Test your basic knowledge |

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. anti
Against
To view
Surgical Fixation
False

2. derm/
Skin
Bones the palm of the hand
Against
Reimbursement is sent directly from payer to the provider.

3. How is Medicare's RBRVS calculated?
Cancer that has spread to a secondary site.
Middle of the foot bone
Nose
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. Collagen
Structural protein found in skin and connective tissue.
Removal - Excision - Resection
Many
Fallopian tubes

5. Phalanx
Cancer that has localized and not spread at all.
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.
Toe Bones
Turning Inward

6. What is a Complicated Fracture?
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
The bone is broken and pierces an organ.
A change in the code description since the last edition.
Cheek Bone

7. What is Benign?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Noninvasive - non-spreading - nonmalignant.
To cut into

8. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
Horizontal plane dividing the upper and lower parts of the body.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Ovary

9. Macule
All
Discolored - flat lesion
Free moving joints that are surrounded by joint capsules.
Lower Jawbone

10. What is the name of the claim form that is standard for submitting claims?
Epinephrine and Steriods
CMS-1500
1. Insurance Reform 2. Administrative Simplification
Abnormal condition

11. Tibia
Shin
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Separation - Breakdown
Treatment

12. -itis
Small collection of clear fluid; blister
Inflammation
Epinephrine and Steriods
Osseous

13. Short Bones
Small with irregular shapes (ie wrist and ankle)
Inflammation
A break at the distal end of the bone - usually when someone tries to break their fall.
Office of Inspector General (OIG)

14. What does a Surgical Package (aka Global Surgery) include?
Above
Uteris
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
Bursting forth blood

15. pan
All
Absence of hair
Moving forward
A break at the distal end of the bone - usually when someone tries to break their fall.

16. What does a triangle in the CPT book next to a code mean?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Neck Bones
A change in the code description since the last edition.
4. (ex 311.0)

17. endo
MM/DD/YY
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Within

18. What are bones made of?
CMS
The bone is broken and pierces an organ.
Osseous
Active - retired - survivors and their families of the Armed Forces.

19. Maxilla
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Head
1996
Upper Jawbone

20. How many digits does an ICD-9 Category code have?
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Upper Back
3 (ex 311)
Ovary

21. hepato/
Four
Liver
Moving forward
Between

22. Tarsal
Four
Moving forward
Hind foot bone
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.

23. How many digits does an ICD-9 Subcategory code have?
Moving forward
A change in the code description since the last edition.
4. (ex 311.0)
Between

24. How is Usual - Customary and Reasonable pricing calculated?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

25. Parietal Bones
Half
Forms the sides of the cranium
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Coccyx (Tailbone)

26. What is the Civil Monetary Penalties Law (CMPL)?
Beside
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Ovary
Lunula

27. What are the two types of edits that the NCCI implements?
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.
Blood Condition
Strong - broad and have large surfaces for muscles to attach to.
Surgical Puncture

28. Can you have TRICARE and CHAMPVA at the same time?
No.
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Discolored - flat lesion
Opening

29. What is the False Claims Act (FCA)
Lower arm bone in line with the thumb
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Suture
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

30. How is Usual - Customary and Reasonable pricing calculated?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

31. lact/
Mass
Milk
Four
Forms the back of the skull

32. Lateral
Far from the point of attachment of the trunk.
Cancer that has localized and not spread at all.
Side
Surgical Fixation

33. Eversion
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Small collection of clear fluid; blister
Turning Outward
False

34. What is the Appendicular Skeleton comprised of?
False
Karatin
Upper roof of the mouth
Shoulder - collar - pelvic - arms and legs.

35. -lysis
Separation - Breakdown
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Movement toward the midline
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

36. Phalanges
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Finger Bones
26
Horizontal plane dividing the upper and lower parts of the body.

37. supra
Above
Surgical Puncture
Abnormal condition
Half

38. -itis
Office of Inspector General (OIG)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
CMS
Inflammation

39. What are the 5 regions of the spine?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Noninvasive - non-spreading - nonmalignant.
Moving forward
Bone that forms the wall between the nostrils

40. Lacrimal Bones
A working diagnosis that has not yet been established.
Pain
Bones at the corner of each eye that cradle the tearducts
A new procedure or service since the previous edition.

41. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
To view
Record
Ankle

42. inter
3 (ex 311)
Back part of the body.
Between
Abnormal condition

43. What is a Qualified Diagnosis
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
A working diagnosis that has not yet been established.
Little - scanty
Shoulder - collar - pelvic - arms and legs.

44. What are bones made of?
Lower medial arm bone
Lower Back
Osseous
Breast

45. -tomy
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
To cut into
Movement away from the midline
Gall bladder

46. -rrhaphy
Suture
Birth
Bone that forms the wall between the nostrils
Turning Inward

47. -scopy
Intestine
Forms the back of the skull
To view
Hind foot bone

48. Protraction
Blood Condition
Moving forward
False
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

49. Lipocyte
Intestine
Ankle
Treatment
Fat cell

50. What are synovial joints?
Smaller - lateral leg bone
Cartilage
Free moving joints that are surrounded by joint capsules.
Bones at the corner of each eye that cradle the tearducts