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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. cardi/
Ankle
Heart
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Suture

2. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
Karatin
Opening
Turning Outward

3. supra
Lower Jawbone
Upper Jawbone
Movement away from the midline
Above

4. What are Medical Ethics?
Standards of conduct based on moral principals.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Coccyx (Tailbone)
Shin

5. sub
The bone is broken and pierces an organ.
New
Bones at the corner of each eye that cradle the tearducts
Under

6. Melanin
Bursting forth blood
Hardening
Major skin pigment
Inflammation

7. Can you have TRICARE and CHAMPVA at the same time?
Lower medial arm bone
Mass
Before
No.

8. -emia
Noninvasive - non-spreading - nonmalignant.
Blood Condition
Suture
Beside

9. What is the National Correct Coding Initiative (NCCI)?
1. Insurance Reform 2. Administrative Simplification
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Forms the sides of the cranium
Vertical plane dividing the body into Anterior and Posterior sections.

10. Who investigates and prosecutes Health Care fraud?
Shoulder - collar - pelvic - arms and legs.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Office of Inspector General (OIG)
Pain

11. When was the Health Information and Accountability Act (HIPAA) created?
Stomach
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
1996
4. (ex 311.0)

12. lith/
Cheek Bone
Stone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

13. Ethmoid Bone
Forms the roof of the nasal cavity
Discolored - flat lesion
Ankle
Bones at the corner of each eye that cradle the tearducts

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

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15. neo
Treatment
New
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Against

16. What is the name of the claim form that is standard for submitting claims?
The bone is broken and pierces an organ.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Within
CMS-1500

17. When are V codes used?
Stone
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
Abnormal condition
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

18. para
Turning the palm or foot upward
Beside
Middle of the body.
Many

19. What are the 2 types of glands on the skin?
Abnormal condition
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Under
Bone that forms the wall between the nostrils

20. colp/
Strong - broad and have large surfaces for muscles to attach to.
Vagina
No.
Upper Arm bone

21. -sclerosis
Hardening
Small with irregular shapes (ie wrist and ankle)
Surgical Fixation
Skull - Ribcage and Spine.

22. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Under
Cancer that has localized and not spread at all.
1996

23. mast/
Small collection of clear fluid; blister
Hematopoietic tissue
Opening
Breast

24. How is Medicare's RBRVS calculated?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
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
Little - scanty
Finger Bones

25. -ectomy
Out - out of
Suture
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Removal - Excision - Resection

26. Lipocyte
Smaller - lateral leg bone
Turning Inward
Nose
Fat cell

27. stomat/
Cheek Bone
Mouth
Breast
Skin

28. Wheal
Opening
Before
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
3 (ex 311)

29. Cervical
Upper roof of the mouth
Neck Bones
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Four

30. poly
Many
Fallopian tubes
Fibrous bands of ligaments
Stomach

31. Lumbar
Bone
Lower Back
Near the point of attachment to the trunk.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

32. -pexy
1. Insurance Reform 2. Administrative Simplification
Lunula
Surgical Fixation
Fallopian tubes

33. What is Fiscal Intermediary?
Neck Bones
Sacrum
Turning Inward
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

34. Who investigates and prosecutes Health Care fraud?
Vertical plane dividing the body into Anterior and Posterior sections.
Office of Inspector General (OIG)
Front part of the body.
Forms the roof of the nasal cavity

35. What is Employer Liability?

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36. Lacrimal Bones
Lunula
Bones at the corner of each eye that cradle the tearducts
A working diagnosis that has not yet been established.
Treatment

37. -scopy
Bone
CMS
Major skin pigment
To view

38. Posterior/Dorsal
Back part of the body.
Near the point of attachment to the trunk.
Forms the sides of the cranium
Wrist bones

39. salping/
Bones at the corner of each eye that cradle the tearducts
Fallopian tubes
Muscle
Middle of the body.

40. Vomer
Bones at the corner of each eye that cradle the tearducts
The Axial Skeleton and the Appendicular Skeleton
Bone that forms the wall between the nostrils
Disease Condition

41. hemi
Lower arm bone in line with the thumb
Half
CMS-1500
Back part of the body.

42. What is a Qualified Diagnosis
Disease Condition
A working diagnosis that has not yet been established.
Forms the sides of the cranium
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

43. What is a Comminuted Fracture?
The bone is crushed or shattered.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Below

44. -rrhaphy
Slow
Active - retired - survivors and their families of the Armed Forces.
Suture
CMS

45. pre
Near the point of attachment to the trunk.
Record
Pain
Before - in front of

46. What is secondary malignancy?
Cancer that has spread to a secondary site.
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Nose
All

47. oophor
Ovary
Below - deficient
Four
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

48. pan
All
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.
Noninvasive - non-spreading - nonmalignant.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

49. -rrhagia
Bursting forth blood
Turning the palm or foot upward
Discharge - Flow
Free moving joints that are surrounded by joint capsules.

50. Protraction
Moving forward
26
Far from the point of attachment of the trunk.
Shin