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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. Inversion
A working diagnosis that has not yet been established.
The fractured area of the bone collapses on itself.
Stomach
Turning Inward

2. gastro/
Stomach
5. (ex 311.56)
Surgical Fixation
Major skin pigment

3. -centisis
Near the point of attachment to the trunk.
Surgical Puncture
Before
Free moving joints that are surrounded by joint capsules.

4. Distal
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
Head
Abdomen
Far from the point of attachment of the trunk.

5. Gangrene
Death of tissue due to loss of blood supply
Mass
1996
Through

6. Hypo
Epinephrine and Steriods
Below - deficient
Lower medial arm bone
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

7. lith/
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.
Many
Stone
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

8. pseudo
Osseous
Sacrum
False
Noninvasive - non-spreading - nonmalignant.

9. What are the 3 classifications of Hypertension?
Movement toward the midline
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Painful - difficult
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

10. What is primary malignancy?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Cartilage
Neck Bones
Gall bladder

11. What does a triangle in the CPT book next to a code mean?
Before - in front of
Suture
A change in the code description since the last edition.
Cartilage

12. Eversion
Turning Outward
The bone is crushed or shattered.
Moving forward
Without

13. Tibia
Sacrum
Shin
Wrist bones
Enlargement

14. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Out - out of
Separation - Breakdown
Without

15. Metatarsal
Middle of the foot bone
Breast
Vagina
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

16. Can you have TRICARE and CHAMPVA at the same time?
Mass
Under
No.
Measure

17. -centisis
Turning Inward
Bones at the corner of each eye that cradle the tearducts
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Surgical Puncture

18. What is secondary malignancy?
Small with irregular shapes (ie wrist and ankle)
Cancer that has spread to a secondary site.
Bones at the corner of each eye that cradle the tearducts
MM/DD/YY

19. hyster/
Small collection of clear fluid; blister
Back part of the body.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Uteris

20. 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
Many
Movement away from the midline
Moving backward

21. Inversion
No.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Upper Jawbone
Turning Inward

22. a - an
Without
Near the point of attachment to the trunk.
Finger Bones
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

23. 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.
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.
Lunula
Nose

24. Multigravida
Cancer that has localized and not spread at all.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Near the point of attachment to the trunk.
A pregnant woman who has had at least one pregnancy.

25. arth/
Liver
Breast
Skull - Ribcage and Spine.
Cartilage

26. -emia
Out - out of
Tongue
Blood Condition
Skull - Ribcage and Spine.

27. What is a Comminuted Fracture?
The bone is crushed or shattered.
Free moving joints that are surrounded by joint capsules.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
A change in the code description since the last edition.

28. What are the two types of edits that the NCCI implements?
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.
Structural protein found in skin and connective tissue.
Liver
Bone

29. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
1996
Lower arm bone in line with the thumb
No.

30. oglio
Osseous
Abnormal condition
Little - scanty
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

31. Vomer
Abdomen
Uteris
Strong - broad and have large surfaces for muscles to attach to.
Bone that forms the wall between the nostrils

32. What is the False Claims Act (FCA)
Ankle
Cancer that has localized and not spread at all.
Vagina
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

33. Radius
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
3 (ex 311)
A new procedure or service since the previous edition.
Lower arm bone in line with the thumb

34. What is the moon like white area at the base of the nail called?
Stomach
Lower arm bone in line with the thumb
Lunula
Cancer that has spread to a secondary site.

35. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
Wrist bones
Surgical Repair
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

36. Phalanges
Lung
A new procedure or service since the previous edition.
All
Finger Bones

37. lact/
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Bone that forms the wall between the nostrils
A working diagnosis that has not yet been established.
Milk

38. Vesicle
Opening
Small collection of clear fluid; blister
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
The Axial Skeleton and the Appendicular Skeleton

39. How many regions is the spinal/vertebral column divided into?
Inflammation
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
5
Epinephrine and Steriods

40. anti
Against
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Between
The Axial Skeleton and the Appendicular Skeleton

41. pan
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
False
Ankle
All

42. What is a Complicated Fracture?
Without
A break at the distal end of the bone - usually when someone tries to break their fall.
The bone is broken and pierces an organ.
Fallopian tubes

43. Can you have TRICARE and CHAMPVA at the same time?
Neck Bones
No.
Hardening
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

44. Lumbar
Abdomen
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Lower Back
1. Insurance Reform 2. Administrative Simplification

45. Malleolus
Surgical Repair
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Ankle
The Axial Skeleton and the Appendicular Skeleton

46. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
Suture
Fallopian tubes
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

47. -gram
Record
Many
Cancer that has localized and not spread at all.
Half

48. What is Assignment of Benefits?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Horizontal plane dividing the upper and lower parts of the body.
Reimbursement is sent directly from payer to the provider.
Finger Bones

49. When are E codes used?
MM/DD/YY
In the cause of injury - poisoning - accidents or other adverse effects.
3 (ex 311)
Cancer that has spread to a secondary site.

50. When are E codes used?
Interior of the nose
In the cause of injury - poisoning - accidents or other adverse effects.
Epinephrine and Steriods
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