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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. Vesicle
To view
Abdomen
Major skin pigment
Small collection of clear fluid; blister

2. Cervical
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.
Surgical Repair
Breast
Neck Bones

3. Humerus
Death of tissue due to loss of blood supply
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Upper Arm bone
Shoulder - collar - pelvic - arms and legs.

4. What are bursae?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Forms the roof of the nasal cavity
Visual Examination

5. pneum/
Lung
Shoulder - collar - pelvic - arms and legs.
Bone that forms the wall between the nostrils
A change in the code description since the last edition.

6. 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.
Liver
CMS-1500
1996

7. What is a Comminuted Fracture?
Bone
The bone is crushed or shattered.
Absence of hair
Muscle

8. What is Assignment of Benefits?
Ovary
Surgical Repair
No.
Reimbursement is sent directly from payer to the provider.

9. How long should Medical Records be retained?
Office of Inspector General (OIG)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Vertical plane dividing the body into Anterior and Posterior sections.
Tongue

10. Tarsal
Stone
Hind foot bone
Nose
Active - retired - survivors and their families of the Armed Forces.

11. What is the Appendicular Skeleton comprised of?
Horizontal plane dividing the upper and lower parts of the body.
Shoulder - collar - pelvic - arms and legs.
Moving forward
In front of the temporal bones

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

13. Proximal
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Near the point of attachment to the trunk.
Between

14. Supination
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
Turning the palm or foot upward
Shoulder - collar - pelvic - arms and legs.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

15. Frontal Bone
Abdomen
Forms the front part of the skull and the forehead.
Fallopian tubes
Nose

16. What is a Qualified Diagnosis
Bones the palm of the hand
A new procedure or service since the previous edition.
Sacrum
A working diagnosis that has not yet been established.

17. -rrhagia
Stomach
Above
Bursting forth blood
Opening

18. oglio
Muscle
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Little - scanty
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

19. Medial
Middle of the body.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Small with irregular shapes (ie wrist and ankle)
Heart

20. pseudo
Abnormal condition
False
Intestine
The Axial Skeleton and the Appendicular Skeleton

21. salping/
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Fallopian tubes
Gall bladder
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

22. When billing an insurance company - what information must be included?
To cut into
Inflammation
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
To view

23. Lipocyte
Without
To cut into
Under
Fat cell

24. episi/
Small collection of clear fluid; blister
Vulva
Treatment
Separation - Breakdown

25. How many bones are in the spine?
Discolored - flat lesion
26
Blood Condition
Little - scanty

26. What is in a Medical Record?
Bursting forth blood
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Surgical Repair

27. Protraction
Moving backward
Mass
The bone is broken and pierces an organ.
Moving forward

28. -scopy
Visual Examination
Office of Inspector General (OIG)
Surgical Puncture
Surgical Fixation

29. Sesamoid Bones
The Axial Skeleton and the Appendicular Skeleton
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.
Above
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

30. Anterior/Ventral
In the cause of injury - poisoning - accidents or other adverse effects.
Reimbursement is sent directly from payer to the provider.
Front part of the body.
Removal - Excision - Resection

31. What does a Surgical Package (aka Global Surgery) include?
Under
Hardening
Milk
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

32. -rrhea
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
4. (ex 311.0)
Discharge - Flow
Opening

33. What is secondary malignancy?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Cancer that has spread to a secondary site.
Wrist bones
CMS-1500

34. What is the name of the claim form that is standard for submitting claims?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Many
CMS-1500

35. Thoracic
1. Insurance Reform 2. Administrative Simplification
The bone is crushed or shattered.
Upper Back
Discharge - Flow

36. cephal/
Head
To view
Pain
Above

37. Proximal
Side
Cartilage
Epinephrine and Steriods
Near the point of attachment to the trunk.

38. mast/
A break at the distal end of the bone - usually when someone tries to break their fall.
Skin
Breast
Vagina

39. How many digits does an ICD-9 Category code have?
3 (ex 311)
Death of tissue due to loss of blood supply
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Cartilage

40. pan
All
Without
Fibrous bands of ligaments
Bone

41. What is Employee Liability Insurance?
Disease Condition
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Middle of the body.
Beside

42. per
Birth
Through
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Above

43. -scopy
Half
Ovary
To view
Pain

44. -pexy
Surgical Fixation
Epinephrine and Steriods
Fibrous bands of ligaments
Side

45. Tarsal
Hind foot bone
Reimbursement is sent directly from payer to the provider.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
The bone is broken and pierces an organ.

46. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Standards of conduct based on moral principals.
Near the point of attachment to the trunk.
Blood Condition

47. What is a Complicated Fracture?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Ankle
The bone is broken and pierces an organ.
Moving forward

48. Radius
Enlargement
Above
Lower arm bone in line with the thumb
Suture

49. Temporal Bones
Milk
Forms the two lower sides of the cranium
Within
Noninvasive - non-spreading - nonmalignant.

50. Alopecia
Absence of hair
Vagina
Middle of the foot bone
Middle of the foot bone