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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Vomer
Before
Bone that forms the wall between the nostrils
Out - out of
3 (ex 311)

2. What is the name of the claim form that is standard for submitting claims?
Active - retired - survivors and their families of the Armed Forces.
CMS-1500
To cut into
Reimbursement is sent directly from payer to the provider.

3. Transverse/Cross Sectional
Muscle
Free moving joints that are surrounded by joint capsules.
Horizontal plane dividing the upper and lower parts of the body.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

4. Eversion
Turning Outward
Surgical Fixation
Cheek Bone
To cut into

5. hin/
Nose
Wrist bones
Active - retired - survivors and their families of the Armed Forces.
To cut into

6. What is a Complicated Fracture?
Shoulder - collar - pelvic - arms and legs.
Active - retired - survivors and their families of the Armed Forces.
Neck Bones
The bone is broken and pierces an organ.

7. What is the Axial Skeleton comprised of?
Against
Intestine
Upper Jawbone
Skull - Ribcage and Spine.

8. oophor
26
Ovary
4. (ex 311.0)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

9. When can a provider share PHI without specific permission from the patient?

10. Ethmoid Bone
Skull - Ribcage and Spine.
Office of Inspector General (OIG)
Forms the roof of the nasal cavity
CMS

11. pan
Below
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
All

12. para
Beside
Strong - broad and have large surfaces for muscles to attach to.
Separation - Breakdown
The Axial Skeleton and the Appendicular Skeleton

13. Macule
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Horizontal plane dividing the upper and lower parts of the body.
Discolored - flat lesion
The Axial Skeleton and the Appendicular Skeleton

14. -gram
Strong - broad and have large surfaces for muscles to attach to.
Before
MM/DD/YY
Record

15. What are Medical Ethics?
Moving forward
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Standards of conduct based on moral principals.
Milk

16. Metacarpals
Discolored - flat lesion
Bones the palm of the hand
CMS-1500
Between

17. How many digits does an ICD-9 Category code have?
Back part of the body.
Near the point of attachment to the trunk.
3 (ex 311)
Milk

18. What does a Surgical Package (aka Global Surgery) include?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
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
Muscle
Standards of conduct based on moral principals.

19. What is a Colles Fracture?
Vagina
Side
Beside
A break at the distal end of the bone - usually when someone tries to break their fall.

20. poly
Free moving joints that are surrounded by joint capsules.
Shoulder - collar - pelvic - arms and legs.
Fibrous bands of ligaments
Many

21. -emia
Blood Condition
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
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
Moving forward

22. What is primary malignancy?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Movement toward the midline
Reimbursement is sent directly from payer to the provider.
Upper Arm bone

23. mast/
No.
Breast
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Horizontal plane dividing the upper and lower parts of the body.

24. Hypo
Record
Standards of conduct based on moral principals.
Below - deficient
Between

25. Vomer
Bone that forms the wall between the nostrils
Under
Skull - Ribcage and Spine.
Back part of the body.

26. episi/
Intestine
Ovary
Back part of the body.
Vulva

27. Short Bones
Middle of the body.
Small with irregular shapes (ie wrist and ankle)
Fallopian tubes
To cut into

28. When are V codes used?
All
Surgical Fixation
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
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

29. Fibula
Back part of the body.
False
Many
Smaller - lateral leg bone

30. 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.
Standards of conduct based on moral principals.
Movement away from the midline
Beside

31. What is the National Correct Coding Initiative (NCCI)?
Movement away from the midline
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Death of tissue due to loss of blood supply
Before

32. When was the Health Information and Accountability Act (HIPAA) created?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
1996
Head
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

33. Anterior/Ventral
Far from the point of attachment of the trunk.
Shin
Front part of the body.
Between

34. pseudo
Major skin pigment
Side
False
Bones the palm of the hand

35. Metatarsal
Middle of the foot bone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Standards of conduct based on moral principals.
Movement away from the midline

36. How many digits does an ICD-9 Subcategory code have?
Forms the sides of the cranium
Cancer that has spread to a secondary site.
4. (ex 311.0)
Against

37. oglio
Upper Arm bone
Little - scanty
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
The Axial Skeleton and the Appendicular Skeleton

38. -emia
Forms the sides of the cranium
Disease Condition
Suture
Blood Condition

39. sub
The fractured area of the bone collapses on itself.
Inflammation
A change in the code description since the last edition.
Under

40. cephal/
CMS-1500
Head
Cartilage
Free moving joints that are surrounded by joint capsules.

41. inter
Opening
Between
Upper Jawbone
In front of the temporal bones

42. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Before - in front of
Opening

43. -tomy
Milk
CMS-1500
Far from the point of attachment of the trunk.
To cut into

44. Who developed HCPCs codes?
Removal - Excision - Resection
CMS
The fractured area of the bone collapses on itself.
Surgical Fixation

45. Ulna
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Lower medial arm bone
Moving backward
Opening

46. Medial
The bone is broken and pierces an organ.
Middle of the body.
Above
False

47. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
4. (ex 311.0)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Under

48. brady
Death of tissue due to loss of blood supply
Before - in front of
Slow
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

49. -stomy
Opening
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.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Birth

50. -scopy
Noninvasive - non-spreading - nonmalignant.
Hardening
Visual Examination
Bones at the corner of each eye that cradle the tearducts

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