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. Can you have TRICARE and CHAMPVA at the same time?
Finger Bones
Upper Jawbone
No.
Muscle


2. -therapy
To cut into
Record
1996
Treatment


3. What are the two types of edits that the NCCI implements?
Moving forward
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.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Horizontal plane dividing the upper and lower parts of the body.


4. Malleolus
Toe Bones
Fallopian tubes
Forms the back of the skull
Ankle


5. What is the Appendicular Skeleton comprised of?
Wrist bones
Before - in front of
Shoulder - collar - pelvic - arms and legs.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.


6. What is CHAMPVA
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Pain
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.


7. poly
1996
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Mouth
Many


8. Phalanx
Cancer that has spread to a secondary site.
Toe Bones
Fallopian tubes
Before


9. Hypo
Breast
False
Below - deficient
Forms the front part of the skull and the forehead.


10. What is a Complicated Fracture?
Side
Stone
The bone is broken and pierces an organ.
Nose


11. What does a triangle in the CPT book next to a code mean?
Absence of hair
A change in the code description since the last edition.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.


12. Proximal
Forms the sides of the cranium
Painful - difficult
Toe Bones
Near the point of attachment to the trunk.


13. What is primary malignancy?
All
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Above
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)


14. Vesicle
Before - in front of
Small collection of clear fluid; blister
Smaller - lateral leg bone
4. (ex 311.0)


15. Macule
Noninvasive - non-spreading - nonmalignant.
Discolored - flat lesion
Karatin
Ankle


16. What is in a Medical Record?
The fractured area of the bone collapses on itself.
Movement toward the midline
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Moving backward


17. What are synovial joints?
Hardening
Forms the roof of the nasal cavity
Discharge - Flow
Free moving joints that are surrounded by joint capsules.


18. -emia
Within
Blood Condition
Far from the point of attachment of the trunk.
Under


19. salping/
The bone is crushed or shattered.
Free moving joints that are surrounded by joint capsules.
Surgical Puncture
Fallopian tubes


20. What is Employer Liability?


21. How many digits does an ICD-9 Subclassification code have?
26
Lunula
5. (ex 311.56)
The bone is broken and pierces an organ.


22. -rrhagia
Bursting forth blood
Below
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Milk


23. pan
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
5
All
Side


24. Who investigates and prosecutes Health Care fraud?
Office of Inspector General (OIG)
Head
Hematopoietic tissue
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)


25. gloss/
Death of tissue due to loss of blood supply
26
Bone that forms the wall between the nostrils
Tongue


26. -oma
Mass
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Bones the palm of the hand
Horizontal plane dividing the upper and lower parts of the body.


27. endo
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Side
Heart
Within


28. Sesamoid Bones
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Upper Jawbone
Through
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)


29. Long Bones
Lower medial arm bone
Bone
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Strong - broad and have large surfaces for muscles to attach to.


30. Long Bones
Breast
Strong - broad and have large surfaces for muscles to attach to.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Gall bladder


31. -therapy
Above
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Suture
Treatment


32. pre
Before - in front of
MM/DD/YY
Lung
Birth


33. -tomy
To cut into
Ovary
Wrist bones
Inflammation


34. Wheal
Nose
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Toe Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin


35. Adduction
Movement toward the midline
Half
The bone is broken and pierces an organ.
No.


36. oste/
Upper roof of the mouth
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
Standards of conduct based on moral principals.
Bone


37. oglio
Discharge - Flow
Little - scanty
Removal - Excision - Resection
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.


38. What does a bullet in the CPT code book next to a code mean?
Office of Inspector General (OIG)
Blood Condition
Death of tissue due to loss of blood supply
A new procedure or service since the previous edition.


39. arth/
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Forms the back of the skull
Cartilage
Enlargement


40. mast/
Cartilage
Within
Between
Breast


41. Flat Bones
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Surgical Fixation
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Visual Examination


42. -stomy
Opening
Pain
1996
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.


43. Zygoma
Cheek Bone
Four
Shoulder - collar - pelvic - arms and legs.
Bones the palm of the hand


44. ex
Middle of the foot bone
Hematopoietic tissue
Out - out of
Above


45. oglio
Little - scanty
Smaller - lateral leg bone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)


46. Temporal Bones
Forms the two lower sides of the cranium
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.
Separation - Breakdown
Wrist bones


47. derm/
Coccyx (Tailbone)
Enlargement
Skin
Moving backward


48. Zygoma
Upper roof of the mouth
Finger Bones
Skull - Ribcage and Spine.
Cheek Bone


49. Maxilla
Upper Jawbone
Vertical plane dividing the body to the left and the right sides.
Moving backward
Structural protein found in skin and connective tissue.


50. tetra
Four
Mouth
Movement toward the midline
Below