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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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. -plasty
Tongue
Muscle
Before
Surgical Repair

2. What is the Axial Skeleton comprised of?
Osseous
Ovary
Cancer that has spread to a secondary site.
Skull - Ribcage and Spine.

3. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Forms the sides of the cranium
Stomach
Cheek Bone

4. Multigravida
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Coccyx (Tailbone)
A pregnant woman who has had at least one pregnancy.
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

5. ante
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Before
26
Below

6. episi/
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
A new procedure or service since the previous edition.
Vulva
Vertical plane dividing the body into Anterior and Posterior sections.

7. Zygoma
Forms the roof of the nasal cavity
Cheek Bone
Small collection of clear fluid; blister
In front of the temporal bones

8. Metacarpals
Skull - Ribcage and Spine.
Turning the palm or foot upward
Neck Bones
Bones the palm of the hand

9. What is hair made of?
Muscle
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Karatin
Mouth

10. cephal/
Lower Jawbone
Head
Fibrous bands of ligaments
Before - in front of

11. poly
Opening
Opening
Disease Condition
Many

12. Parietal Bones
Stomach
Forms the sides of the cranium
Moving forward
Abnormal condition

13. lact/
Milk
Movement toward the midline
Forms the sides of the cranium
Ankle

14. Ethmoid Bone
Bursting forth blood
Beside
Forms the roof of the nasal cavity
Bone that forms the wall between the nostrils

15. salping/
Fallopian tubes
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
Death of tissue due to loss of blood supply
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

16. -meter
Measure
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Before - in front of

17. chondro/
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Lunula
Cartilage
No.

18. How many regions is the spinal/vertebral column divided into?
5
All
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Nose

19. Maxilla
Many
Upper Jawbone
Above
Against

20. Palatine Bones
Upper roof of the mouth
Ovary
Side
Under

21. pan
Vertical plane dividing the body into Anterior and Posterior sections.
All
Without
Side

22. What are the 2 types of sweat glands?
Upper Jawbone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Epinephrine and Steriods
Above

23. What is Benign?
Noninvasive - non-spreading - nonmalignant.
Forms the two lower sides of the cranium
Fat cell
Stomach

24. What is Assignment of Benefits?
Half
Tongue
All
Reimbursement is sent directly from payer to the provider.

25. Lateral
Side
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
Interior of the nose
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

26. What is Employer Liability?

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27. -lysis
Horizontal plane dividing the upper and lower parts of the body.
Hind foot bone
Osseous
Separation - Breakdown

28. When are E codes used?
Before - in front of
In the cause of injury - poisoning - accidents or other adverse effects.
Small collection of clear fluid; blister
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

29. Occipital Bone
Mass
All
Forms the back of the skull
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

30. 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.
No.
A change in the code description since the last edition.
Painful - difficult

31. Hypo
Mass
New
3 (ex 311)
Below - deficient

32. -sclerosis
Office of Inspector General (OIG)
Cancer that has localized and not spread at all.
Hardening
Cheek Bone

33. pre
Vagina
Vagina
Before - in front of
Vertical plane dividing the body into Anterior and Posterior sections.

34. Who investigates and prosecutes Health Care fraud?
A new procedure or service since the previous edition.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Office of Inspector General (OIG)
Bones the palm of the hand

35. oophor
Below - deficient
Moving forward
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Ovary

36. pan
A change in the code description since the last edition.
Front part of the body.
All
Movement toward the midline

37. Macule
Vertical plane dividing the body to the left and the right sides.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Discolored - flat lesion
The bone is crushed or shattered.

38. When billing an insurance company - what information must be included?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Beside
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
In front of the temporal bones

39. How many digits does an ICD-9 Category code have?
Turning Outward
The bone is crushed or shattered.
3 (ex 311)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

40. How are bones categorized?
Birth
Measure
26
The Axial Skeleton and the Appendicular Skeleton

41. para
Beside
Skin
Bones at the corner of each eye that cradle the tearducts
A working diagnosis that has not yet been established.

42. -rrhagia
Between
Bursting forth blood
Surgical Fixation
Office of Inspector General (OIG)

43. Protraction
Vertical plane dividing the body to the left and the right sides.
Muscle
Moving forward
Upper Arm bone

44. -stomy
Opening
Abnormal condition
A working diagnosis that has not yet been established.
4. (ex 311.0)

45. Anterior/Ventral
All
Front part of the body.
Lunula
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

46. What is the name of the claim form that is standard for submitting claims?
Coccyx (Tailbone)
Bursting forth blood
CMS-1500
Hind foot bone

47. How is the Patients DOB entered on the claim form?
Between
Hind foot bone
MM/DD/YY
Moving forward

48. a - an
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.
Without
Between
4. (ex 311.0)

49. What are Medical Ethics?
4. (ex 311.0)
Bones the palm of the hand
Standards of conduct based on moral principals.
Half

50. What is the Civil Monetary Penalties Law (CMPL)?
Painful - difficult
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Turning the palm or foot upward
Absence of hair