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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 is secondary malignancy?
Intestine
Cancer that has spread to a secondary site.
To cut into
A new procedure or service since the previous edition.

2. What is a Qualified Diagnosis
Lower medial arm 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
A working diagnosis that has not yet been established.
Vagina

3. What is Carcinoma in situ?
Within
Cancer that has localized and not spread at all.
Forms the roof of the nasal cavity
Lung

4. What is Fiscal Intermediary?
Neck Bones
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
To view
Wrist bones

5. Metacarpals
Treatment
Karatin
Bones the palm of the hand
Neck Bones

6. What are the key components of E/M?
Wrist bones
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Against
Four

7. What is the National Correct Coding Initiative (NCCI)?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Before - in front of
To view
Neck Bones

8. anti
Against
Heart
Near the point of attachment to the trunk.
1. Insurance Reform 2. Administrative Simplification

9. Ethmoid Bone
Skin
Painful - difficult
Pain
Forms the roof of the nasal cavity

10. What is Fiscal Intermediary?
Ovary
To view
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
No.

11. What are the two types of edits that the NCCI implements?
1996
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.
Hardening
Toe Bones

12. What is in a Medical Record?
Painful - difficult
Vagina
5. (ex 311.56)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

13. para
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Sacrum
Beside
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

14. hyster/
The bone is broken and pierces an organ.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Uteris
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

15. Can you have TRICARE and CHAMPVA at the same time?
No.
Structural protein found in skin and connective tissue.
All
Finger Bones

16. What are bones connected together with?
Fibrous bands of ligaments
Back part of the body.
5
Structural protein found in skin and connective tissue.

17. epi
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Many
Above
Against

18. -oma
Small with irregular shapes (ie wrist and ankle)
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
Mass
Cheek Bone

19. Palatine Bones
Ankle
Hematopoietic tissue
1. Insurance Reform 2. Administrative Simplification
Upper roof of the mouth

20. Flat Bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Before
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
A pregnant woman who has had at least one pregnancy.

21. Radius
Lower arm bone in line with the thumb
Finger Bones
Half
5

22. What is the name of the claim form that is standard for submitting claims?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
CMS-1500
Bones at the corner of each eye that cradle the tearducts
Lung

23. Transverse/Cross Sectional
Bursting forth blood
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.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

24. What is the Appendicular Skeleton comprised of?
Ankle
Shoulder - collar - pelvic - arms and legs.
Separation - Breakdown
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

25. Lipocyte
Abnormal condition
Fat cell
Forms the two lower sides of the cranium
Bones at the corner of each eye that cradle the tearducts

26. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Muscle
Small collection of clear fluid; blister
Tongue

27. Abduction
Vertical plane dividing the body to the left and the right sides.
Movement away from the midline
Through
5

28. cephal/
Head
CMS-1500
Shoulder - collar - pelvic - arms and legs.
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.

29. Eversion
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Turning Outward
Small collection of clear fluid; blister
Near the point of attachment to the trunk.

30. What is Benign?
Office of Inspector General (OIG)
Bone that forms the wall between the nostrils
The Axial Skeleton and the Appendicular Skeleton
Noninvasive - non-spreading - nonmalignant.

31. nat/
Absence of hair
Birth
A pregnant woman who has had at least one pregnancy.
Hematopoietic tissue

32. How many digits does an ICD-9 Category code have?
Disease Condition
To view
3 (ex 311)
Absence of hair

33. What are bones connected together with?
Smaller - lateral leg bone
Osseous
Fibrous bands of ligaments
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

34. -rrhea
Lower arm bone in line with the thumb
Surgical Fixation
Discharge - Flow
Shoulder - collar - pelvic - arms and legs.

35. Zygoma
Painful - difficult
Gall bladder
Cheek 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

36. Lacrimal Bones
Below - deficient
The bone is crushed or shattered.
Bones at the corner of each eye that cradle the tearducts
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

37. Ulna
Tongue
Lower arm bone in line with the thumb
Lower medial arm bone
Record

38. Supination
Fat cell
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Turning the palm or foot upward
Hardening

39. What is hair made of?
Karatin
Intestine
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Vertical plane dividing the body into Anterior and Posterior sections.

40. -emia
Movement toward the midline
5. (ex 311.56)
Blood Condition
Lower Jawbone

41. Infra
The fractured area of the bone collapses on itself.
Below
Removal - Excision - Resection
To view

42. pseudo
False
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
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.

43. Zygoma
Bone that forms the wall between the nostrils
Interior of the nose
Middle of the body.
Cheek Bone

44. -rrhagia
Horizontal plane dividing the upper and lower parts of the body.
Fat cell
Bursting forth blood
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

45. Gangrene
Cartilage
Through
Fibrous bands of ligaments
Death of tissue due to loss of blood supply

46. brady
Bone that forms the wall between the nostrils
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.
Slow
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

47. pseudo
Vagina
False
Through
Bones the palm of the hand

48. anti
Four
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Against
Strong - broad and have large surfaces for muscles to attach to.

49. Who developed HCPCs codes?
Wrist bones
Gall bladder
Vagina
CMS

50. Coccygeal
Blood Condition
Liver
Coccyx (Tailbone)
Out - out of