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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 are the 2 types of sweat glands?
In the cause of injury - poisoning - accidents or other adverse effects.
Cancer that has localized and not spread at all.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
The fractured area of the bone collapses on itself.

2. lact/
Milk
Bones at the corner of each eye that cradle the tearducts
All
Nose

3. What are the two provisions of HIPPA?
26
4. (ex 311.0)
1. Insurance Reform 2. Administrative Simplification
Sacrum

4. Macule
Upper roof of the mouth
Slow
Discolored - flat lesion
A pregnant woman who has had at least one pregnancy.

5. stomat/
Mouth
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Below - deficient
Forms the back of the skull

6. Who does TRICARE cover?
Turning Inward
Active - retired - survivors and their families of the Armed Forces.
The bone is broken and pierces an organ.
Opening

7. Wheal
Toe Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Suture
MM/DD/YY

8. What is Employee Liability Insurance?
Death of tissue due to loss of blood supply
Record
Liver
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

9. What is Employer Liability?

10. hyster/
Uteris
Discolored - flat lesion
Lower Jawbone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

11. How many volumes is the ICD-9 manual divided into?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Forms the two lower sides of the cranium
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Pain

12. What is the False Claims Act (FCA)
Forms the front part of the skull and the forehead.
Separation - Breakdown
CMS
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

13. What are the key components of E/M?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Movement away from the midline
Cancer that has localized and not spread at all.
Office of Inspector General (OIG)

14. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Cartilage
Noninvasive - non-spreading - nonmalignant.
Surgical Puncture

15. supra
Below - deficient
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Above
Finger Bones

16. What are bones made of?
Shoulder - collar - pelvic - arms and legs.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
A break at the distal end of the bone - usually when someone tries to break their fall.
Osseous

17. How is the Patients DOB entered on the claim form?
Absence of hair
Forms the front part of the skull and the forehead.
Forms the roof of the nasal cavity
MM/DD/YY

18. Macule
Discolored - flat lesion
Beside
Fibrous bands of ligaments
Bacterial inflammatory skin disease with lesions - pustules and vesicles

19. per
Measure
Through
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Fat cell

20. epi
Record
A break at the distal end of the bone - usually when someone tries to break their fall.
Neck Bones
Above

21. tetra
Fallopian tubes
Four
MM/DD/YY
Osseous

22. episi/
The bone is crushed or shattered.
Shoulder - collar - pelvic - arms and legs.
Vulva
Bone that forms the wall between the nostrils

23. What are bursae?
Separation - Breakdown
Stone
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Separation - Breakdown

24. What is secondary malignancy?
Upper Jawbone
Office of Inspector General (OIG)
Cancer that has spread to a secondary site.
Pain

25. Posterior/Dorsal
Back part of the body.
Against
Small collection of clear fluid; blister
Abnormal condition

26. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
Forms the back of the skull
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Skull - Ribcage and Spine.

27. What are the 5 regions of the spine?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Epinephrine and Steriods
Intestine
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

28. poly
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Cancer that has localized and not spread at all.
Many
Forms the roof of the nasal cavity

29. -oma
Mass
Four
Far from the point of attachment of the trunk.
Lower Back

30. -emia
Neck Bones
Blood Condition
A working diagnosis that has not yet been established.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

31. Coccygeal
Below - deficient
Coccyx (Tailbone)
Milk
Lower Back

32. -scopy
Visual Examination
Intestine
Uteris
Against

33. -sclerosis
Cartilage
Hardening
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Skull - Ribcage and Spine.

34. What is a Comminuted Fracture?
Discolored - flat lesion
The bone is crushed or shattered.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Bursting forth blood

35. -sclerosis
Small with irregular shapes (ie wrist and ankle)
Forms the two lower sides of the cranium
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
Hardening

36. How many bones are in the spine?
26
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Beside
Sacrum

37. Carpals
Toe Bones
Heart
Wrist bones
Head

38. salping/
Fallopian tubes
Suture
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Upper Jawbone

39. Supination
Movement toward the midline
Turning the palm or foot upward
Above
Muscle

40. Flat Bones
Within
New
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Nose

41. What is the False Claims Act (FCA)
Heart
Moving forward
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.

42. -osis
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Abnormal condition
Between
Upper Arm bone

43. dys
Middle of the foot bone
Discharge - Flow
Vulva
Painful - difficult

44. Proximal
Gall bladder
Lower arm bone in line with the thumb
Many
Near the point of attachment to the trunk.

45. Maxilla
Opening
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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
Upper Jawbone

46. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
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.
Noninvasive - non-spreading - nonmalignant.
Ankle

47. -megaly
Turning Outward
Lunula
Enlargement
Discolored - flat lesion

48. What is the moon like white area at the base of the nail called?
Lower medial arm bone
Lunula
Turning Outward
Surgical Repair

49. Sacral
Tongue
Back part of the body.
Four
Sacrum

50. How long should Medical Records be retained?
Osseous
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
A pregnant woman who has had at least one pregnancy.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.