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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. -pexy
Lung
Below
Surgical Fixation
Office of Inspector General (OIG)

2. Retraction
Moving backward
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Forms the back of the skull
Measure

3. enter/
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
Before - in front of
Intestine
False

4. What is the National Correct Coding Initiative (NCCI)?
Near the point of attachment to the trunk.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Far from the point of attachment of the trunk.
False

5. -emia
Blood Condition
Movement away from the midline
Stone
Slow

6. How many bones are in the spine?
26
Interior of the nose
Noninvasive - non-spreading - nonmalignant.
Under

7. Collagen
Four
Back part of the body.
Structural protein found in skin and connective tissue.
Lung

8. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
A pregnant woman who has had at least one pregnancy.
Lunula
Above

9. nat/
Birth
5. (ex 311.56)
Lower Back
Turning Outward

10. -lysis
Fat cell
Separation - Breakdown
Hematopoietic tissue
Bones at the corner of each eye that cradle the tearducts

11. What does a triangle in the CPT book next to a code mean?
Bones at the corner of each eye that cradle the tearducts
A change in the code description since the last edition.
Enlargement
Wrist bones

12. pneum/
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
All
Abdomen
Lung

13. per
Fat cell
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Back part of the body.
Through

14. -pexy
Free moving joints that are surrounded by joint capsules.
Surgical Fixation
Opening
Small collection of clear fluid; blister

15. What is in a Medical Record?
Heart
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Hematopoietic tissue
Upper Arm bone

16. What hormones do the adrenal glands secrete?
Epinephrine and Steriods
Toe Bones
Through
4. (ex 311.0)

17. What is primary malignancy?
Head
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Hardening
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

18. -scopy
No.
To view
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Liver

19. What is a Qualified Diagnosis
Movement away from the midline
A working diagnosis that has not yet been established.
Upper Back
Below - deficient

20. lapar/
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
In the cause of injury - poisoning - accidents or other adverse effects.
Abdomen
Upper Back

21. How long should Medical Records be retained?
In the cause of injury - poisoning - accidents or other adverse effects.
Within
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Standards of conduct based on moral principals.

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

23. What is CHAMPVA
Tongue
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Small with irregular shapes (ie wrist and ankle)
Karatin

24. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Bones at the corner of each eye that cradle the tearducts
Upper roof of the mouth
5

25. When was the Health Information and Accountability Act (HIPAA) created?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Office of Inspector General (OIG)
1996
Turning Outward

26. Vomer
Bone that forms the wall between the nostrils
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Breast

27. Alopecia
New
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.
Absence of hair
Disease Condition

28. When are V codes used?
Forms the roof of the nasal cavity
Bursting forth blood
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
Beside

29. What are the insides of bones comprised of?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Muscle
Hematopoietic tissue
Noninvasive - non-spreading - nonmalignant.

30. chondro/
Upper Arm bone
Movement toward the midline
In the cause of injury - poisoning - accidents or other adverse effects.
Cartilage

31. -rrhagia
Bursting forth blood
Major skin pigment
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Small collection of clear fluid; blister

32. What are bones connected together with?
In the cause of injury - poisoning - accidents or other adverse effects.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Fibrous bands of ligaments
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

33. Thoracic
Without
Osseous
Upper Back
Discharge - Flow

34. Coccygeal
Smaller - lateral leg bone
Finger Bones
Head
Coccyx (Tailbone)

35. Gangrene
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Death of tissue due to loss of blood supply
1996
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.

36. Lipocyte
Moving backward
Middle of the foot bone
Slow
Fat cell

37. What is a Comminuted Fracture?
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.
Vertical plane dividing the body into Anterior and Posterior sections.
Four
The bone is crushed or shattered.

38. -megaly
A working diagnosis that has not yet been established.
No.
False
Enlargement

39. When was the Health Information and Accountability Act (HIPAA) created?
Forms the front part of the skull and the forehead.
Upper roof of the mouth
Ovary
1996

40. Sacral
Noninvasive - non-spreading - nonmalignant.
Reimbursement is sent directly from payer to the provider.
Sacrum
Mouth

41. What is the Appendicular Skeleton comprised of?
Forms the two lower sides of the cranium
Strong - broad and have large surfaces for muscles to attach to.
Below - deficient
Shoulder - collar - pelvic - arms and legs.

42. chondro/
Cartilage
Vertical plane dividing the body into Anterior and Posterior sections.
Slow
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

43. What are the 3 layers of skin?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
In the cause of injury - poisoning - accidents or other adverse effects.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Stone

44. Collagen
Half
Structural protein found in skin and connective tissue.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
In the cause of injury - poisoning - accidents or other adverse effects.

45. Phalanx
Toe Bones
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Skin
Turning Outward

46. lapar/
Far from the point of attachment of the trunk.
Abdomen
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Nose

47. Inferior nasal conchae
Interior of the nose
Ankle
Many
Abnormal condition

48. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
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.
Bursting forth blood
Forms the sides of the cranium

49. Hypo
Vertical plane dividing the body to the left and the right sides.
Below - deficient
Opening
The fractured area of the bone collapses on itself.

50. What does a Surgical Package (aka Global Surgery) include?
Against
Enlargement
Noninvasive - non-spreading - nonmalignant.
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