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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. dys
New
Painful - difficult
Turning Outward
Breast

2. What are the 2 types of sweat glands?
Lunula
Coccyx (Tailbone)
Liver
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

3. Lateral
Side
Nose
Middle of the body.
Shin

4. inter
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Between
3 (ex 311)

5. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Lower Back
Heart
Turning Inward

6. Mandible
Small collection of clear fluid; blister
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Heart
Lower Jawbone

7. Inversion
Wrist bones
Major skin pigment
Turning Inward
In front of the temporal bones

8. What are bones made of?
A working diagnosis that has not yet been established.
Surgical Repair
Osseous
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

9. What are bones made of?
Separation - Breakdown
A new procedure or service since the previous edition.
Osseous
Small collection of clear fluid; blister

10. Anterior/Ventral
Front part of the body.
Stone
Bones at the corner of each eye that cradle the tearducts
Bone that forms the wall between the nostrils

11. enter/
Forms the two lower sides of the cranium
Intestine
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Abnormal condition

12. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
A new procedure or service since the previous edition.
A pregnant woman who has had at least one pregnancy.

13. How many volumes is the ICD-9 manual divided into?
Bones the palm of the hand
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Strong - broad and have large surfaces for muscles to attach to.
Record

14. Infra
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Record
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.
Below

15. When are E codes used?
Surgical Puncture
Hardening
In the cause of injury - poisoning - accidents or other adverse effects.
5

16. pseudo
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Back part of the body.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
False

17. What is Benign?
Surgical Puncture
Noninvasive - non-spreading - nonmalignant.
Tongue
Free moving joints that are surrounded by joint capsules.

18. How are bones categorized?
Liver
The Axial Skeleton and the Appendicular Skeleton
Vertical plane dividing the body into Anterior and Posterior sections.
A break at the distal end of the bone - usually when someone tries to break their fall.

19. Temporal Bones
Smaller - lateral leg bone
Forms the back of the skull
Hematopoietic tissue
Forms the two lower sides of the cranium

20. myo/
False
Muscle
Lower Jawbone
3 (ex 311)

21. What is the False Claims Act (FCA)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Ovary
Disease Condition

22. Who developed HCPCs codes?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
CMS
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Heart

23. Tibia
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
Lower Back
Breast
Shin

24. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Forms the front part of the skull and the forehead.
False
Bones the palm of the hand

25. What are the 5 regions of the spine?
Below
Mouth
Noninvasive - non-spreading - nonmalignant.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

26. How many regions is the spinal/vertebral column divided into?
5
1. Insurance Reform 2. Administrative Simplification
Tongue
Bone

27. What are synovial joints?
Upper roof of the mouth
Below - deficient
Free moving joints that are surrounded by joint capsules.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

28. Adduction
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Hardening
Movement toward the midline

29. -tomy
Cartilage
Forms the front part of the skull and the forehead.
To cut into
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.

30. When are V codes used?
Neck Bones
Interior of the nose
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

31. Inferior nasal conchae
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Under
Interior of the nose

32. -itis
Near the point of attachment to the trunk.
Breast
The fractured area of the bone collapses on itself.
Inflammation

33. lapar/
Under
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Many
Abdomen

34. Temporal Bones
Cartilage
A pregnant woman who has had at least one pregnancy.
Forms the two lower sides of the cranium
4. (ex 311.0)

35. hin/
Slow
Nose
Before - in front of
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

36. Melanin
Major skin pigment
3 (ex 311)
Interior of the nose
Skin

37. Sesamoid Bones
Neck Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Slow
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

38. What are bones connected together with?
Fibrous bands of ligaments
Slow
CMS
Forms the back of the skull

39. lith/
Muscle
Lower medial arm bone
Stone
All

40. Infra
4. (ex 311.0)
Below
Forms the back of the skull
Tongue

41. How many bones are in the spine?
Bones the palm of the hand
Skin
26
Abdomen

42. When was the Health Information and Accountability Act (HIPAA) created?
Head
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1996
Back part of the body.

43. Who investigates and prosecutes Health Care fraud?
Lower arm bone in line with the thumb
Against
Measure
Office of Inspector General (OIG)

44. Palatine Bones
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
Lower Back
Upper roof of the mouth
Visual Examination

45. How is Medicare's RBRVS calculated?
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
1. Insurance Reform 2. Administrative Simplification
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
Shoulder - collar - pelvic - arms and legs.

46. para
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.
Beside
26
5

47. Who developed HCPCs codes?
CMS
Measure
Measure
Forms the sides of the cranium

48. Frontal - Coronal
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
Vertical plane dividing the body into Anterior and Posterior sections.
3 (ex 311)
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

49. mast/
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.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
The bone is crushed or shattered.
Breast

50. lact/
4. (ex 311.0)
Birth
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Milk