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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. What is a Qualified Diagnosis
A working diagnosis that has not yet been established.
All
Reimbursement is sent directly from payer to the provider.
Cartilage

2. What hormones do the adrenal glands secrete?
Vagina
Epinephrine and Steriods
Strong - broad and have large surfaces for muscles to attach to.
Smaller - lateral leg bone

3. cholecyst/
Gall bladder
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
Mouth
Cancer that has spread to a secondary site.

4. -lysis
Suture
Four
Separation - Breakdown
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

5. What are bones made of?
Osseous
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Above

6. Vomer
Skin
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.
Bone that forms the wall between the nostrils
Above

7. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Forms the roof of the nasal cavity
In the cause of injury - poisoning - accidents or other adverse effects.
The Axial Skeleton and the Appendicular Skeleton

8. How many volumes is the ICD-9 manual divided into?
The bone is broken and pierces an organ.
Pain
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

9. lapar/
Before
Milk
Abdomen
CMS

10. Alopecia
Surgical Fixation
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Absence of hair
Stomach

11. -plasty
A new procedure or service since the previous edition.
The Axial Skeleton and the Appendicular Skeleton
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Surgical Repair

12. hepato/
Within
Intestine
Above
Liver

13. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
To view
CMS-1500
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

14. lith/
Stone
Lunula
1996
Forms the back of the skull

15. Infra
Below
Lower arm bone in line with the thumb
Bone
Discharge - Flow

16. enter/
Out - out of
Intestine
Active - retired - survivors and their families of the Armed Forces.
Stomach

17. What are the 3 classifications of Hypertension?
Milk
CMS-1500
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

18. Gangrene
In front of the temporal bones
Liver
26
Death of tissue due to loss of blood supply

19. Zygoma
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Shoulder - collar - pelvic - arms and legs.
Discolored - flat lesion
Cheek Bone

20. arth/
Cartilage
Standards of conduct based on moral principals.
Bursting forth blood
Enlargement

21. What are the key components of E/M?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Head
Wrist bones

22. Lateral
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
Side
Turning Outward
Shin

23. What are bones connected together with?
Skin
Wrist bones
Fibrous bands of ligaments
Movement toward the midline

24. stomat/
Major skin pigment
5. (ex 311.56)
In front of the temporal bones
Mouth

25. brady
A break at the distal end of the bone - usually when someone tries to break their fall.
Upper Back
Slow
Vagina

26. What is Benign?
Noninvasive - non-spreading - nonmalignant.
Bursting forth blood
Horizontal plane dividing the upper and lower parts of the body.
Turning Inward

27. -pathy
Lower Jawbone
Disease Condition
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.
Blood Condition

28. What are the 3 layers of skin?
Slow
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Slow

29. Phalanges
Finger Bones
Moving backward
New
Epinephrine and Steriods

30. What is in a Medical Record?
Lower Back
Head
Skull - Ribcage and Spine.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

31. Thoracic
3 (ex 311)
Upper Back
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Hind foot bone

32. tetra
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
Four
Under
Epinephrine and Steriods

33. Anterior/Ventral
Movement away from the midline
Nose
Half
Front part of the body.

34. Medial
Middle of the body.
Upper roof of the mouth
Structural protein found in skin and connective tissue.
Bone

35. What are the 3 layers of skin?
Separation - Breakdown
Upper roof of the mouth
Disease Condition
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

36. ante
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Cancer that has localized and not spread at all.
Before
Forms the two lower sides of the cranium

37. Malleolus
Visual Examination
Surgical Fixation
Fat cell
Ankle

38. nat/
New
Office of Inspector General (OIG)
Coccyx (Tailbone)
Birth

39. -pexy
Pain
Movement away from the midline
Lower Back
Surgical Fixation

40. ante
Front part of the body.
Intestine
Before
Surgical Repair

41. Mandible
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Cancer that has spread to a secondary site.
Lower Jawbone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

42. cardi/
Heart
Vertical plane dividing the body to the left and the right sides.
Many
Fibrous bands of ligaments

43. Impetigo
Heart
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Abnormal condition
Bacterial inflammatory skin disease with lesions - pustules and vesicles

44. Eversion
1. Insurance Reform 2. Administrative Simplification
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Bones the palm of the hand
Turning Outward

45. What is Benign?
Disease Condition
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Head
Noninvasive - non-spreading - nonmalignant.

46. Impetigo
Lower Jawbone
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Nose
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.

47. What is the False Claims Act (FCA)
Tongue
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
A working diagnosis that has not yet been established.
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

48. What is primary malignancy?
The fractured area of the bone collapses on itself.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Below
Turning Inward

49. -ectomy
Removal - Excision - Resection
Head
Toe Bones
Cheek Bone

50. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Vertical plane dividing the body into Anterior and Posterior sections.
Noninvasive - non-spreading - nonmalignant.