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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. Malleolus
Standards of conduct based on moral principals.
Lower arm bone in line with the thumb
Ankle
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

2. How is the Patients DOB entered on the claim form?
Within
Small with irregular shapes (ie wrist and ankle)
Interior of the nose
MM/DD/YY

3. Sacral
Wrist bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Sacrum
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

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

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5. Malleolus
Side
Osseous
Ankle
Forms the sides of the cranium

6. cardi/
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Heart
Stomach
1996

7. What are the insides of bones comprised of?
Free moving joints that are surrounded by joint capsules.
Lunula
Before - in front of
Hematopoietic tissue

8. oste/
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Mouth
Cancer that has spread to a secondary site.
Bone

9. What is a compression fracture?
Bones at the corner of each eye that cradle the tearducts
Turning Inward
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
The fractured area of the bone collapses on itself.

10. Carpals
The fractured area of the bone collapses on itself.
Four
Coccyx (Tailbone)
Wrist bones

11. nat/
Birth
Far from the point of attachment of the trunk.
Before
Above

12. What is CHAMPVA
Ankle
Near the point of attachment to the trunk.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
3 (ex 311)

13. Sesamoid Bones
26
Four
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Above

14. Wheal
Lower Jawbone
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
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
Blood Condition

15. Anterior/Ventral
Separation - Breakdown
Front part of the body.
Opening
Mass

16. Abduction
Movement away from the midline
The fractured area of the bone collapses on itself.
Forms the back of the skull
Birth

17. Vomer
Bone that forms the wall between the nostrils
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
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Upper Back

18. Wheal
Vulva
All
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Upper Jawbone

19. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
Suture
Before - in front of
Surgical Puncture

20. Occipital Bone
A break at the distal end of the bone - usually when someone tries to break their fall.
Against
Beside
Forms the back of the skull

21. Lipocyte
Fat cell
Discharge - Flow
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

22. Palatine Bones
Cartilage
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
A change in the code description since the last edition.
Upper roof of the mouth

23. What are the two types of edits that the NCCI implements?
Head
Lower Back
Sacrum
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.

24. How many bones are in the spine?
Cheek Bone
New
26
4. (ex 311.0)

25. What are the 2 types of sweat glands?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Forms the sides of the cranium

26. Inversion
Turning Inward
Without
Cartilage
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

27. What is a Qualified Diagnosis
Removal - Excision - Resection
Disease Condition
Small with irregular shapes (ie wrist and ankle)
A working diagnosis that has not yet been established.

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

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29. hin/
Nose
Pain
Osseous
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

30. What is Benign?
Noninvasive - non-spreading - nonmalignant.
A change in the code description since the last edition.
Birth
Cartilage

31. What is the moon like white area at the base of the nail called?
Forms the two lower sides of the cranium
Abnormal condition
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Lunula

32. What is a Colles Fracture?
Cancer that has localized and not spread at all.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Neck Bones
A break at the distal end of the bone - usually when someone tries to break their fall.

33. Metacarpals
Cartilage
Before - in front of
Upper roof of the mouth
Bones the palm of the hand

34. What is a Colles Fracture?
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
A new procedure or service since the previous edition.
Below - deficient
A break at the distal end of the bone - usually when someone tries to break their fall.

35. Ethmoid Bone
Upper Arm bone
Forms the roof of the nasal cavity
In the cause of injury - poisoning - accidents or other adverse effects.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

36. Zygoma
Fat cell
Smaller - lateral leg bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Cheek Bone

37. What does a Surgical Package (aka Global Surgery) include?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Osseous
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
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

38. -stomy
Major skin pigment
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.
Forms the sides of the cranium
Opening

39. When billing an insurance company - what information must be included?
Liver
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Four

40. What are bones connected together with?
Nose
Fibrous bands of ligaments
To cut into
The bone is broken and pierces an organ.

41. What is Fiscal Intermediary?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Four
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Middle of the body.

42. endo
Absence of hair
Osseous
New
Within

43. How many regions is the spinal/vertebral column divided into?
The bone is crushed or shattered.
5
Osseous
Above

44. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Wrist bones
Within
Tongue

45. When are E codes used?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
In the cause of injury - poisoning - accidents or other adverse effects.
Hind foot bone
3 (ex 311)

46. Macule
Head
Against
Fibrous bands of ligaments
Discolored - flat lesion

47. Temporal Bones
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Forms the two lower sides of the cranium
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Forms the roof of the nasal cavity

48. Ulna
Surgical Fixation
Abdomen
Lower medial arm bone
Abnormal condition

49. How many bones are in the spine?
Turning the palm or foot upward
Liver
Office of Inspector General (OIG)
26

50. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
A new procedure or service since the previous edition.
Bones the palm of the hand
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.