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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. Ethmoid Bone
Out - out of
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Abdomen
Forms the roof of the nasal cavity

2. When billing an insurance company - what information must be included?
Movement away from the midline
Smaller - lateral leg bone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Lower Back

3. What are the two provisions of HIPPA?
Record
1. Insurance Reform 2. Administrative Simplification
Lower medial arm bone
Noninvasive - non-spreading - nonmalignant.

4. Posterior/Dorsal
MM/DD/YY
Wrist bones
Back part of the body.
Absence of hair

5. lith/
Removal - Excision - Resection
Small with irregular shapes (ie wrist and ankle)
Reimbursement is sent directly from payer to the provider.
Stone

6. -centisis
Surgical Puncture
Ovary
Skin
Turning Outward

7. -emia
Without
Between
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Blood Condition

8. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Cancer that has spread to a secondary site.
Uteris

9. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Lower medial arm bone
Cheek Bone
4. (ex 311.0)

10. What is hair made of?
Karatin
Neck Bones
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
To cut into

11. What are synovial joints?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Surgical Repair
Without
Free moving joints that are surrounded by joint capsules.

12. What is secondary malignancy?
Cancer that has spread to a secondary site.
Wrist bones
Neck Bones
Fallopian tubes

13. What are the 3 layers of skin?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Vulva

14. epi
Above
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Forms the sides of the cranium
Between

15. Lumbar
Osseous
Between
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Lower Back

16. -stomy
Opening
Hardening
Bones at the corner of each eye that cradle the tearducts
New

17. tetra
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
A new procedure or service since the previous edition.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Four

18. Wheal
3 (ex 311)
Head
To cut into
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

19. myo/
Interior of the nose
Intestine
Muscle
Intestine

20. What is the Appendicular Skeleton comprised of?
To cut into
Treatment
Shoulder - collar - pelvic - arms and legs.
Coccyx (Tailbone)

21. -ectomy
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
1. Insurance Reform 2. Administrative Simplification
Removal - Excision - Resection
Under

22. -therapy
A working diagnosis that has not yet been established.
Treatment
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.
Within

23. -sclerosis
Hardening
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Suture
Smaller - lateral leg bone

24. Lipocyte
Fat cell
Many
Interior of the nose
Lower arm bone in line with the thumb

25. Coccygeal
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Record
Coccyx (Tailbone)
Beside

26. What are the 3 layers of skin?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Removal - Excision - Resection
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Forms the two lower sides of the cranium

27. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Ankle
Ovary
Without

28. What are the two types of edits that the NCCI implements?
Coccyx (Tailbone)
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.
Lower Jawbone
Horizontal plane dividing the upper and lower parts of the body.

29. salping/
Hind foot bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Fallopian tubes
4. (ex 311.0)

30. When was the Health Information and Accountability Act (HIPAA) created?
1996
Upper Jawbone
Liver
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

31. Palatine Bones
Moving backward
Upper roof of the mouth
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Breast

32. What are bursae?
Near the point of attachment to the trunk.
Under
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Inflammation

33. Who developed HCPCs codes?
CMS
Reimbursement is sent directly from payer to the provider.
Pain
Bacterial inflammatory skin disease with lesions - pustules and vesicles

34. What are the key components of E/M?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
MM/DD/YY
Opening
Turning Outward

35. What are the 3 classifications of Hypertension?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
All
26

36. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
The fractured area of the bone collapses on itself.
Enlargement
Wrist bones

37. Ethmoid Bone
Neck Bones
Forms the front part of the skull and the forehead.
Liver
Forms the roof of the nasal cavity

38. Eversion
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
5
Turning Outward
Hind foot bone

39. -rrhaphy
Suture
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Reimbursement is sent directly from payer to the provider.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

40. Tibia
3 (ex 311)
Structural protein found in skin and connective tissue.
Shin
Small with irregular shapes (ie wrist and ankle)

41. derm/
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
The Axial Skeleton and the Appendicular Skeleton
Skin
The Axial Skeleton and the Appendicular Skeleton

42. What is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
Against
Movement away from the midline
Ovary

43. Carpals
Wrist bones
Upper Back
Smaller - lateral leg bone
Tongue

44. What does a Surgical Package (aka Global Surgery) include?
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
Wrist bones
Beside
Finger Bones

45. What is a Qualified Diagnosis
Uteris
A working diagnosis that has not yet been established.
Bone
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

46. How many regions is the spinal/vertebral column divided into?
5
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.
MM/DD/YY

47. Radius
Intestine
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
Lower arm bone in line with the thumb

48. -scopy
Four
Nose
1. Insurance Reform 2. Administrative Simplification
Visual Examination

49. Fibula
Lung
Reimbursement is sent directly from payer to the provider.
Smaller - lateral leg bone
Front part of the body.

50. What are synovial joints?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Free moving joints that are surrounded by joint capsules.
Slow
Reimbursement is sent directly from payer to the provider.