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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. derm/
Skin
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
4. (ex 311.0)
Abnormal condition

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

3. -rrhaphy
Suture
Absence of hair
Separation - Breakdown
Head

4. Proximal
All
Disease Condition
Lunula
Near the point of attachment to the trunk.

5. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Under
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Abdomen

6. ante
Bones the palm of the hand
Before
Cancer that has spread to a secondary site.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

7. What is Benign?
Noninvasive - non-spreading - nonmalignant.
A change in the code description since the last edition.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Uteris

8. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
1996
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Toe Bones

9. What are the 3 layers of skin?
Upper Arm bone
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Before - in front of
Structural protein found in skin and connective tissue.

10. Ulna
Lower medial arm bone
Stone
Birth
All

11. Infra
Removal - Excision - Resection
Below
CMS-1500
No.

12. Thoracic
Lung
Heart
Upper Back
Karatin

13. Hypo
Removal - Excision - Resection
Through
Moving backward
Below - deficient

14. What are the 3 classifications of Hypertension?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Birth
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Lower Back

15. Vesicle
Fat cell
Abdomen
Skull - Ribcage and Spine.
Small collection of clear fluid; blister

16. Who does TRICARE cover?
Abdomen
Active - retired - survivors and their families of the Armed Forces.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Fibrous bands of ligaments

17. Palatine Bones
Lung
Upper roof of the mouth
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Hematopoietic tissue

18. inter
Vagina
Abnormal condition
Surgical Fixation
Between

19. What is the False Claims Act (FCA)
Between
Through
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Cancer that has spread to a secondary site.

20. What are the two types of edits that the NCCI implements?
Suture
Within
Cancer that has spread to a secondary site.
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.

21. anti
Fibrous bands of ligaments
Against
Upper roof of the mouth
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.

22. What is Employer Liability?

23. Hypo
Out - out of
Below - deficient
Record
Sacrum

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

25. -rrhagia
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.
Before
Bursting forth blood
3 (ex 311)

26. How many digits does an ICD-9 Category code have?
Horizontal plane dividing the upper and lower parts of the body.
3 (ex 311)
Active - retired - survivors and their families of the Armed Forces.
Abnormal condition

27. What is Benign?
Active - retired - survivors and their families of the Armed Forces.
Noninvasive - non-spreading - nonmalignant.
Moving backward
Within

28. hepato/
Milk
Liver
Vagina
Slow

29. What is CHAMPVA
Shoulder - collar - pelvic - arms and legs.
The Axial Skeleton and the Appendicular Skeleton
Out - out of
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

30. Who developed HCPCs codes?
Vertical plane dividing the body to the left and the right sides.
Milk
CMS
Above

31. hin/
Nose
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Toe Bones
Standards of conduct based on moral principals.

32. mast/
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
4. (ex 311.0)
Breast
Stomach

33. -emia
Blood Condition
Reimbursement is sent directly from payer to the provider.
Discharge - Flow
A pregnant woman who has had at least one pregnancy.

34. enter/
False
Turning Inward
Nose
Intestine

35. episi/
Cancer that has spread to a secondary site.
Abdomen
Horizontal plane dividing the upper and lower parts of the body.
Vulva

36. hyster/
Uteris
Karatin
Opening
Opening

37. What is the False Claims Act (FCA)
Reimbursement is sent directly from payer to the provider.
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
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Heart

38. Malleolus
Ankle
Coccyx (Tailbone)
Stone
Turning Inward

39. -ectomy
Bone that forms the wall between the nostrils
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Far from the point of attachment of the trunk.
Removal - Excision - Resection

40. Abduction
Gall bladder
Turning the palm or foot upward
Small collection of clear fluid; blister
Movement away from the midline

41. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
Before - in front of
Before
Vulva

42. Metacarpals
A change in the code description since the last edition.
1. Insurance Reform 2. Administrative Simplification
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Bones the palm of the hand

43. Lacrimal Bones
Bursting forth blood
To cut into
Bones at the corner of each eye that cradle the tearducts
Turning Inward

44. Impetigo
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Surgical Fixation
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Turning the palm or foot upward

45. -plasty
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Fallopian tubes
Surgical Repair
Below

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

47. neo
Vertical plane dividing the body into Anterior and Posterior sections.
Lower Back
Vertical plane dividing the body to the left and the right sides.
New

48. What is the moon like white area at the base of the nail called?
Many
Lunula
Bones at the corner of each eye that cradle the tearducts
Free moving joints that are surrounded by joint capsules.

49. Sphenoid Bones
Free moving joints that are surrounded by joint capsules.
Between
Near the point of attachment to the trunk.
In front of the temporal bones

50. Sesamoid Bones
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Turning Inward
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.