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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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. a - an
Without
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
4. (ex 311.0)
Stone

2. What is a Qualified Diagnosis
A working diagnosis that has not yet been established.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Inflammation
Upper Jawbone

3. How is Medicare's RBRVS calculated?
Removal - Excision - Resection
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
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

4. -rrhea
A break at the distal end of the bone - usually when someone tries to break their fall.
To view
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Discharge - Flow

5. What are Medical Ethics?
Surgical Fixation
Standards of conduct based on moral principals.
Removal - Excision - Resection
Vertical plane dividing the body into Anterior and Posterior sections.

6. Thoracic
Within
Forms the sides of the cranium
Upper Back
Nose

7. Radius
Enlargement
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
Lower arm bone in line with the thumb
Muscle

8. How is Medicare's RBRVS calculated?
Against
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
Strong - broad and have large surfaces for muscles to attach to.
Office of Inspector General (OIG)

9. What is Benign?
A pregnant woman who has had at least one pregnancy.
Hematopoietic tissue
Noninvasive - non-spreading - nonmalignant.
Movement toward the midline

10. Radius
Lower arm bone in line with the thumb
Gall bladder
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Bone that forms the wall between the nostrils

11. What is the Axial Skeleton comprised of?
To cut into
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
In the cause of injury - poisoning - accidents or other adverse effects.
Skull - Ribcage and Spine.

12. oste/
Above
Bone
All
Birth

13. Lateral
To view
Side
Surgical Repair
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

14. per
Through
Cartilage
Horizontal plane dividing the upper and lower parts of the body.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

15. Lateral
Side
Tongue
Head
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

16. How many regions is the spinal/vertebral column divided into?
All
Shoulder - collar - pelvic - arms and legs.
Four
5

17. dys
Painful - difficult
In front of the temporal bones
Bone
Little - scanty

18. What are bones made of?
False
Through
A working diagnosis that has not yet been established.
Osseous

19. hepato/
Nose
Liver
Small with irregular shapes (ie wrist and ankle)
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

20. -oma
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
False
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Mass

21. -plasty
Heart
Surgical Repair
Forms the back of the skull
Abnormal condition

22. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
Four
Nose
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

23. -pathy
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Disease Condition
Inflammation
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

24. Sphenoid Bones
Vertical plane dividing the body to the left and the right sides.
In front of the temporal bones
Record
To view

25. What are the key components of E/M?
Movement toward the midline
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Active - retired - survivors and their families of the Armed Forces.
Horizontal plane dividing the upper and lower parts of the body.

26. How long should Medical Records be retained?
Lower Back
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Cheek Bone
Vagina

27. How many digits does an ICD-9 Subcategory code have?
Birth
Head
4. (ex 311.0)
Standards of conduct based on moral principals.

28. Maxilla
Upper Jawbone
The fractured area of the bone collapses on itself.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Horizontal plane dividing the upper and lower parts of the body.

29. -centisis
Surgical Puncture
Lower arm bone in line with the thumb
Beside
Through

30. myo/
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.
Muscle
Discolored - flat lesion
Lower Back

31. How many digits does an ICD-9 Subclassification code have?
Through
5. (ex 311.56)
In the cause of injury - poisoning - accidents or other adverse effects.
Mouth

32. -osis
Vagina
Abnormal condition
Horizontal plane dividing the upper and lower parts of the body.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

33. hemi
A working diagnosis that has not yet been established.
Hind foot bone
Without
Half

34. Frontal - Coronal
Forms the front part of the skull and the forehead.
Death of tissue due to loss of blood supply
Vertical plane dividing the body into Anterior and Posterior sections.
Under

35. Lacrimal Bones
Visual Examination
Before - in front of
Bones at the corner of each eye that cradle the tearducts
Below

36. What is the Civil Monetary Penalties Law (CMPL)?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Fallopian tubes
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

37. neo
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
New
Milk
Horizontal plane dividing the upper and lower parts of the body.

38. ex
Skull - Ribcage and Spine.
Pain
Ankle
Out - out of

39. When are V codes used?
Lower arm bone in line with the thumb
Removal - Excision - Resection
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
Movement away from the midline

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

41. How many digits does an ICD-9 Category code have?
Middle of the body.
Toe Bones
3 (ex 311)
Moving backward

42. -gram
Record
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Breast
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

43. Phalanx
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
A working diagnosis that has not yet been established.
Above
Toe Bones

44. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Surgical Puncture
Separation - Breakdown
Cancer that has spread to a secondary site.

45. -stomy
Through
5. (ex 311.56)
The bone is crushed or shattered.
Opening

46. Inversion
Without
Turning Inward
Inflammation
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

47. colp/
Standards of conduct based on moral principals.
Milk
Vagina
Liver

48. Who does TRICARE cover?
Abnormal condition
Active - retired - survivors and their families of the Armed Forces.
Interior of the nose
Visual Examination

49. Mandible
Coccyx (Tailbone)
Lung
Fibrous bands of ligaments
Lower Jawbone

50. gastro/
Nose
Suture
Stomach
Ovary

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