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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. pre
Skin
Before - in front of
Fallopian tubes
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

2. Temporal Bones
Stone
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 two lower sides of the cranium
Back part of the body.

3. -sclerosis
Bones the palm of the hand
Hardening
Ovary
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

4. ante
Karatin
Breast
Lunula
Before

5. What are Medical Ethics?
Standards of conduct based on moral principals.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
In the cause of injury - poisoning - accidents or other adverse effects.
Upper roof of the mouth

6. Palatine Bones
Painful - difficult
Upper roof of the mouth
Birth
Finger Bones

7. Humerus
Neck Bones
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Upper Arm bone

8. Temporal Bones
Removal - Excision - Resection
Middle of the foot bone
Forms the two lower sides of the cranium
Finger Bones

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

10. What are bones connected together with?
Back part of the body.
Fibrous bands of ligaments
Through
Shoulder - collar - pelvic - arms and legs.

11. What are the insides of bones comprised of?
All
Opening
Reimbursement is sent directly from payer to the provider.
Hematopoietic tissue

12. Retraction
Breast
Upper Jawbone
Above
Moving backward

13. nat/
Toe Bones
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Toe Bones
Birth

14. -meter
Strong - broad and have large surfaces for muscles to attach to.
Smaller - lateral leg bone
Back part of the body.
Measure

15. What is Fiscal Intermediary?
Cancer that has spread to a secondary site.
Before - in front of
Fibrous bands of ligaments
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

16. sub
Separation - Breakdown
Painful - difficult
Under
Below - deficient

17. para
The bone is crushed or shattered.
Nose
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.
Beside

18. What are synovial joints?
Discharge - Flow
Bone that forms the wall between the nostrils
Movement away from the midline
Free moving joints that are surrounded by joint capsules.

19. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
Forms the roof of the nasal cavity
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

20. hin/
Discolored - flat lesion
Nose
Turning Inward
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

21. cephal/
Lower Back
In front of the temporal bones
Head
Separation - Breakdown

22. Humerus
Upper Arm bone
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Moving forward
Milk

23. What is a Qualified Diagnosis
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
A working diagnosis that has not yet been established.
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.
Back part of the body.

24. Gangrene
Below - deficient
Death of tissue due to loss of blood supply
Within
No.

25. Melanin
Major skin pigment
Shoulder - collar - pelvic - arms and legs.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Lower Jawbone

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

27. What is Benign?
Bone that forms the wall between the nostrils
Lunula
Removal - Excision - Resection
Noninvasive - non-spreading - nonmalignant.

28. When are E codes used?
A break at the distal end of the bone - usually when someone tries to break their fall.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
In the cause of injury - poisoning - accidents or other adverse effects.
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.

29. What are the two provisions of HIPPA?
The fractured area of the bone collapses on itself.
1. Insurance Reform 2. Administrative Simplification
Cartilage
Shin

30. -lysis
A break at the distal end of the bone - usually when someone tries to break their fall.
MM/DD/YY
Pain
Separation - Breakdown

31. Collagen
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Horizontal plane dividing the upper and lower parts of the body.
Structural protein found in skin and connective tissue.
Karatin

32. -gram
Absence of hair
Coccyx (Tailbone)
Record
Removal - Excision - Resection

33. Lateral
Fallopian tubes
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Lower Jawbone
Side

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

35. What is the National Correct Coding Initiative (NCCI)?
Slow
26
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Visual Examination

36. oste/
New
Bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
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.

37. endo
Front part of the body.
Within
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Near the point of attachment to the trunk.

38. What are the two types of edits that the NCCI implements?
Hematopoietic tissue
4. (ex 311.0)
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.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

39. Phalanges
Treatment
Finger Bones
Intestine
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

40. -scopy
All
Blood Condition
Uteris
To view

41. neo
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
False
New

42. -rrhagia
Cancer that has spread to a secondary site.
Ovary
Abdomen
Bursting forth blood

43. What are the two provisions of HIPPA?
Upper Back
Interior of the nose
Below - deficient
1. Insurance Reform 2. Administrative Simplification

44. How many digits does an ICD-9 Category code have?
Mouth
3 (ex 311)
A pregnant woman who has had at least one pregnancy.
Coccyx (Tailbone)

45. What are bones connected together with?
Lower arm bone in line with the thumb
Measure
Fibrous bands of ligaments
Muscle

46. Multigravida
Turning Outward
Cancer that has localized and not spread at all.
Bones the palm of the hand
A pregnant woman who has had at least one pregnancy.

47. Abduction
Back part of the body.
Movement away from the midline
Heart
Free moving joints that are surrounded by joint capsules.

48. gloss/
Near the point of attachment to the trunk.
Fat cell
Tongue
Osseous

49. What are the 2 types of glands on the skin?
Uteris
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
CMS
Treatment

50. colp/
Shin
Beside
Vagina
Within