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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. Adduction
Lung
Movement toward the midline
Forms the front part of the skull and the forehead.
Four

2. cholecyst/
Forms the sides of the cranium
Gall bladder
Hematopoietic tissue
Middle of the foot bone

3. Vesicle
1996
The bone is crushed or shattered.
Small collection of clear fluid; blister
Pain

4. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Discolored - flat lesion
Surgical Repair
Neck Bones

5. Inferior nasal conchae
Interior of the nose
Between
Suture
1. Insurance Reform 2. Administrative Simplification

6. Malleolus
Ankle
Cheek Bone
Major skin pigment
4. (ex 311.0)

7. -centisis
Fibrous bands of ligaments
Bursting forth blood
Surgical Puncture
A change in the code description since the last edition.

8. What are the two types of edits that the NCCI implements?
A change in the code description since the last edition.
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.
Above
Epinephrine and Steriods

9. Eversion
3 (ex 311)
Turning Outward
Half
Birth

10. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
Karatin
Forms the sides of the cranium
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

11. Radius
Lower arm bone in line with the thumb
Half
Small collection of clear fluid; blister
Structural protein found in skin and connective tissue.

12. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
CMS
Stone

13. -stomy
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Opening
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Cartilage

14. What are the insides of bones comprised of?
Lower Back
Upper roof of the mouth
Hematopoietic tissue
Surgical Fixation

15. gastro/
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Stomach
In the cause of injury - poisoning - accidents or other adverse effects.
Measure

16. endo
Within
Disease Condition
Hematopoietic tissue
A change in the code description since the last edition.

17. Carpals
Stomach
Surgical Fixation
Wrist bones
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

18. -pexy
Below - deficient
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Surgical Fixation
Surgical Puncture

19. chondro/
Half
Turning Outward
Measure
Cartilage

20. -rrhagia
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Within
Bursting forth blood
Abnormal condition

21. Fibula
1. Insurance Reform 2. Administrative Simplification
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Smaller - lateral leg bone
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

22. Inferior nasal conchae
Shin
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
Interior of the nose
Heart

23. Metatarsal
Enlargement
Middle of the foot bone
Under
Forms the two lower sides of the cranium

24. What is secondary malignancy?
Cancer that has spread to a secondary site.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Turning Inward
Coccyx (Tailbone)

25. What is Employer Liability?

26. What is a compression fracture?
The fractured area of the bone collapses on itself.
3 (ex 311)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Bones at the corner of each eye that cradle the tearducts

27. Mandible
Middle of the body.
Lower Jawbone
The bone is broken and pierces an organ.
Heart

28. How long should Medical Records be retained?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
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.
5
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

29. pseudo
Turning the palm or foot upward
False
Mass
Free moving joints that are surrounded by joint capsules.

30. -therapy
The bone is crushed or shattered.
Muscle
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Treatment

31. -itis
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Inflammation
Strong - broad and have large surfaces for muscles to attach to.
Standards of conduct based on moral principals.

32. How many digits does an ICD-9 Subcategory code have?
Gall bladder
Epinephrine and Steriods
4. (ex 311.0)
Disease Condition

33. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
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
1996
Wrist bones

34. neo
Little - scanty
New
Toe Bones
Vertical plane dividing the body into Anterior and Posterior sections.

35. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Vertical plane dividing the body into Anterior and Posterior sections.
Bones the palm of the hand
Back part of the body.

36. lact/
The bone is broken and pierces an organ.
A change in the code description since the last edition.
Milk
Painful - difficult

37. What is the Civil Monetary Penalties Law (CMPL)?
Coccyx (Tailbone)
Stone
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

38. Lateral
Through
Side
Osseous
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.

39. anti
Upper roof of the mouth
Coccyx (Tailbone)
Against
Far from the point of attachment of the trunk.

40. Melanin
Major skin pigment
Heart
A break at the distal end of the bone - usually when someone tries to break their fall.
Measure

41. -scopy
Visual Examination
Upper Jawbone
Uteris
Noninvasive - non-spreading - nonmalignant.

42. epi
Coccyx (Tailbone)
Moving backward
Breast
Above

43. lapar/
Upper roof of the mouth
Abdomen
The Axial Skeleton and the Appendicular Skeleton
Upper Jawbone

44. What is the moon like white area at the base of the nail called?
Lunula
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Middle of the body.
Upper Jawbone

45. Coccygeal
Coccyx (Tailbone)
Head
Discolored - flat lesion
Cancer that has localized and not spread at all.

46. -lysis
CMS-1500
Breast
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
Separation - Breakdown

47. What are synovial joints?
Far from the point of attachment of the trunk.
Free moving joints that are surrounded by joint capsules.
To view
Through

48. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
CMS-1500
Below
Uteris

49. Gangrene
Shoulder - collar - pelvic - arms and legs.
A pregnant woman who has had at least one pregnancy.
Death of tissue due to loss of blood supply
Vertical plane dividing the body into Anterior and Posterior sections.

50. cephal/
Head
Birth
Small with irregular shapes (ie wrist and ankle)
Cartilage