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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. How many digits does an ICD-9 Subcategory code have?
Forms the front part of the skull and the forehead.
Above
Small with irregular shapes (ie wrist and ankle)
4. (ex 311.0)

2. hepato/
Liver
Death of tissue due to loss of blood supply
Lower Jawbone
Free moving joints that are surrounded by joint capsules.

3. What are the key components of E/M?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Half
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

4. nat/
Upper Back
Mouth
Birth
Ankle

5. -gram
Record
Turning Outward
Skull - Ribcage and Spine.
Ankle

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

7. Eversion
Lower Back
A pregnant woman who has had at least one pregnancy.
Within
Turning Outward

8. chondro/
Cartilage
Turning the palm or foot upward
Neck Bones
Within

9. Medial
Middle of the body.
Skin
3 (ex 311)
Vagina

10. -pexy
Cartilage
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
Movement away from the midline
Surgical Fixation

11. a - an
Far from the point of attachment of the trunk.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
4. (ex 311.0)
Without

12. Sesamoid Bones
Coccyx (Tailbone)
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Forms the back of the skull
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

13. Carpals
No.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Wrist bones
Karatin

14. Who investigates and prosecutes Health Care fraud?
Below - deficient
Above
Office of Inspector General (OIG)
Removal - Excision - Resection

15. -lysis
Four
Slow
Breast
Separation - Breakdown

16. What is the name of the claim form that is standard for submitting claims?
Half
CMS-1500
Birth
Lower medial arm bone

17. pan
Out - out of
Below
Vulva
All

18. Proximal
Forms the two lower sides of the cranium
Surgical Puncture
Near the point of attachment to the trunk.
Office of Inspector General (OIG)

19. -osis
Little - scanty
Vulva
Bone that forms the wall between the nostrils
Abnormal condition

20. What is the Appendicular Skeleton comprised of?
Forms the back of the skull
Gall bladder
Interior of the nose
Shoulder - collar - pelvic - arms and legs.

21. ex
Forms the back of the skull
Out - out of
Before
Small with irregular shapes (ie wrist and ankle)

22. -stomy
Without
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
Opening
Lower Back

23. hin/
Major skin pigment
Nose
Enlargement
In the cause of injury - poisoning - accidents or other adverse effects.

24. -scopy
Bone that forms the wall between the nostrils
Moving backward
To view
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

25. Tarsal
Skull - Ribcage and Spine.
In the cause of injury - poisoning - accidents or other adverse effects.
Absence of hair
Hind foot bone

26. Parietal Bones
Enlargement
Forms the sides of the cranium
Little - scanty
Before - in front of

27. -rrhagia
Forms the front part of the skull and the forehead.
Bursting forth blood
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Discolored - flat lesion

28. Tibia
Surgical Puncture
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Shin
Four

29. Maxilla
Lower Jawbone
Upper Jawbone
Interior of the nose
Within

30. ex
Out - out of
Karatin
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Stone

31. -algia
Lung
Pain
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

32. What is the Appendicular Skeleton comprised of?
Noninvasive - non-spreading - nonmalignant.
Shoulder - collar - pelvic - arms and legs.
Moving backward
Head

33. Can you have TRICARE and CHAMPVA at the same time?
Structural protein found in skin and connective tissue.
Many
Fibrous bands of ligaments
No.

34. Who investigates and prosecutes Health Care fraud?
Cartilage
Active - retired - survivors and their families of the Armed Forces.
Shoulder - collar - pelvic - arms and legs.
Office of Inspector General (OIG)

35. When are V codes used?
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
Many
The fractured area of the bone collapses on itself.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

36. What are the 3 layers of skin?
Lunula
Before
Upper Back
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

37. inter
Cancer that has spread to a secondary site.
Below
Vertical plane dividing the body to the left and the right sides.
Between

38. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Turning Outward
Before

39. -oma
All
Shoulder - collar - pelvic - arms and legs.
Mass
MM/DD/YY

40. Mandible
Back part of the body.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Lower Jawbone

41. What are the 3 classifications of Hypertension?
Disease Condition
Movement toward the midline
Lung
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

42. Tarsal
Within
Tongue
Hind foot bone
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

43. When billing an insurance company - what information must be included?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
In front of the temporal bones
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Vulva

44. Transverse/Cross Sectional
Moving forward
Forms the front part of the skull and the forehead.
Horizontal plane dividing the upper and lower parts of the body.
Muscle

45. Sphenoid Bones
Surgical Repair
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
A new procedure or service since the previous edition.
In front of the temporal bones

46. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
Turning Inward
Milk
Office of Inspector General (OIG)

47. Palatine Bones
Nose
Upper roof of the mouth
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

48. -tomy
To cut into
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Surgical Puncture
Lower Jawbone

49. What is primary malignancy?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Middle of the body.
Cancer that has spread to a secondary site.

50. oophor
Ovary
Forms the front part of the skull and the forehead.
Uteris
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)