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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. enter/
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
5
Upper Back
Intestine

2. anti
Against
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Through
Surgical Fixation

3. Infra
Below
1. Insurance Reform 2. Administrative Simplification
Discolored - flat lesion
Without

4. -centisis
Mass
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
5
Surgical Puncture

5. How long should Medical Records be retained?
Cartilage
The fractured area of the bone collapses on itself.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Between

6. How many bones are in the spine?
Four
26
Interior of the nose
Upper Back

7. Lateral
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Side
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Cheek Bone

8. Phalanx
Surgical Repair
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Toe Bones
Sacrum

9. para
Beside
Vagina
Small collection of clear fluid; blister
A working diagnosis that has not yet been established.

10. lapar/
The fractured area of the bone collapses on itself.
Heart
5. (ex 311.56)
Abdomen

11. What is a Comminuted Fracture?
5. (ex 311.56)
The bone is crushed or shattered.
Under
Turning Inward

12. supra
Finger Bones
Back part of the body.
Above
Muscle

13. Temporal Bones
Through
Upper roof of the mouth
Forms the two lower sides of the cranium
Movement away from the midline

14. How many digits does an ICD-9 Subcategory code have?
Against
Above
4. (ex 311.0)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

15. Malleolus
The Axial Skeleton and the Appendicular Skeleton
Suture
Beside
Ankle

16. dys
Cartilage
Cancer that has spread to a secondary site.
Four
Painful - difficult

17. episi/
To view
Vulva
Nose
Noninvasive - non-spreading - nonmalignant.

18. What is the National Correct Coding Initiative (NCCI)?
Bone that forms the wall between the nostrils
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Vertical plane dividing the body to the left and the right sides.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

19. What is hair made of?
Karatin
Breast
Epinephrine and Steriods
Moving backward

20. -osis
Abnormal condition
Before
Many
Movement toward the midline

21. arth/
Cartilage
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
26

22. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Surgical Repair
Before - in front of
Inflammation

23. -stomy
Sacrum
Opening
A pregnant woman who has had at least one pregnancy.
Suture

24. What is CHAMPVA
Movement toward the midline
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Within
1. Insurance Reform 2. Administrative Simplification

25. endo
A pregnant woman who has had at least one pregnancy.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Within
Cancer that has localized and not spread at all.

26. When was the Health Information and Accountability Act (HIPAA) created?
Between
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
1996
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

27. When are V codes used?
Lower Back
Pain
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
Hind foot bone

28. Posterior/Dorsal
Back part of the body.
Forms the two lower sides of the cranium
Middle of the foot bone
Above

29. anti
Abnormal condition
Against
Forms the front part of the skull and the forehead.
Uteris

30. Inversion
Turning Inward
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Forms the back of the skull
Measure

31. Retraction
Toe Bones
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
Moving backward

32. What does a triangle in the CPT book next to a code mean?
Horizontal plane dividing the upper and lower parts of the body.
Four
A change in the code description since the last edition.
Free moving joints that are surrounded by joint capsules.

33. Ethmoid Bone
Tongue
Between
Forms the roof of the nasal cavity
Karatin

34. What is a Colles Fracture?
Middle of the body.
Upper Jawbone
A break at the distal end of the bone - usually when someone tries to break their fall.
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.

35. Wheal
Lower medial arm bone
Bone that forms the wall between the nostrils
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Upper roof of the mouth

36. -gram
Cartilage
Record
Middle of the body.
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

37. What are Medical Ethics?
Little - scanty
Standards of conduct based on moral principals.
Nose
Bones the palm of the hand

38. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Turning Inward
Little - scanty
Above

39. Abduction
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Movement away from the midline
MM/DD/YY
Horizontal plane dividing the upper and lower parts of the body.

40. Thoracic
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.
Sacrum
Liver
Upper Back

41. What are the key components of E/M?
Cancer that has spread to a secondary site.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Lunula

42. Carpals
Above
Wrist bones
Vagina
Lower arm bone in line with the thumb

43. Sacral
Middle of the foot bone
A new procedure or service since the previous edition.
Far from the point of attachment of the trunk.
Sacrum

44. Proximal
Beside
The bone is crushed or shattered.
Near the point of attachment to the trunk.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

45. lith/
Stone
A break at the distal end of the bone - usually when someone tries to break their fall.
Strong - broad and have large surfaces for muscles to attach to.
Lunula

46. Infra
Below
Fat cell
Osseous
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

47. Protraction
Breast
Moving forward
Lower Back
A working diagnosis that has not yet been established.

48. tetra
Four
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Pain
Painful - difficult

49. pre
Four
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Before - in front of
Stomach

50. When are E codes used?
Back part of the body.
In the cause of injury - poisoning - accidents or other adverse effects.
Skull - Ribcage and Spine.
Shoulder - collar - pelvic - arms and legs.