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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. Frontal Bone
Active - retired - survivors and their families of the Armed Forces.
Forms the front part of the skull and the forehead.
Against
Turning Outward

2. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
In front of the temporal bones
Reimbursement is sent directly from payer to the provider.

3. When are V codes used?
To cut into
Bones at the corner of each eye that cradle the tearducts
Gall bladder
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

4. Sphenoid Bones
In the cause of injury - poisoning - accidents or other adverse effects.
Strong - broad and have large surfaces for muscles to attach to.
Abnormal condition
In front of the temporal bones

5. Inferior nasal conchae
Fibrous bands of ligaments
Forms the back of the skull
A new procedure or service since the previous edition.
Interior of the nose

6. Tibia
Absence of hair
All
Shin
Discolored - flat lesion

7. Impetigo
Horizontal plane dividing the upper and lower parts of the body.
Surgical Puncture
A change in the code description since the last edition.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

8. Sagittal
Vertical plane dividing the body to the left and the right sides.
Upper Jawbone
The Axial Skeleton and the Appendicular Skeleton
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

9. lact/
Discharge - Flow
Milk
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.
Disease Condition

10. epi
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Above
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

11. What is CHAMPVA
Head
Pain
Surgical Fixation
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

12. -stomy
Far from the point of attachment of the trunk.
Noninvasive - non-spreading - nonmalignant.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Opening

13. Phalanges
Karatin
Beside
Finger Bones
Standards of conduct based on moral principals.

14. chondro/
Cartilage
CMS-1500
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Movement away from the midline

15. cardi/
Vulva
Separation - Breakdown
Heart
In the cause of injury - poisoning - accidents or other adverse effects.

16. dys
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Painful - difficult
Coccyx (Tailbone)
Surgical Puncture

17. Posterior/Dorsal
Vagina
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
Bones at the corner of each eye that cradle the tearducts
Back part of the body.

18. What is the False Claims Act (FCA)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
1. Insurance Reform 2. Administrative Simplification
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Lower arm bone in line with the thumb

19. What is Employer Liability?

20. Metatarsal
Vertical plane dividing the body into Anterior and Posterior sections.
Gall bladder
Surgical Repair
Middle of the foot bone

21. Metatarsal
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Moving backward
26
Middle of the foot bone

22. cardi/
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Heart
Vertical plane dividing the body to the left and the right sides.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

23. dys
Bone
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
Painful - difficult
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.

24. -osis
Below - deficient
Abnormal condition
Upper Back
Noninvasive - non-spreading - nonmalignant.

25. Gangrene
Lower Back
Lower Back
Side
Death of tissue due to loss of blood supply

26. lith/
Stomach
Through
Finger Bones
Stone

27. Supination
Turning the palm or foot upward
Cartilage
Liver
Uteris

28. How many digits does an ICD-9 Subclassification code have?
Active - retired - survivors and their families of the Armed Forces.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
5. (ex 311.56)
Discharge - Flow

29. -itis
Inflammation
Sacrum
Uteris
Near the point of attachment to the trunk.

30. What are the 3 layers of skin?
Moving backward
A new procedure or service since the previous edition.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Fallopian tubes

31. Retraction
Moving backward
Within
A change in the code description since the last edition.
Wrist bones

32. When was the Health Information and Accountability Act (HIPAA) created?
Lung
Upper Jawbone
Stomach
1996

33. Phalanx
Skull - Ribcage and Spine.
Far from the point of attachment of the trunk.
Lower Back
Toe Bones

34. Medial
5. (ex 311.56)
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Karatin
Middle of the body.

35. Abduction
5. (ex 311.56)
Far from the point of attachment of the trunk.
Movement away from the midline
Toe Bones

36. sub
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Inflammation
Under
Noninvasive - non-spreading - nonmalignant.

37. What is a Complicated Fracture?
The bone is broken and pierces an organ.
All
Middle of the foot bone
Back part of the body.

38. supra
Upper Back
Lower arm bone in line with the thumb
5. (ex 311.56)
Above

39. -sclerosis
Hardening
Uteris
Above
False

40. inter
Under
Between
Smaller - lateral leg bone
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

41. Fibula
Four
Lunula
Smaller - lateral leg bone
CMS

42. What is the moon like white area at the base of the nail called?
Lunula
Mass
1996
The bone is crushed or shattered.

43. Radius
Lower arm bone in line with the thumb
Fat cell
Ovary
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

44. neo
Karatin
Skin
Bones at the corner of each eye that cradle the tearducts
New

45. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Above
Abnormal condition
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

46. Parietal Bones
Karatin
Sacrum
Forms the sides of the cranium
Inflammation

47. What does a triangle in the CPT book next to a code mean?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
A change in the code description since the last edition.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

48. Humerus
Structural protein found in skin and connective tissue.
Upper Arm bone
Painful - difficult
Many

49. derm/
Skin
Sacrum
Vagina
In the cause of injury - poisoning - accidents or other adverse effects.

50. What are the 5 regions of the spine?
Measure
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Head
Major skin pigment