. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
Pain
Treatment
Discharge - Flow

26. pseudo
False
Suture
Upper Back
Small with irregular shapes (ie wrist and ankle)

27. What is the National Correct Coding Initiative (NCCI)?
26
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
1. Insurance Reform 2. Administrative Simplification
Interior of the nose

28. Tarsal
Skull - Ribcage and Spine.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Reimbursement is sent directly from payer to the provider.
Hind foot bone

29. supra
Tongue
Above
Hardening
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

30. mast/
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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.
Breast
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

31. Cervical
Surgical Fixation
Neck Bones
Little - scanty
Wrist bones

32. Lipocyte
Gall bladder
Intestine
Hardening
Fat cell

33. Radius
4. (ex 311.0)
Lower arm bone in line with the thumb
Horizontal plane dividing the upper and lower parts of the body.
Absence of hair

34. Protraction
Cancer that has localized and not spread at all.
Moving forward
Pain
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

35. What are bursae?
Uteris
Moving backward
No.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

36. lapar/
Cancer that has spread to a secondary site.
Abdomen
Surgical Fixation
Forms the front part of the skull and the forehead.

37. enter/
Intestine
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.
Record
Liver

38. hyster/
Major skin pigment
Uteris
Hardening
Hematopoietic tissue

39. What are bones connected together with?
Shoulder - collar - pelvic - arms and legs.
Little - scanty
Fibrous bands of ligaments
Below - deficient

40. epi
Skin
Above
Upper Jawbone
Vertical plane dividing the body to the left and the right sides.

41. Protraction
Above
Moving forward
Pain
The bone is broken and pierces an organ.

42. What is a Colles Fracture?
Wrist bones
Moving forward
A break at the distal end of the bone - usually when someone tries to break their fall.
Visual Examination

43. What is the name of the claim form that is standard for submitting claims?
Office of Inspector General (OIG)
Half
CMS-1500
Structural protein found in skin and connective tissue.

44. stomat/
Hematopoietic tissue
Mouth
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Turning the palm or foot upward

45. cephal/
Skin
Reimbursement is sent directly from payer to the provider.
Head
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

46. -centisis
Surgical Puncture
Middle of the foot bone
Neck Bones
Free moving joints that are surrounded by joint capsules.

47. a - an
26
Opening
Mouth
Without

48. derm/
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Small collection of clear fluid; blister
Half
Skin

49. Occipital Bone
3 (ex 311)
Forms the back of the skull
Bone that forms the wall between the nostrils
Wrist bones

50. How is Usual - Customary and Reasonable pricing calculated?