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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. Coccygeal
Coccyx (Tailbone)
Moving forward
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.
Fallopian tubes

2. When was the Health Information and Accountability Act (HIPAA) created?
1996
Surgical Fixation
Middle of the foot bone
Mouth

3. lact/
Hind foot bone
Horizontal plane dividing the upper and lower parts of the body.
1. Insurance Reform 2. Administrative Simplification
Milk

4. Abduction
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Forms the sides of the cranium
Hematopoietic tissue
Movement away from the midline

5. Sacral
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Ovary
Karatin
Sacrum

6. -rrhagia
A change in the code description since the last edition.
Free moving joints that are surrounded by joint capsules.
Turning Outward
Bursting forth blood

7. hemi
MM/DD/YY
4. (ex 311.0)
Out - out of
Half

8. Who investigates and prosecutes Health Care fraud?
Turning the palm or foot upward
Cheek Bone
Office of Inspector General (OIG)
Vulva

9. -scopy
4. (ex 311.0)
Visual Examination
Lung
Surgical Repair

10. What does a triangle in the CPT book next to a code mean?
The Axial Skeleton and the Appendicular Skeleton
A change in the code description since the last edition.
Discolored - flat lesion
Milk

11. lith/
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Measure
Stone
Fallopian tubes

12. Radius
Lower arm bone in line with the thumb
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Vagina
The bone is crushed or shattered.

13. a - an
26
Wrist bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Without

14. What is CHAMPVA
Neck Bones
Lung
Lower Jawbone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

15. What are the key components of E/M?
Above
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
New
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

16. What is a Qualified Diagnosis
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
A working diagnosis that has not yet been established.
Vulva
Bones the palm of the hand

17. Malleolus
Ankle
Hardening
Turning Outward
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

18. What is the National Correct Coding Initiative (NCCI)?
Lower Back
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Middle of the body.
Vulva

19. What is Employer Liability?

20. tetra
Small with irregular shapes (ie wrist and ankle)
All
The Axial Skeleton and the Appendicular Skeleton
Four

21. What is a Qualified Diagnosis
Structural protein found in skin and connective tissue.
A working diagnosis that has not yet been established.
Small collection of clear fluid; blister
Inflammation

22. Temporal Bones
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Forms the two lower sides of the cranium
Turning Outward
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

23. What is a Comminuted Fracture?
Fallopian tubes
Far from the point of attachment of the trunk.
The bone is crushed or shattered.
Between

24. ante
Far from the point of attachment of the trunk.
Before
Abdomen
Upper Back

25. enter/
Bursting forth blood
Mouth
Intestine
Ankle

26. Palatine Bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Upper roof of the mouth
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Surgical Fixation

27. Tarsal
Lower Back
Within
4. (ex 311.0)
Hind foot bone

28. cardi/
Milk
To view
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Heart

29. salping/
Record
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
Sacrum
Fallopian tubes

30. What is primary malignancy?
In the cause of injury - poisoning - accidents or other adverse effects.
Hind foot bone
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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

31. stomat/
Treatment
Mouth
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
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

32. What is the name of the claim form that is standard for submitting claims?
In the cause of injury - poisoning - accidents or other adverse effects.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
CMS-1500
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

33. Zygoma
Before
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
3 (ex 311)
Cheek Bone

34. mast/
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Breast
Standards of conduct based on moral principals.
Disease Condition

35. Phalanx
1. Insurance Reform 2. Administrative Simplification
Heart
Toe Bones
Enlargement

36. -oma
Under
Abnormal condition
Before
Mass

37. Sesamoid Bones
Discolored - flat lesion
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Head
Noninvasive - non-spreading - nonmalignant.

38. Temporal Bones
Finger Bones
Head
Forms the two lower sides of the cranium
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.

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

40. What hormones do the adrenal glands secrete?
A working diagnosis that has not yet been established.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Lower Back
Epinephrine and Steriods

41. Flat Bones
Hind foot bone
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Upper roof of the mouth
Surgical Fixation

42. Eversion
The bone is crushed or shattered.
Office of Inspector General (OIG)
3 (ex 311)
Turning Outward

43. hyster/
Uteris
Heart
New
Turning Outward

44. gloss/
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Tongue
Turning Outward
Within

45. Maxilla
The Axial Skeleton and the Appendicular Skeleton
1. Insurance Reform 2. Administrative Simplification
Upper Jawbone
Surgical Repair

46. endo
Within
Beside
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.

47. Fibula
Reimbursement is sent directly from payer to the provider.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Smaller - lateral leg bone
Uteris

48. What is a Colles Fracture?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Karatin
A break at the distal end of the bone - usually when someone tries to break their fall.
Turning Inward

49. Frontal - Coronal
Cartilage
CMS
Enlargement
Vertical plane dividing the body into Anterior and Posterior sections.

50. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Reimbursement is sent directly from payer to the provider.
Little - scanty
Smaller - lateral leg bone