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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. Humerus
Moving backward
Front part of the body.
Upper Arm bone
Lower Jawbone

2. Retraction
Smaller - lateral leg bone
Moving backward
Front part of the body.
Enlargement

3. Proximal
Lower Back
Near the point of attachment to the trunk.
Upper roof of the mouth
In front of the temporal bones

4. When was the Health Information and Accountability Act (HIPAA) created?
Reimbursement is sent directly from payer to the provider.
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.
1996
CMS-1500

5. Alopecia
To view
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Absence of hair
26

6. Fibula
Ovary
Smaller - lateral leg bone
Abdomen
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

7. -rrhea
Discharge - Flow
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.
5. (ex 311.56)
Surgical Fixation

8. How is Usual - Customary and Reasonable pricing calculated?

9. What is a Qualified Diagnosis
Out - out of
Without
Horizontal plane dividing the upper and lower parts of the body.
A working diagnosis that has not yet been established.

10. -oma
Muscle
All
Mass
Reimbursement is sent directly from payer to the provider.

11. What is the Appendicular Skeleton comprised of?
Bones the palm of the hand
Shoulder - collar - pelvic - arms and legs.
Muscle
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

12. pan
Lung
All
No.
In front of the temporal bones

13. -oma
Horizontal plane dividing the upper and lower parts of the body.
Without
Intestine
Mass

14. Distal
Hind foot bone
Moving forward
Far from the point of attachment of the trunk.
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

15. colp/
Vagina
Separation - Breakdown
Mass
Turning Outward

16. hepato/
Upper roof of the mouth
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Liver
Above

17. Eversion
Coccyx (Tailbone)
Turning Outward
Hind foot bone
Birth

18. -algia
Pain
Vulva
1996
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

19. arth/
Under
Sacrum
Cartilage
5

20. 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 sides of the cranium
Head
Side

21. Sagittal
The bone is crushed or shattered.
Vertical plane dividing the body to the left and the right sides.
Suture
CMS-1500

22. episi/
4. (ex 311.0)
Vulva
Surgical Fixation
Neck Bones

23. What is the name of the claim form that is standard for submitting claims?
CMS-1500
4. (ex 311.0)
Muscle
Middle of the body.

24. pre
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Before - in front of
Fibrous bands of ligaments
Ovary

25. poly
Removal - Excision - Resection
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Many
New

26. When was the Health Information and Accountability Act (HIPAA) created?
Abdomen
Neck Bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
1996

27. oste/
Forms the front part of the skull and the forehead.
Forms the two lower sides of the cranium
Bone
CMS

28. -osis
Abnormal condition
Major skin pigment
Heart
Fat cell

29. lapar/
Cartilage
Side
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Abdomen

30. How are bones categorized?
Forms the roof of the nasal cavity
The Axial Skeleton and the Appendicular Skeleton
Skull - Ribcage and Spine.
Active - retired - survivors and their families of the Armed Forces.

31. Protraction
The bone is broken and pierces an organ.
Moving forward
Below
Moving backward

32. -scopy
Hematopoietic tissue
Visual Examination
Heart
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

33. chondro/
Discolored - flat lesion
Small with irregular shapes (ie wrist and ankle)
Cartilage
Vulva

34. nat/
Absence of hair
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Birth
Mouth

35. When are E codes used?
Breast
A working diagnosis that has not yet been established.
Small collection of clear fluid; blister
In the cause of injury - poisoning - accidents or other adverse effects.

36. What is a Complicated Fracture?
Back part of the body.
The bone is broken and pierces an organ.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Measure

37. Occipital Bone
Forms the back of the skull
Lower Back
Smaller - lateral leg bone
Small with irregular shapes (ie wrist and ankle)

38. inter
Between
Below
Upper Arm bone
Intestine

39. Collagen
Surgical Repair
Heart
Structural protein found in skin and connective tissue.
Small with irregular shapes (ie wrist and ankle)

40. When are V codes used?
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
Fallopian tubes
Far from the point of attachment of the trunk.
Forms the two lower sides of the cranium

41. Vomer
No.
Little - scanty
Uteris
Bone that forms the wall between the nostrils

42. Macule
Interior of the nose
Cancer that has localized and not spread at all.
CMS
Discolored - flat lesion

43. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
Blood Condition
Lower medial arm bone
Below

44. Radius
Forms the front part of the skull and the forehead.
Vertical plane dividing the body to the left and the right sides.
Lower arm bone in line with the thumb
Moving forward

45. Carpals
Wrist bones
Ovary
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Death of tissue due to loss of blood supply

46. Who developed HCPCs codes?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
CMS
Front part of the body.
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

47. Radius
The fractured area of the bone collapses on itself.
Lower arm bone in line with the thumb
Vertical plane dividing the body to the left and the right sides.
Fat cell

48. ex
To view
Breast
Out - out of
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

49. How many digits does an ICD-9 Category code have?
Office of Inspector General (OIG)
Surgical Fixation
3 (ex 311)
Free moving joints that are surrounded by joint capsules.

50. oophor
Mass
Forms the roof of the nasal cavity
Ovary
Bones at the corner of each eye that cradle the tearducts