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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. What are the insides of bones comprised of?
Structural protein found in skin and connective tissue.
Hematopoietic tissue
Movement toward the midline
Turning the palm or foot upward

2. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Osseous
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Lunula

3. hyster/
Vertical plane dividing the body to the left and the right sides.
Side
Uteris
Bones at the corner of each eye that cradle the tearducts

4. Medial
Middle of the body.
Neck Bones
Cancer that has localized and not spread at all.
Fallopian tubes

5. What is the moon like white area at the base of the nail called?
Horizontal plane dividing the upper and lower parts of the body.
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.
Lunula
Breast

6. How is Medicare's RBRVS calculated?
4. (ex 311.0)
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
Half
Separation - Breakdown

7. How are bones categorized?
Uteris
The Axial Skeleton and the Appendicular Skeleton
Lower Jawbone
Skull - Ribcage and Spine.

8. How is Medicare's RBRVS calculated?
Removal - Excision - Resection
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
Hind foot bone
Many

9. colp/
MM/DD/YY
Vagina
Muscle
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

10. What is Carcinoma in situ?
A break at the distal end of the bone - usually when someone tries to break their fall.
Cancer that has localized and not spread at all.
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.
Strong - broad and have large surfaces for muscles to attach to.

11. lact/
Cancer that has spread to a secondary site.
Milk
Heart
Pain

12. colp/
Fallopian tubes
Vagina
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

13. Melanin
All
5
Major skin pigment
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

14. Metatarsal
Lower Back
Visual Examination
Middle of the foot bone
Sacrum

15. -algia
Bones the palm of the hand
Sacrum
5
Pain

16. Distal
Without
1. Insurance Reform 2. Administrative Simplification
Far from the point of attachment of the trunk.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

17. -megaly
Bone that forms the wall between the nostrils
Enlargement
3 (ex 311)
Without

18. What is the Axial Skeleton comprised of?
Uteris
Slow
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Skull - Ribcage and Spine.

19. Vomer
Turning Outward
Out - out of
Bone that forms the wall between the nostrils
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

20. Gangrene
Karatin
A change in the code description since the last edition.
Death of tissue due to loss of blood supply
Muscle

21. What hormones do the adrenal glands secrete?
Fat cell
Measure
Fibrous bands of ligaments
Epinephrine and Steriods

22. 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.
Bone
Surgical Puncture
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

23. What is hair made of?
Upper Back
Karatin
Hardening
Forms the two lower sides of the cranium

24. Lumbar
Ankle
Lower Back
A pregnant woman who has had at least one pregnancy.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

25. hepato/
Upper Arm bone
Fallopian tubes
Liver
Absence of hair

26. Sesamoid Bones
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Wrist bones

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

28. What is Employer Liability?

29. Frontal - Coronal
26
Absence of hair
Vertical plane dividing the body into Anterior and Posterior sections.
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

30. -rrhagia
Bursting forth blood
Surgical Puncture
Strong - broad and have large surfaces for muscles to attach to.
The fractured area of the bone collapses on itself.

31. When are E codes used?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Absence of hair
In the cause of injury - poisoning - accidents or other adverse effects.
Intestine

32. -osis
False
Abnormal condition
Movement away from the midline
Absence of hair

33. lith/
Lower medial arm bone
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
Upper roof of the mouth
Stone

34. What is CHAMPVA
Fibrous bands of ligaments
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
1. Insurance Reform 2. Administrative Simplification

35. What is a Comminuted Fracture?
Lung
Tongue
The bone is crushed or shattered.
Abnormal condition

36. Inversion
Surgical Fixation
Office of Inspector General (OIG)
Painful - difficult
Turning Inward

37. How long should Medical Records be retained?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Stone
Milk
Smaller - lateral leg bone

38. Humerus
Hematopoietic tissue
Discharge - Flow
Upper Arm bone
MM/DD/YY

39. -meter
Pain
Measure
Many
Intestine

40. sub
Horizontal plane dividing the upper and lower parts of the body.
Under
Liver
Back part of the body.

41. What are bones connected together with?
Fibrous bands of ligaments
Bursting forth blood
Uteris
A working diagnosis that has not yet been established.

42. Vesicle
Major skin pigment
Middle of the body.
Sacrum
Small collection of clear fluid; blister

43. Vesicle
A break at the distal end of the bone - usually when someone tries to break their fall.
Moving forward
Small collection of clear fluid; blister
To cut into

44. Who developed HCPCs codes?
CMS
Suture
Gall bladder
Below - deficient

45. Frontal Bone
Lung
Forms the front part of the skull and the forehead.
Major skin pigment
Structural protein found in skin and connective tissue.

46. Can you have TRICARE and CHAMPVA at the same time?
No.
Opening
Forms the front part of the skull and the forehead.
Through

47. -centisis
Noninvasive - non-spreading - nonmalignant.
Surgical Puncture
Back part of the body.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

48. -megaly
4. (ex 311.0)
Enlargement
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

49. inter
A pregnant woman who has had at least one pregnancy.
Between
Disease Condition
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

50. Malleolus
Toe Bones
Ankle
Lunula
Office of Inspector General (OIG)