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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. derm/
Vertical plane dividing the body into Anterior and Posterior sections.
Movement toward the midline
All
Skin

2. Radius
Muscle
Lower arm bone in line with the thumb
Birth
Surgical Fixation

3. Who developed HCPCs codes?
Blood Condition
Milk
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.
CMS

4. Metacarpals
Bones the palm of the hand
Forms the front part of the skull and the forehead.
Bone
Horizontal plane dividing the upper and lower parts of the body.

5. -pexy
Absence of hair
Surgical Fixation
MM/DD/YY
Movement away from the midline

6. pre
Nose
Before - in front of
Surgical Fixation
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.

7. Adduction
Visual Examination
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.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Movement toward the midline

8. What is the False Claims Act (FCA)
Visual Examination
Vulva
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

9. per
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.
Through
Enlargement
Noninvasive - non-spreading - nonmalignant.

10. Who investigates and prosecutes Health Care fraud?
Opening
Milk
Office of Inspector General (OIG)
Before

11. -tomy
Forms the sides of the cranium
Karatin
To cut into
Forms the two lower sides of the cranium

12. chondro/
Cartilage
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
Visual Examination
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

13. What is CHAMPVA
Suture
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Smaller - lateral leg bone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

14. Cervical
Karatin
In front of the temporal bones
Neck 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

15. Fibula
Record
Smaller - lateral leg bone
In front of the temporal bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

16. Who investigates and prosecutes Health Care fraud?
Strong - broad and have large surfaces for muscles to attach to.
Office of Inspector General (OIG)
Middle of the foot bone
A new procedure or service since the previous edition.

17. cephal/
The Axial Skeleton and the Appendicular Skeleton
Before
26
Head

18. Parietal Bones
Forms the sides of the cranium
Within
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
CMS

19. When can a provider share PHI without specific permission from the patient?

20. Temporal Bones
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.
Gall bladder
Horizontal plane dividing the upper and lower parts of the body.
Forms the two lower sides of the cranium

21. -scopy
Skin
Visual Examination
Lower medial arm bone
Structural protein found in skin and connective tissue.

22. Phalanges
Heart
Finger Bones
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
26

23. epi
Above
Lunula
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Without

24. dys
Vagina
Birth
Painful - difficult
Breast

25. What are the insides of bones comprised of?
Shoulder - collar - pelvic - arms and legs.
Stomach
Hematopoietic tissue
Muscle

26. pan
Active - retired - survivors and their families of the Armed Forces.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
All
26

27. Sesamoid Bones
Blood Condition
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Before

28. -therapy
Treatment
Lower arm bone in line with the thumb
Forms the back of the skull
Turning Inward

29. Adduction
Stomach
Movement toward the midline
Vulva
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

30. Hypo
Sacrum
Below - deficient
Strong - broad and have large surfaces for muscles to attach to.
Upper roof of the mouth

31. Sphenoid Bones
Far from the point of attachment of the trunk.
In front of the temporal bones
Bones at the corner of each eye that cradle the tearducts
Middle of the body.

32. How many bones are in the spine?
Skin
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Strong - broad and have large surfaces for muscles to attach to.
26

33. What is the moon like white area at the base of the nail called?
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.
Smaller - lateral leg bone
Bursting forth blood
Lunula

34. Who does TRICARE cover?
Hematopoietic tissue
Head
Active - retired - survivors and their families of the Armed Forces.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

35. What is the Axial Skeleton comprised of?
1996
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Skull - Ribcage and Spine.
Far from the point of attachment of the trunk.

36. stomat/
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Birth
Before - in front of
Mouth

37. -lysis
Shoulder - collar - pelvic - arms and legs.
Interior of the nose
5
Separation - Breakdown

38. -gram
Opening
Record
Standards of conduct based on moral principals.
Visual Examination

39. 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.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Forms the roof of the nasal cavity
Mass

40. Ethmoid Bone
A pregnant woman who has had at least one pregnancy.
Forms the roof of the nasal cavity
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Above

41. How is the Patients DOB entered on the claim form?
Record
Horizontal plane dividing the upper and lower parts of the body.
The fractured area of the bone collapses on itself.
MM/DD/YY

42. What is Benign?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Noninvasive - non-spreading - nonmalignant.
Horizontal plane dividing the upper and lower parts of the body.

43. Metatarsal
False
No.
Middle of the foot bone
Within

44. brady
Slow
Surgical Repair
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
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

45. Vesicle
Moving forward
Gall bladder
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Small collection of clear fluid; blister

46. How many digits does an ICD-9 Category code have?
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.
5. (ex 311.56)
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
3 (ex 311)

47. What are Medical Ethics?
Standards of conduct based on moral principals.
Hind foot bone
Muscle
Cancer that has spread to a secondary site.

48. Short Bones
Below
Fat cell
Ankle
Small with irregular shapes (ie wrist and ankle)

49. sub
Under
Turning Inward
Smaller - lateral leg bone
Muscle

50. episi/
CMS
Pain
Vulva
Fat cell