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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. What is the National Correct Coding Initiative (NCCI)?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Office of Inspector General (OIG)
Active - retired - survivors and their families of the Armed Forces.
Cartilage

2. Maxilla
Opening
Moving forward
Upper Jawbone
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

3. Macule
Movement toward the midline
Below
5. (ex 311.56)
Discolored - flat lesion

4. What are bones made of?
Osseous
Lung
Under
Middle of the foot bone

5. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
Suture
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Active - retired - survivors and their families of the Armed Forces.

6. Gangrene
Middle of the body.
Death of tissue due to loss of blood supply
Cheek Bone
Noninvasive - non-spreading - nonmalignant.

7. Posterior/Dorsal
Finger Bones
Moving backward
Fallopian tubes
Back part of the body.

8. Anterior/Ventral
Moving forward
Middle of the foot bone
Active - retired - survivors and their families of the Armed Forces.
Front part of the body.

9. nat/
Upper roof of the mouth
Major skin pigment
Hematopoietic tissue
Birth

10. What is the False Claims Act (FCA)
Bone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Vulva
The bone is crushed or shattered.

11. What are the 2 types of glands on the skin?
Fat cell
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

12. What is Employee Liability Insurance?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Suture
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

13. Frontal Bone
A change in the code description since the last edition.
Lower medial arm bone
Vertical plane dividing the body to the left and the right sides.
Forms the front part of the skull and the forehead.

14. Coccygeal
Bone that forms the wall between the nostrils
Nose
Coccyx (Tailbone)
Far from the point of attachment of the trunk.

15. What is the Civil Monetary Penalties Law (CMPL)?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Structural protein found in skin and connective tissue.
1996
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

16. Medial
Treatment
Middle of the body.
Forms the two lower sides of the cranium
Nose

17. -pexy
Shoulder - collar - pelvic - arms and legs.
Surgical Fixation
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Little - scanty

18. enter/
Intestine
Surgical Repair
The Axial Skeleton and the Appendicular Skeleton
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.

19. epi
False
Middle of the body.
Above
Epinephrine and Steriods

20. Temporal Bones
Forms the two lower sides of the cranium
Surgical Puncture
All
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.

21. What are synovial joints?
CMS-1500
Free moving joints that are surrounded by joint capsules.
Under
Muscle

22. What is a Colles Fracture?
Upper Back
A break at the distal end of the bone - usually when someone tries to break their fall.
Turning Inward
Cartilage

23. What is a Complicated Fracture?
Front part of the body.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
The bone is broken and pierces an organ.
Horizontal plane dividing the upper and lower parts of the body.

24. Distal
Movement away from the midline
Slow
Far from the point of attachment of the trunk.
Birth

25. -tomy
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Lower arm bone in line with the thumb
To cut into
The Axial Skeleton and the Appendicular Skeleton

26. Tibia
Cartilage
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.
Abnormal condition
Shin

27. hepato/
MM/DD/YY
Moving forward
Liver
Lower medial arm bone

28. What are bones connected together with?
Tongue
Fibrous bands of ligaments
Bursting forth blood
Karatin

29. per
Through
Fat cell
Enlargement
Against

30. Who developed HCPCs codes?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
CMS
New
Within

31. episi/
Hematopoietic tissue
To view
False
Vulva

32. Macule
Discolored - flat lesion
Surgical Repair
Beside
Gall bladder

33. pseudo
Forms the sides of the cranium
Many
Cancer that has spread to a secondary site.
False

34. How many digits does an ICD-9 Subclassification code have?
CMS-1500
Turning Inward
Surgical Repair
5. (ex 311.56)

35. Lipocyte
A pregnant woman who has had at least one pregnancy.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Fat cell

36. Multigravida
Smaller - lateral leg bone
Stomach
Upper Jawbone
A pregnant woman who has had at least one pregnancy.

37. What are the 2 types of sweat glands?
1996
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Measure
Surgical Puncture

38. What is the Civil Monetary Penalties Law (CMPL)?
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
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Intestine
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

39. Carpals
Before - in front of
Wrist bones
5. (ex 311.56)
Near the point of attachment to the trunk.

40. pan
A new procedure or service since the previous edition.
All
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

41. pan
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.
All
Bacterial inflammatory skin disease with lesions - pustules and vesicles

42. Who does TRICARE cover?
Skin
Major skin pigment
Surgical Puncture
Active - retired - survivors and their families of the Armed Forces.

43. cholecyst/
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Opening
In front of the temporal bones
Gall bladder

44. What is Benign?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
The bone is crushed or shattered.
Stone
Noninvasive - non-spreading - nonmalignant.

45. oste/
Bone
Measure
Intestine
Suture

46. Phalanges
Vertical plane dividing the body into Anterior and Posterior sections.
Skull - Ribcage and Spine.
Finger Bones
Muscle

47. Lumbar
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
Lower Back
Horizontal plane dividing the upper and lower parts of the body.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

48. supra
Above
Horizontal plane dividing the upper and lower parts of the body.
Between
The bone is crushed or shattered.

49. Parietal Bones
Stomach
Active - retired - survivors and their families of the Armed Forces.
Forms the sides of the cranium
Upper Back

50. What is primary malignancy?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
A working diagnosis that has not yet been established.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Discharge - Flow