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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. Macule
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Discolored - flat lesion
Middle of the body.

2. -plasty
Abdomen
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
Surgical Repair
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

3. -rrhea
Moving forward
Discharge - Flow
Active - retired - survivors and their families of the Armed Forces.
26

4. oophor
Ovary
All
5
In the cause of injury - poisoning - accidents or other adverse effects.

5. -megaly
Bone
Cartilage
Enlargement
Birth

6. Gangrene
Treatment
Shin
Abdomen
Death of tissue due to loss of blood supply

7. What are Medical Ethics?
Front part of the body.
Standards of conduct based on moral principals.
Mass
Lung

8. What is the moon like white area at the base of the nail called?
Lunula
Fallopian tubes
Toe Bones
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

9. Abduction
Movement away from the midline
A working diagnosis that has not yet been established.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Inflammation

10. Coccygeal
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Upper Back
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Coccyx (Tailbone)

11. What is the False Claims Act (FCA)
Coccyx (Tailbone)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Back part of the body.

12. Sphenoid Bones
New
5. (ex 311.56)
In front of the temporal bones
Vulva

13. What does a Surgical Package (aka Global Surgery) include?
Opening
Upper Arm bone
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
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

14. pneum/
3 (ex 311)
3 (ex 311)
Lung
1996

15. Metatarsal
Middle of the foot bone
Four
Wrist bones
Finger Bones

16. What is the name of the claim form that is standard for submitting claims?
Major skin pigment
CMS-1500
Smaller - lateral leg bone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

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

18. hemi
Upper Jawbone
Half
Stomach
Shoulder - collar - pelvic - arms and legs.

19. Cervical
Ankle
Smaller - lateral leg bone
Visual Examination
Neck Bones

20. oglio
Lower Back
Little - scanty
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. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

21. What hormones do the adrenal glands secrete?
Reimbursement is sent directly from payer to the provider.
Stone
Moving forward
Epinephrine and Steriods

22. hemi
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Lower Back
Half
Many

23. What is in a Medical Record?
Horizontal plane dividing the upper and lower parts of the body.
Enlargement
False
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

24. Occipital Bone
Enlargement
Before
Forms the back of the skull
Half

25. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
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.
Many

26. salping/
Fallopian tubes
Skin
Birth
Vagina

27. hyster/
Shin
Surgical Repair
Uteris
Middle of the body.

28. Thoracic
Upper Back
Disease Condition
Bones the palm of the hand
Abdomen

29. Metatarsal
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
In the cause of injury - poisoning - accidents or other adverse effects.
Middle of the foot bone
Shoulder - collar - pelvic - arms and legs.

30. -scopy
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Visual Examination
Before - in front of
CMS

31. -plasty
Opening
Cartilage
Tongue
Surgical Repair

32. -stomy
A pregnant woman who has had at least one pregnancy.
5
Birth
Opening

33. Zygoma
A new procedure or service since the previous edition.
To cut into
Cheek Bone
Heart

34. What are bones connected together with?
Muscle
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Upper roof of the mouth
Fibrous bands of ligaments

35. pre
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Before - in front of
Cancer that has spread to a secondary site.
Uteris

36. Supination
Discharge - Flow
Turning the palm or foot upward
Smaller - lateral leg bone
Head

37. inter
Between
4. (ex 311.0)
Disease Condition
Visual Examination

38. gloss/
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Tongue
Bone that forms the wall between the nostrils
Separation - Breakdown

39. episi/
Uteris
Vulva
Lung
Above

40. Collagen
Structural protein found in skin and connective tissue.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
To cut into
Major skin pigment

41. mast/
Birth
Breast
Office of Inspector General (OIG)
Cancer that has localized and not spread at all.

42. -oma
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Enlargement
Small collection of clear fluid; blister
Mass

43. anti
Vertical plane dividing the body to the left and the right sides.
Against
Through
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

44. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Opening
Lower Back

45. -centisis
Lunula
A change in the code description since the last edition.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Surgical Puncture

46. Collagen
Mouth
Hind foot bone
Structural protein found in skin and connective tissue.
Stomach

47. supra
Surgical Fixation
Vulva
Skull - Ribcage and Spine.
Above

48. sub
Under
Below - deficient
Small with irregular shapes (ie wrist and ankle)
A new procedure or service since the previous edition.

49. When billing an insurance company - what information must be included?
Lung
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Separation - Breakdown
Absence of hair

50. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Ankle
Out - out of
Stone