Test your basic knowledge |

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. Radius
4. (ex 311.0)
Lower arm bone in line with the thumb
Many
Shoulder - collar - pelvic - arms and legs.

2. sub
Tongue
Under
Gall bladder
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.

3. chondro/
The Axial Skeleton and the Appendicular Skeleton
No.
Cartilage
Back part of the body.

4. When billing an insurance company - what information must be included?
Shin
Head
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Lower Jawbone

5. colp/
Within
Vagina
Skin
Forms the two lower sides of the cranium

6. What does a bullet in the CPT code book next to a code mean?
Wrist bones
Toe Bones
A new procedure or service since the previous edition.
Above

7. What is the moon like white area at the base of the nail called?
Liver
Lunula
Karatin
CMS

8. Mandible
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Upper Jawbone
Lower Jawbone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

9. What is Assignment of Benefits?
Between
Reimbursement is sent directly from payer to the provider.
Shoulder - collar - pelvic - arms and legs.
Upper Arm bone

10. Frontal - Coronal
Removal - Excision - Resection
Vertical plane dividing the body into Anterior and Posterior sections.
Out - out of
Pain

11. -tomy
Heart
To cut into
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

12. Medial
Toe Bones
Birth
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Middle of the body.

13. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Liver
MM/DD/YY
Below

14. How many digits does an ICD-9 Category code have?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Near the point of attachment to the trunk.
Cancer that has localized and not spread at all.
3 (ex 311)

15. How long should Medical Records be retained?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Muscle
Interior of the nose
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

16. -megaly
Enlargement
The fractured area of the bone collapses on itself.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Without

17. Posterior/Dorsal
Back part of the body.
Head
Suture
Mass

18. Eversion
Turning Outward
26
Slow
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

19. cardi/
Breast
Hardening
Heart
Lung

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

21. -rrhea
Far from the point of attachment of the trunk.
Discharge - Flow
Cancer that has localized and not spread at all.
4. (ex 311.0)

22. -rrhea
Disease Condition
Ankle
Below
Discharge - Flow

23. Supination
Side
Turning the palm or foot upward
Karatin
Painful - difficult

24. -lysis
Separation - Breakdown
Abdomen
26
Under

25. Eversion
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Ovary
Turning Outward

26. What are the 3 classifications of Hypertension?
Movement away from the midline
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Ankle
Before - in front of

27. gastro/
Stomach
Tongue
Opening
Liver

28. When are V codes used?
Surgical Repair
Forms the sides of the cranium
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
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.

29. What is the name of the claim form that is standard for submitting claims?
Bone
CMS-1500
Inflammation
Treatment

30. hyster/
Uteris
Small with irregular shapes (ie wrist and ankle)
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.
Against

31. What is Carcinoma in situ?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Abdomen
False
Cancer that has localized and not spread at all.

32. dys
Far from the point of attachment of the trunk.
Painful - difficult
A break at the distal end of the bone - usually when someone tries to break their fall.
Opening

33. Macule
Hematopoietic tissue
Vagina
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Discolored - flat lesion

34. cardi/
Cartilage
Lower arm bone in line with the thumb
Heart
Head

35. brady
Disease Condition
Inflammation
New
Slow

36. What is Employer Liability?

37. hyster/
Far from the point of attachment of the trunk.
Uteris
Forms the two lower sides of the cranium
Above

38. Metatarsal
Lower Back
Middle of the foot bone
A new procedure or service since the previous edition.
Breast

39. -stomy
Opening
CMS
Above
26

40. -meter
A break at the distal end of the bone - usually when someone tries to break their fall.
Stone
Four
Measure

41. Retraction
Turning Outward
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.
Moving backward
Lung

42. colp/
Vagina
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
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
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

43. Vomer
Major skin pigment
Bone that forms the wall between the nostrils
Hardening
Near the point of attachment to the trunk.

44. anti
Forms the front part of the skull and the forehead.
Against
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
26

45. sub
Under
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
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.

46. -ectomy
Mass
Stone
Removal - Excision - Resection
CMS

47. Supination
Bones at the corner of each eye that cradle the tearducts
To cut into
A new procedure or service since the previous edition.
Turning the palm or foot upward

48. endo
Within
Forms the back of the skull
4. (ex 311.0)
Reimbursement is sent directly from payer to the provider.

49. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
Finger Bones
Liver
Surgical Puncture

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