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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 Benign?
Fallopian tubes
Osseous
Noninvasive - non-spreading - nonmalignant.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

2. Posterior/Dorsal
A break at the distal end of the bone - usually when someone tries to break their fall.
Back part of the body.
Abdomen
Shoulder - collar - pelvic - arms and legs.

3. Protraction
Moving forward
Lower Back
Vagina
Lower Back

4. Ethmoid Bone
Finger Bones
Treatment
Liver
Forms the roof of the nasal cavity

5. What is the name of the claim form that is standard for submitting claims?
CMS-1500
3 (ex 311)
A new procedure or service since the previous edition.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

6. What is secondary malignancy?
Bones the palm of the hand
26
Cancer that has spread to a secondary site.
Enlargement

7. Distal
Within
Toe Bones
Far from the point of attachment of the trunk.
Ankle

8. Ulna
Middle of the foot bone
Office of Inspector General (OIG)
Lower medial arm bone
Within

9. Zygoma
Interior of the nose
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Cheek Bone
Muscle

10. How many regions is the spinal/vertebral column divided into?
Upper Jawbone
Karatin
5
A working diagnosis that has not yet been established.

11. Who investigates and prosecutes Health Care fraud?
The bone is broken and pierces an organ.
Fibrous bands of ligaments
Office of Inspector General (OIG)
Gall bladder

12. Mandible
Ovary
Lower medial arm bone
Lower Jawbone
Forms the roof of the nasal cavity

13. Malleolus
Vertical plane dividing the body into Anterior and Posterior sections.
Ankle
Forms the roof of the nasal cavity
5. (ex 311.56)

14. What is a compression fracture?
The fractured area of the bone collapses on itself.
Intestine
MM/DD/YY
Without

15. per
Through
Pain
Bone that forms the wall between the nostrils
4. (ex 311.0)

16. ante
Stomach
Before
5
Without

17. Vomer
Ovary
Vagina
Bone that forms the wall between the nostrils
The Axial Skeleton and the Appendicular Skeleton

18. Adduction
Moving forward
Structural protein found in skin and connective tissue.
Movement toward the midline
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

19. What are bursae?
Smaller - lateral leg bone
A break at the distal end of the bone - usually when someone tries to break their fall.
Turning Outward
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

20. oglio
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
Little - scanty
CMS
Absence of hair

21. What is Employee Liability Insurance?
Breast
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Abnormal condition
Neck Bones

22. -pathy
Disease Condition
Cancer that has localized and not spread at all.
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
Office of Inspector General (OIG)

23. What is a Complicated Fracture?
5
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
The bone is broken and pierces an organ.
In front of the temporal bones

24. Vesicle
Small collection of clear fluid; blister
Neck Bones
Before
Hind foot bone

25. What are the 2 types of glands on the skin?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Office of Inspector General (OIG)

26. dys
Painful - difficult
Treatment
Forms the front part of the skull and the forehead.
Little - scanty

27. -emia
Far from the point of attachment of the trunk.
Lower medial arm bone
Fallopian tubes
Blood Condition

28. What is a Comminuted Fracture?
In the cause of injury - poisoning - accidents or other adverse effects.
Bone that forms the wall between the nostrils
Upper Arm bone
The bone is crushed or shattered.

29. -lysis
Osseous
Forms the two lower sides of the cranium
Separation - Breakdown
Finger Bones

30. inter
Toe Bones
Between
Above
Lower arm bone in line with the thumb

31. myo/
Nose
1. Insurance Reform 2. Administrative Simplification
Muscle
Vertical plane dividing the body into Anterior and Posterior sections.

32. What are synovial joints?
Bone that forms the wall between the nostrils
Strong - broad and have large surfaces for muscles to attach to.
Free moving joints that are surrounded by joint capsules.
In front of the temporal bones

33. What is a Qualified Diagnosis
Opening
Intestine
A working diagnosis that has not yet been established.
Bones at the corner of each eye that cradle the tearducts

34. What hormones do the adrenal glands secrete?
Epinephrine and Steriods
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.
In the cause of injury - poisoning - accidents or other adverse effects.
Absence of hair

35. -pathy
MM/DD/YY
Disease Condition
Vertical plane dividing the body into Anterior and Posterior sections.
A pregnant woman who has had at least one pregnancy.

36. 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.
Before
Absence of hair
In front of the temporal bones

37. What is a Colles Fracture?
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
A break at the distal end of the bone - usually when someone tries to break their fall.
Before
Nose

38. colp/
Many
Vagina
Toe Bones
CMS-1500

39. nat/
False
Birth
Standards of conduct based on moral principals.
Out - out of

40. hepato/
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Liver
Turning the palm or foot upward
Forms the two lower sides of the cranium

41. Phalanges
A change in the code description since the last edition.
Shoulder - collar - pelvic - arms and legs.
Finger Bones
Under

42. Transverse/Cross Sectional
Within
Far from the point of attachment of the trunk.
CMS
Horizontal plane dividing the upper and lower parts of the body.

43. What are the two types of edits that the NCCI implements?
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
Active - retired - survivors and their families of the Armed Forces.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
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.

44. How many digits does an ICD-9 Subcategory code have?
Forms the front part of the skull and the forehead.
Between
Middle of the foot bone
4. (ex 311.0)

45. What are the 3 layers of skin?
Movement away from the midline
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
3 (ex 311)

46. stomat/
Skin
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Between
Mouth

47. Vesicle
Small collection of clear fluid; blister
Fat cell
Interior of the nose
Movement toward the midline

48. What is Employer Liability?

49. -rrhagia
Bursting forth blood
Measure
Upper roof of the mouth
Lung

50. What is Fiscal Intermediary?
Little - scanty
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Cartilage
Within