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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. pneum/
Within
Inflammation
Birth
Lung

2. Transverse/Cross Sectional
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Horizontal plane dividing the upper and lower parts of the body.
Small with irregular shapes (ie wrist and ankle)
A break at the distal end of the bone - usually when someone tries to break their fall.

3. What is a Complicated Fracture?
The bone is broken and pierces an organ.
In the cause of injury - poisoning - accidents or other adverse effects.
Cancer that has spread to a secondary site.
Measure

4. What are the 5 regions of the spine?
The bone is broken and pierces an organ.
Fallopian tubes
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Moving backward

5. Posterior/Dorsal
A pregnant woman who has had at least one pregnancy.
Birth
Back part of the body.
Enlargement

6. -algia
MM/DD/YY
Lower medial arm bone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Pain

7. Collagen
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
Structural protein found in skin and connective tissue.
Forms the two lower sides of the cranium
Smaller - lateral leg bone

8. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
Karatin
Vertical plane dividing the body into Anterior and Posterior sections.
Tongue

9. -rrhagia
Bursting forth blood
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
Four
Beside

10. -pathy
Free moving joints that are surrounded by joint capsules.
Upper Jawbone
Disease Condition
Discolored - flat lesion

11. -rrhagia
Bursting forth blood
Forms the sides of the cranium
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Lower arm bone in line with the thumb

12. salping/
Fallopian tubes
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Back part of the body.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

13. -osis
Forms the roof of the nasal cavity
Fat cell
Abnormal condition
Osseous

14. Carpals
Wrist bones
Treatment
Lower medial arm bone
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

15. anti
Forms the sides of the cranium
Against
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Bacterial inflammatory skin disease with lesions - pustules and vesicles

16. What are the 2 types of glands on the skin?
Hardening
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Middle of the body.
Painful - difficult

17. -rrhea
Disease Condition
CMS
Head
Discharge - Flow

18. -sclerosis
Separation - Breakdown
Hardening
Birth
Hematopoietic tissue

19. Abduction
Noninvasive - non-spreading - nonmalignant.
1. Insurance Reform 2. Administrative Simplification
Movement away from the midline
A new procedure or service since the previous edition.

20. -oma
Mass
A change in the code description since the last edition.
Breast
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

21. What is a Qualified Diagnosis
Strong - broad and have large surfaces for muscles to attach to.
Ovary
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
A working diagnosis that has not yet been established.

22. What is a Qualified Diagnosis
No.
Osseous
Free moving joints that are surrounded by joint capsules.
A working diagnosis that has not yet been established.

23. What is a compression fracture?
To view
Absence of hair
The fractured area of the bone collapses on itself.
Abnormal condition

24. -algia
The Axial Skeleton and the Appendicular Skeleton
Blood Condition
Uteris
Pain

25. Ulna
Bone that forms the wall between the nostrils
Turning Inward
Upper roof of the mouth
Lower medial arm bone

26. How is Usual - Customary and Reasonable pricing calculated?

27. How many regions is the spinal/vertebral column divided into?
Movement toward the midline
Nose
5
Horizontal plane dividing the upper and lower parts of the body.

28. How long should Medical Records be retained?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Forms the two lower sides of the cranium
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

29. -meter
Absence of hair
Lower Jawbone
Measure
Movement toward the midline

30. Eversion
Below
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Turning Outward
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

31. -emia
The fractured area of the bone collapses on itself.
Blood Condition
Tongue
Intestine

32. -therapy
Without
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Mass
Treatment

33. Distal
Far from the point of attachment of the trunk.
Bones the palm of the hand
To cut into
Turning the palm or foot upward

34. Lateral
26
3 (ex 311)
Side
Fat cell

35. Temporal Bones
Above
Forms the two lower sides of the cranium
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Disease Condition

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

37. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

38. Vesicle
Small collection of clear fluid; blister
Separation - Breakdown
Moving forward
Hematopoietic tissue

39. Lateral
Fibrous bands of ligaments
Within
Discharge - Flow
Side

40. What are the two types of edits that the NCCI implements?
Half
Beside
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.
All

41. When billing an insurance company - what information must be included?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Middle of the foot bone
Blood Condition
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

42. What is the Appendicular Skeleton comprised of?
Four
Enlargement
Shoulder - collar - pelvic - arms and legs.
Turning Inward

43. When was the Health Information and Accountability Act (HIPAA) created?
Separation - Breakdown
1996
Moving backward
Bone

44. Hypo
Moving forward
MM/DD/YY
Cheek Bone
Below - deficient

45. Collagen
Nose
Structural protein found in skin and connective tissue.
Lower Jawbone
Muscle

46. Tibia
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.
Lower Jawbone
Between
Shin

47. Who developed HCPCs codes?
Noninvasive - non-spreading - nonmalignant.
CMS
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Vertical plane dividing the body into Anterior and Posterior sections.

48. tetra
Skin
Stone
Four
Bone that forms the wall between the nostrils

49. Anterior/Ventral
Upper Jawbone
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Head
Front part of the body.

50. Who does TRICARE cover?
Abnormal condition
Slow
Active - retired - survivors and their families of the Armed Forces.
Smaller - lateral leg bone