Test your basic knowledge |

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

2. What is in a Medical Record?
Through
Major skin pigment
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Muscle

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

4. per
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Through
Disease Condition
Wrist bones

5. Gangrene
Skull - Ribcage and Spine.
Pain
Death of tissue due to loss of blood supply
Surgical Puncture

6. What is a Comminuted Fracture?
Record
Blood Condition
The bone is crushed or shattered.
Lunula

7. Anterior/Ventral
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Cartilage
Front part of the body.
Muscle

8. What is in a Medical Record?
Skin
4. (ex 311.0)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
New

9. gloss/
Vertical plane dividing the body to the left and the right sides.
Tongue
Upper Back
4. (ex 311.0)

10. Phalanx
Bones at the corner of each eye that cradle the tearducts
Toe Bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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.

11. Metacarpals
Enlargement
Bones the palm of the hand
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

12. How many digits does an ICD-9 Category code have?
Head
Enlargement
3 (ex 311)
Ovary

13. brady
Gall bladder
Slow
Cancer that has localized and not spread at all.
Bone that forms the wall between the nostrils

14. -ectomy
Vertical plane dividing the body into Anterior and Posterior sections.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Removal - Excision - Resection
Suture

15. -megaly
Near the point of attachment to the trunk.
Side
Enlargement
3 (ex 311)

16. hin/
Shin
Treatment
Without
Nose

17. brady
Pain
Slow
Middle of the foot bone
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.

18. Hypo
Below - deficient
Inflammation
Lower arm bone in line with the thumb
Lung

19. Sphenoid Bones
In front of the temporal bones
5. (ex 311.56)
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Side

20. Retraction
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.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Muscle
Moving backward

21. oglio
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.
Side
Bones the palm of the hand
Little - scanty

22. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Neck Bones
Vagina
Skin

23. -rrhea
A pregnant woman who has had at least one pregnancy.
Discharge - Flow
Osseous
Bursting forth blood

24. What is the moon like white area at the base of the nail called?
Four
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Lunula
Ovary

25. salping/
4. (ex 311.0)
Fallopian tubes
Lower Back
In front of the temporal bones

26. Lipocyte
Upper roof of the mouth
Ankle
Fat cell
Active - retired - survivors and their families of the Armed Forces.

27. Protraction
Surgical Puncture
False
Shoulder - collar - pelvic - arms and legs.
Moving forward

28. 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.
To cut into
Epinephrine and Steriods
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

29. lapar/
Abdomen
The fractured area of the bone collapses on itself.
Lunula
Discolored - flat lesion

30. lapar/
Abdomen
Opening
Movement toward the midline
Out - out of

31. Supination
3 (ex 311)
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
Turning the palm or foot upward
Measure

32. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
3 (ex 311)
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
Disease Condition

33. Posterior/Dorsal
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Upper Jawbone
Back part of the body.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

34. Vomer
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Lunula
Bone that forms the wall between the nostrils
Disease Condition

35. Sesamoid Bones
Near the point of attachment to the trunk.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Lung
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

36. Tarsal
Forms the two lower sides of the cranium
Hind foot bone
Toe Bones
Pain

37. pneum/
To cut into
Forms the two lower sides of the cranium
Lung
26

38. Fibula
Below - deficient
Smaller - lateral leg bone
Cancer that has localized and not spread at all.
Above

39. cephal/
Head
CMS-1500
The fractured area of the bone collapses on itself.
Visual Examination

40. Coccygeal
Half
A new procedure or service since the previous edition.
Coccyx (Tailbone)
Lung

41. oste/
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bone
Vertical plane dividing the body into Anterior and Posterior sections.

42. hepato/
Within
Forms the roof of the nasal cavity
Liver
A working diagnosis that has not yet been established.

43. derm/
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.
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
Gall bladder
Skin

44. episi/
Vulva
Nose
CMS
Forms the sides of the cranium

45. Thoracic
Hardening
Suture
Upper Back
The bone is crushed or shattered.

46. -tomy
Many
The bone is crushed or shattered.
3 (ex 311)
To cut into

47. What are the key components of E/M?
Discharge - Flow
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Active - retired - survivors and their families of the Armed Forces.
Lower arm bone in line with the thumb

48. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
1996
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
CMS

49. Frontal Bone
Reimbursement is sent directly from payer to the provider.
Structural protein found in skin and connective tissue.
Horizontal plane dividing the upper and lower parts of the body.
Forms the front part of the skull and the forehead.

50. Who developed HCPCs codes?
Surgical Fixation
Many
CMS
Disease Condition