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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. How are bones categorized?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
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
Intestine
The Axial Skeleton and the Appendicular Skeleton

2. What is the Civil Monetary Penalties Law (CMPL)?
Smaller - lateral leg bone
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Vulva
4. (ex 311.0)

3. Who developed HCPCs codes?
Turning Outward
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Blood Condition
CMS

4. When are E codes used?
Movement toward the midline
Abdomen
Upper roof of the mouth
In the cause of injury - poisoning - accidents or other adverse effects.

5. Alopecia
Hardening
Head
Absence of hair
Visual Examination

6. Phalanx
Toe Bones
Fallopian tubes
Out - out of
Intestine

7. Long Bones
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
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
Strong - broad and have large surfaces for muscles to attach to.
Horizontal plane dividing the upper and lower parts of the body.

8. What is Assignment of Benefits?
Gall bladder
The Axial Skeleton and the Appendicular Skeleton
Reimbursement is sent directly from payer to the provider.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

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

10. neo
Pain
Bones the palm of the hand
Record
New

11. How many digits does an ICD-9 Subcategory code have?
Finger Bones
Separation - Breakdown
Under
4. (ex 311.0)

12. -sclerosis
Removal - Excision - Resection
Coccyx (Tailbone)
Hardening
Sacrum

13. How many regions is the spinal/vertebral column divided into?
In front of the temporal bones
5
The bone is crushed or shattered.
Sacrum

14. Phalanx
Bone that forms the wall between the nostrils
Many
Toe Bones
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

15. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
Enlargement
Intestine
Upper Back

16. ex
Sacrum
Many
Out - out of
Painful - difficult

17. Parietal Bones
Head
Interior of the nose
Lower arm bone in line with the thumb
Forms the sides of the cranium

18. hin/
Lunula
Nose
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Discharge - Flow

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

20. Vomer
Wrist bones
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Bone that forms the wall between the nostrils
MM/DD/YY

21. mast/
Abdomen
Pain
Breast
Movement toward the midline

22. stomat/
Absence of hair
5. (ex 311.56)
Mouth
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

23. Thoracic
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Toe Bones
Lunula
Upper Back

24. salping/
Fallopian tubes
Sacrum
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Separation - Breakdown

25. ex
A break at the distal end of the bone - usually when someone tries to break their fall.
Out - out of
A pregnant woman who has had at least one pregnancy.
Sacrum

26. What are the two types of edits that the NCCI implements?
Beside
Forms the back of the skull
Head
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.

27. Sphenoid Bones
Pain
Record
In front of the temporal bones
Opening

28. Macule
Against
Middle of the body.
Toe Bones
Discolored - flat lesion

29. Humerus
Surgical Repair
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Strong - broad and have large surfaces for muscles to attach to.
Upper Arm bone

30. What are the 2 types of sweat glands?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
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. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

31. What is in a Medical Record?
Out - out of
New
Skull - Ribcage and Spine.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

32. What are the insides of bones comprised of?
Strong - broad and have large surfaces for muscles to attach to.
Small with irregular shapes (ie wrist and ankle)
Near the point of attachment to the trunk.
Hematopoietic tissue

33. Carpals
Removal - Excision - Resection
Active - retired - survivors and their families of the Armed Forces.
Painful - difficult
Wrist bones

34. Hypo
Below - deficient
Head
Lung
Suture

35. How is the Patients DOB entered on the claim form?
Separation - Breakdown
New
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
MM/DD/YY

36. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Structural protein found in skin and connective tissue.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Discolored - flat lesion

37. pre
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Before - in front of
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Noninvasive - non-spreading - nonmalignant.

38. -scopy
Measure
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
To view
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

39. What is a Qualified Diagnosis
Little - scanty
A working diagnosis that has not yet been established.
Movement away from the midline
A new procedure or service since the previous edition.

40. Ethmoid Bone
Forms the roof of the nasal cavity
The bone is crushed or shattered.
Forms the sides of the cranium
Discolored - flat lesion

41. -rrhea
Blood Condition
26
1996
Discharge - Flow

42. Tarsal
MM/DD/YY
Strong - broad and have large surfaces for muscles to attach to.
Hind foot bone
Before

43. Infra
Finger Bones
Wrist bones
Below
Vagina

44. -tomy
Upper Back
Four
To cut into
Milk

45. Anterior/Ventral
Discolored - flat lesion
Breast
Front part of the body.
In the cause of injury - poisoning - accidents or other adverse effects.

46. Radius
Side
Lower arm bone in line with the thumb
Cartilage
Lunula

47. What are bones connected together with?
Bursting forth blood
Cancer that has localized and not spread at all.
Front part of the body.
Fibrous bands of ligaments

48. Palatine Bones
Fibrous bands of ligaments
Within
Upper roof of the mouth
Coccyx (Tailbone)

49. -algia
New
Pain
1996
3 (ex 311)

50. -plasty
Surgical Repair
Beside
Finger Bones
MM/DD/YY