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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 bones made of?
Interior of the nose
Out - out of
Osseous
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

2. pre
Before - in front of
1996
Milk
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

3. Who does TRICARE cover?
Nose
Active - retired - survivors and their families of the Armed Forces.
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.
Disease Condition

4. Sesamoid Bones
Standards of conduct based on moral principals.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Record

5. -rrhea
Far from the point of attachment of the trunk.
Discharge - Flow
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
Sacrum

6. -centisis
Four
In front of the temporal bones
Surgical Puncture
5. (ex 311.56)

7. Lumbar
Fallopian tubes
Surgical Fixation
The bone is broken and pierces an organ.
Lower Back

8. -scopy
To view
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Surgical Puncture
Discharge - Flow

9. Abduction
The Axial Skeleton and the Appendicular Skeleton
Surgical Fixation
Movement away from the midline
Small with irregular shapes (ie wrist and ankle)

10. Lipocyte
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Movement away from the midline
Forms the roof of the nasal cavity
Fat cell

11. -tomy
26
To cut into
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Below

12. How is the Patients DOB entered on the claim form?
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.
Upper roof of the mouth
Surgical Repair
MM/DD/YY

13. -lysis
Abdomen
Osseous
Visual Examination
Separation - Breakdown

14. enter/
Intestine
Fat cell
Middle of the body.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

15. How many regions is the spinal/vertebral column divided into?
Bones at the corner of each eye that cradle the tearducts
Major skin pigment
5
Without

16. Short Bones
Uteris
Small with irregular shapes (ie wrist and ankle)
Cancer that has spread to a secondary site.
Out - out of

17. Protraction
New
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Moving forward
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

18. Lateral
Opening
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Absence of hair
Side

19. Medial
Far from the point of attachment of the trunk.
Middle of the body.
Measure
Karatin

20. What are the key components of E/M?
Measure
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Intestine

21. -pexy
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Turning Outward
Surgical Fixation
Discolored - flat lesion

22. What is the Appendicular Skeleton comprised of?
Measure
Shoulder - collar - pelvic - arms and legs.
Upper Arm bone
Half

23. Abduction
Movement away from the midline
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Vertical plane dividing the body to the left and the right sides.
Gall bladder

24. When are V codes used?
Fallopian tubes
Enlargement
Side
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

25. -therapy
Movement toward the midline
Treatment
Moving forward
Below

26. 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.
Moving forward
Upper roof of the mouth
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

27. What are bones connected together with?
Cartilage
Surgical Puncture
Cheek Bone
Fibrous bands of ligaments

28. lact/
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.
Milk
Interior of the nose
Removal - Excision - Resection

29. Zygoma
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
False
Free moving joints that are surrounded by joint capsules.

30. What are the insides of bones comprised of?
Hardening
Hematopoietic tissue
Hind foot bone
Horizontal plane dividing the upper and lower parts of the body.

31. hyster/
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.
Between
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Uteris

32. Occipital Bone
Lower medial arm bone
Nose
Lunula
Forms the back of the skull

33. When was the Health Information and Accountability Act (HIPAA) created?
In the cause of injury - poisoning - accidents or other adverse effects.
1996
Before
Lung

34. Humerus
Forms the two lower sides of the cranium
Upper Arm bone
Moving backward
Suture

35. -rrhaphy
1. Insurance Reform 2. Administrative Simplification
Suture
Karatin
Against

36. supra
Vertical plane dividing the body into Anterior and Posterior sections.
Above
Before
Bone

37. Frontal - Coronal
Upper Back
Vertical plane dividing the body into Anterior and Posterior sections.
Wrist bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

38. Lateral
Ovary
Bones the palm of the hand
Lung
Side

39. What does a Surgical Package (aka Global Surgery) include?
Surgical Repair
New
Below - deficient
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

40. Can you have TRICARE and CHAMPVA at the same time?
Major skin pigment
No.
Structural protein found in skin and connective tissue.
Death of tissue due to loss of blood supply

41. What is the moon like white area at the base of the nail called?
Ankle
Lunula
A working diagnosis that has not yet been established.
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.

42. sub
Painful - difficult
Below - deficient
Before
Under

43. What is Assignment of Benefits?
Lower Jawbone
Disease Condition
Slow
Reimbursement is sent directly from payer to the provider.

44. Transverse/Cross Sectional
Karatin
False
Horizontal plane dividing the upper and lower parts of the body.
5

45. neo
Between
To cut into
Vulva
New

46. -emia
Blood Condition
Hardening
Muscle
Moving backward

47. Anterior/Ventral
Above
Painful - difficult
Front part of the body.
Moving backward

48. derm/
Wrist bones
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Head
Skin

49. How is Medicare's RBRVS calculated?
Tongue
Coccyx (Tailbone)
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
The bone is crushed or shattered.

50. -oma
Disease Condition
Mass
1. Insurance Reform 2. Administrative Simplification
Toe Bones