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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. -emia
Vagina
Surgical Fixation
Forms the roof of the nasal cavity
Blood Condition

2. Metatarsal
Coccyx (Tailbone)
Front part of the body.
Middle of the foot bone
Discolored - flat lesion

3. What does a Surgical Package (aka Global Surgery) include?
All
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
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

4. What are the 2 types of sweat glands?
Turning the palm or foot upward
Interior of the nose
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Cancer that has spread to a secondary site.

5. -pathy
The Axial Skeleton and the Appendicular Skeleton
Disease Condition
Against
Toe Bones

6. What does a triangle in the CPT book next to a code mean?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
A change in the code description since the last edition.
Below - deficient
Lower arm bone in line with the thumb

7. When was the Health Information and Accountability Act (HIPAA) created?
1996
Smaller - lateral leg bone
Through
Osseous

8. lact/
Ankle
Measure
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Milk

9. lapar/
Before - in front of
Abdomen
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.
Cartilage

10. pneum/
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Pain
Lung
Upper Jawbone

11. Alopecia
Many
Absence of hair
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Far from the point of attachment of the trunk.

12. How many digits does an ICD-9 Subcategory code have?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Shoulder - collar - pelvic - arms and legs.
4. (ex 311.0)
Movement toward the midline

13. Long Bones
The Axial Skeleton and the Appendicular Skeleton
Strong - broad and have large surfaces for muscles to attach to.
Hardening
In the cause of injury - poisoning - accidents or other adverse effects.

14. What are the insides of bones comprised of?
Shin
1. Insurance Reform 2. Administrative Simplification
Hematopoietic tissue
Front part of the body.

15. nat/
Ankle
Birth
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Without

16. What are Medical Ethics?
Lung
Standards of conduct based on moral principals.
Beside
Muscle

17. lith/
Stone
Bones the palm of the hand
Cheek Bone
Separation - Breakdown

18. Lipocyte
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Fat cell
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

19. dys
Bursting forth blood
All
Painful - difficult
Turning Outward

20. Sesamoid Bones
Movement away from the midline
The bone is crushed or shattered.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Turning Inward

21. Sagittal
Mass
Uteris
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Vertical plane dividing the body to the left and the right sides.

22. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
Vertical plane dividing the body to the left and the right sides.
Intestine
Neck Bones

23. What is the National Correct Coding Initiative (NCCI)?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
In the cause of injury - poisoning - accidents or other adverse effects.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

24. Parietal Bones
Surgical Puncture
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Above
Forms the sides of the cranium

25. Humerus
Middle of the foot bone
Cartilage
Measure
Upper Arm bone

26. -rrhagia
Bursting forth blood
Uteris
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.
Cheek Bone

27. How many digits does an ICD-9 Subcategory code have?
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.
Above
4. (ex 311.0)
Painful - difficult

28. enter/
Cancer that has spread to a secondary site.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Cartilage
Intestine

29. -therapy
Treatment
Near the point of attachment to the trunk.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Pain

30. Ethmoid Bone
Little - scanty
Forms the front part of the skull and the forehead.
Gall bladder
Forms the roof of the nasal cavity

31. Phalanx
Smaller - lateral leg bone
5
Office of Inspector General (OIG)
Toe Bones

32. What is the name of the claim form that is standard for submitting claims?
Bursting forth blood
Record
CMS-1500
Bone that forms the wall between the nostrils

33. What is the Axial Skeleton comprised of?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Skull - Ribcage and Spine.
The bone is broken and pierces an organ.

34. Metacarpals
Bones the palm of the hand
Discolored - flat lesion
Turning Outward
Out - out of

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

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36. What are the 3 layers of skin?
Vertical plane dividing the body to the left and the right sides.
Turning Inward
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Bone that forms the wall between the nostrils

37. Retraction
Stomach
Opening
A break at the distal end of the bone - usually when someone tries to break their fall.
Moving backward

38. dys
Tongue
Painful - difficult
Through
Absence of hair

39. Who investigates and prosecutes Health Care fraud?
Stomach
Vertical plane dividing the body to the left and the right sides.
Office of Inspector General (OIG)
Before

40. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Vertical plane dividing the body into Anterior and Posterior sections.
The bone is crushed or shattered.
Head

41. tetra
Four
Finger Bones
Cartilage
Small with irregular shapes (ie wrist and ankle)

42. tetra
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Four
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
1996

43. What is Employer Liability?

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44. What are the 3 layers of skin?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
False
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
26

45. -tomy
Coccyx (Tailbone)
Movement toward the midline
Under
To cut into

46. Cervical
Below - deficient
Neck Bones
Surgical Repair
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

47. What does a triangle in the CPT book next to a code mean?
Bones at the corner of each eye that cradle the tearducts
Mass
A change in the code description since the last edition.
Standards of conduct based on moral principals.

48. What are bones made of?
Visual Examination
Osseous
Forms the roof of the nasal cavity
Bursting forth blood

49. How is Medicare's RBRVS calculated?
Beside
Removal - Excision - Resection
Enlargement
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

50. Long Bones
Fat cell
MM/DD/YY
Removal - Excision - Resection
Strong - broad and have large surfaces for muscles to attach to.