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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. Lipocyte
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Fat cell
Birth
Enlargement

2. salping/
Turning Inward
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Hardening
Fallopian tubes

3. What is the False Claims Act (FCA)
1996
Mouth
Beside
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

4. What are the key components of E/M?
Head
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

5. What is the Appendicular Skeleton comprised of?
Within
Visual Examination
Shoulder - collar - pelvic - arms and legs.
Noninvasive - non-spreading - nonmalignant.

6. Maxilla
False
Skull - Ribcage and Spine.
Upper Jawbone
Lower arm bone in line with the thumb

7. -sclerosis
Office of Inspector General (OIG)
Hardening
Measure
Cartilage

8. Medial
Middle of the body.
Lung
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

9. Inferior nasal conchae
Birth
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Interior of the nose
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

10. Mandible
Lower Jawbone
Interior of the nose
Nose
Forms the two lower sides of the cranium

11. -ectomy
Structural protein found in skin and connective tissue.
Removal - Excision - Resection
To view
The fractured area of the bone collapses on itself.

12. Humerus
Upper Arm bone
A change in the code description since the last edition.
False
Fibrous bands of ligaments

13. lith/
Skull - Ribcage and Spine.
Smaller - lateral leg bone
Stone
Slow

14. Can you have TRICARE and CHAMPVA at the same time?
Stone
Surgical Fixation
No.
Lower Jawbone

15. Frontal Bone
Forms the front part of the skull and the forehead.
Discolored - flat lesion
Movement away from the midline
Intestine

16. What are Medical Ethics?
Forms the sides of the cranium
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Fallopian tubes
Standards of conduct based on moral principals.

17. pan
Shin
All
Near the point of attachment to the trunk.
Hematopoietic tissue

18. pneum/
Lung
Death of tissue due to loss of blood supply
Free moving joints that are surrounded by joint capsules.
Gall bladder

19. -pexy
Mouth
Epinephrine and Steriods
Suture
Surgical Fixation

20. What are the 3 classifications of Hypertension?
Osseous
Above
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
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

21. What is Employee Liability Insurance?
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Little - scanty
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

22. Gangrene
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Death of tissue due to loss of blood supply
Above
A change in the code description since the last edition.

23. What are the insides of bones comprised of?
Standards of conduct based on moral principals.
Fat cell
Hematopoietic tissue
Enlargement

24. pseudo
Epinephrine and Steriods
Small collection of clear fluid; blister
Upper roof of the mouth
False

25. Infra
Bones the palm of the hand
Below
Standards of conduct based on moral principals.
Discharge - Flow

26. Multigravida
A pregnant woman who has had at least one pregnancy.
Noninvasive - non-spreading - nonmalignant.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Upper roof of the mouth

27. Proximal
Measure
Surgical Puncture
Near the point of attachment to the trunk.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

28. -therapy
Above
Vagina
Breast
Treatment

29. Temporal Bones
Bone
Forms the two lower sides of the cranium
Major skin pigment
A change in the code description since the last edition.

30. How many volumes is the ICD-9 manual divided into?
Separation - Breakdown
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Against
1996

31. anti
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Against
Upper Jawbone

32. Tibia
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Record
Shin
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

33. Wheal
Lower Jawbone
Opening
Heart
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

34. -stomy
Fat cell
Before
Opening
Upper Back

35. Who investigates and prosecutes Health Care fraud?
New
Forms the two lower sides of the cranium
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
Office of Inspector General (OIG)

36. -pathy
Tongue
Disease Condition
Cartilage
Middle of the body.

37. -megaly
Cartilage
Vagina
Measure
Enlargement

38. What is a Qualified Diagnosis
26
In the cause of injury - poisoning - accidents or other adverse effects.
A working diagnosis that has not yet been established.
Pain

39. What is the name of the claim form that is standard for submitting claims?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
CMS-1500
Gall bladder

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

41. per
Through
Cancer that has localized and not spread at all.
Smaller - lateral leg bone
Bursting forth blood

42. -tomy
Small with irregular shapes (ie wrist and ankle)
Major skin pigment
To cut into
Abdomen

43. Abduction
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Cheek Bone
Movement away from the midline
Office of Inspector General (OIG)

44. What hormones do the adrenal glands secrete?
Epinephrine and Steriods
4. (ex 311.0)
Vertical plane dividing the body into Anterior and Posterior sections.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

45. -tomy
Gall bladder
Skin
To cut into
Above

46. Coccygeal
Middle of the body.
CMS
Treatment
Coccyx (Tailbone)

47. What does a Surgical Package (aka Global Surgery) include?
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
Head
Forms the sides of the cranium
Vertical plane dividing the body into Anterior and Posterior sections.

48. Transverse/Cross Sectional
Karatin
Turning Inward
Horizontal plane dividing the upper and lower parts of the body.
Birth

49. What is Assignment of Benefits?
Coccyx (Tailbone)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Reimbursement is sent directly from payer to the provider.
Milk

50. Metacarpals
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Bones the palm of the hand
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Neck Bones