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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. What is the National Correct Coding Initiative (NCCI)?
Milk
4. (ex 311.0)
Through
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

2. What are bones connected together with?
1996
Fibrous bands of ligaments
A new procedure or service since the previous edition.
Neck Bones

3. Zygoma
Record
Little - scanty
Upper Jawbone
Cheek Bone

4. Occipital Bone
Bone that forms the wall between the nostrils
Enlargement
Forms the back of the skull
Half

5. How many digits does an ICD-9 Subcategory code have?
Lower medial arm bone
Hardening
4. (ex 311.0)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

6. -pathy
Surgical Repair
Disease Condition
Structural protein found in skin and connective tissue.
Fat cell

7. lith/
Stone
False
Turning Outward
Abnormal condition

8. para
Beside
Four
Surgical Fixation
Bone that forms the wall between the nostrils

9. Lateral
CMS-1500
Upper roof of the mouth
Ovary
Side

10. -meter
Measure
Stomach
False
Gall bladder

11. When was the Health Information and Accountability Act (HIPAA) created?
Fallopian tubes
Vertical plane dividing the body into Anterior and Posterior sections.
The fractured area of the bone collapses on itself.
1996

12. Short Bones
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Milk
Many
Small with irregular shapes (ie wrist and ankle)

13. cardi/
Vagina
Disease Condition
Heart
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

14. neo
Surgical Puncture
Absence of hair
Heart
New

15. Impetigo
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Bone that forms the wall between the nostrils
Below - deficient
Lower Back

16. oophor
Discolored - flat lesion
Vagina
Between
Ovary

17. Who investigates and prosecutes Health Care fraud?
To view
Inflammation
Cancer that has localized and not spread at all.
Office of Inspector General (OIG)

18. What is Carcinoma in situ?
1. Insurance Reform 2. Administrative Simplification
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Structural protein found in skin and connective tissue.
Cancer that has localized and not spread at all.

19. oste/
1. Insurance Reform 2. Administrative Simplification
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Bone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

20. How is Medicare's RBRVS calculated?
Sacrum
Moving forward
Fibrous bands of ligaments
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

21. Cervical
Small collection of clear fluid; blister
Hardening
Neck Bones
Above

22. arth/
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Cartilage
Cancer that has localized and not spread at all.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

23. What are the 2 types of sweat glands?
Under
A new procedure or service since the previous edition.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
In the cause of injury - poisoning - accidents or other adverse effects.

24. Lumbar
5. (ex 311.56)
Measure
Lower Back
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

25. Carpals
Osseous
Moving forward
Treatment
Wrist bones

26. Anterior/Ventral
Side
26
1996
Front part of the body.

27. -oma
Inflammation
Mass
Front part of the body.
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.

28. How long should Medical Records be retained?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
1. Insurance Reform 2. Administrative Simplification
Reimbursement is sent directly from payer to the provider.
Active - retired - survivors and their families of the Armed Forces.

29. -therapy
Little - scanty
Treatment
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.
Movement away from the midline

30. Sphenoid Bones
In front of the temporal bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Side
Noninvasive - non-spreading - nonmalignant.

31. -itis
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Vertical plane dividing the body into Anterior and Posterior sections.
Moving backward
Inflammation

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

33. What is Assignment of Benefits?
Heart
Reimbursement is sent directly from payer to the provider.
Before - in front of
Above

34. Sphenoid Bones
Smaller - lateral leg bone
A working diagnosis that has not yet been established.
Muscle
In front of the temporal bones

35. -lysis
Upper roof of the mouth
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Separation - Breakdown
Many

36. per
Through
Forms the back of the skull
Upper Back
Bones at the corner of each eye that cradle the tearducts

37. Melanin
Stone
Back part of the body.
Interior of the nose
Major skin pigment

38. What are bursae?
Many
Treatment
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

39. How many bones are in the spine?
Between
Abdomen
5. (ex 311.56)
26

40. Lipocyte
Wrist bones
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
Fat cell
Against

41. -pexy
Upper Jawbone
Surgical Fixation
Through
Office of Inspector General (OIG)

42. Lumbar
Lower Back
Muscle
Forms the roof of the nasal cavity
Hardening

43. lact/
Between
Four
Milk
Smaller - lateral leg bone

44. -rrhagia
Cancer that has localized and not spread at all.
Bursting forth blood
Turning Outward
26

45. Transverse/Cross Sectional
26
Horizontal plane dividing the upper and lower parts of the body.
Cartilage
Strong - broad and have large surfaces for muscles to attach to.

46. oophor
Suture
Bone
Ovary
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

47. Long Bones
Many
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Strong - broad and have large surfaces for muscles to attach to.
Cartilage

48. cardi/
To view
Heart
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Reimbursement is sent directly from payer to the provider.

49. -gram
Blood Condition
A new procedure or service since the previous edition.
Record
Standards of conduct based on moral principals.

50. What is Carcinoma in situ?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Cancer that has localized and not spread at all.
Forms the two lower sides of the cranium
Lower arm bone in line with the thumb