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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 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.
Bones the palm of the hand
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Skin

2. Metacarpals
Movement toward the midline
Many
Bones the palm of the hand
Within

3. oste/
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Bone
Liver
Death of tissue due to loss of blood supply

4. -lysis
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
CMS
Without
Separation - Breakdown

5. pseudo
Heart
Discolored - flat lesion
False
Surgical Puncture

6. What are bursae?
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Free moving joints that are surrounded by joint capsules.
No.

7. gastro/
Cartilage
False
Stomach
Above

8. chondro/
Upper Back
1996
False
Cartilage

9. gloss/
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
Hematopoietic tissue
Bursting forth blood
Tongue

10. ex
Lung
Standards of conduct based on moral principals.
Out - out of
Painful - difficult

11. Metacarpals
Karatin
Lower medial arm bone
Gall bladder
Bones the palm of the hand

12. Sagittal
Bone
Heart
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Vertical plane dividing the body to the left and the right sides.

13. Long Bones
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Strong - broad and have large surfaces for muscles to attach to.
Before
Forms the sides of the cranium

14. What is a Comminuted Fracture?
Treatment
Sacrum
The bone is crushed or shattered.
Uteris

15. When are E codes used?
Horizontal plane dividing the upper and lower parts of the body.
In the cause of injury - poisoning - accidents or other adverse effects.
Death of tissue due to loss of blood supply
Active - retired - survivors and their families of the Armed Forces.

16. Radius
Osseous
Lower arm bone in line with the thumb
CMS
Slow

17. enter/
Upper Back
Intestine
Fibrous bands of ligaments
Moving forward

18. Vomer
Under
Neck Bones
Liver
Bone that forms the wall between the nostrils

19. What is Assignment of Benefits?
Upper roof of the mouth
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Reimbursement is sent directly from payer to the provider.
Measure

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

21. a - an
Hind foot bone
Above
Without
Karatin

22. Can you have TRICARE and CHAMPVA at the same time?
Toe Bones
Four
No.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

23. What does a Surgical Package (aka Global Surgery) include?
Pain
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
To cut into
Reimbursement is sent directly from payer to the provider.

24. dys
CMS-1500
Vertical plane dividing the body into Anterior and Posterior sections.
Painful - difficult
A working diagnosis that has not yet been established.

25. Palatine Bones
Upper roof of the mouth
Coccyx (Tailbone)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
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.

26. Posterior/Dorsal
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
Liver
Back part of the body.
The bone is crushed or shattered.

27. oste/
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Bone
Between
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

28. Retraction
Cheek Bone
Noninvasive - non-spreading - nonmalignant.
In front of the temporal bones
Moving backward

29. pan
Neck Bones
Upper roof of the mouth
Lunula
All

30. -osis
Major skin pigment
Abnormal condition
A working diagnosis that has not yet been established.
Vulva

31. How is Medicare's RBRVS calculated?
Within
Vagina
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
Forms the roof of the nasal cavity

32. Zygoma
Abdomen
Cheek Bone
Fat cell
Wrist bones

33. Anterior/Ventral
All
Heart
Front part of the body.
Death of tissue due to loss of blood supply

34. When was the Health Information and Accountability Act (HIPAA) created?
1996
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Surgical Fixation
Bone that forms the wall between the nostrils

35. Proximal
Forms the sides of the cranium
Lower Jawbone
Stomach
Near the point of attachment to the trunk.

36. What is a compression fracture?
The fractured area of the bone collapses on itself.
Bones the palm of the hand
Surgical Repair
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

37. Multigravida
A pregnant woman who has had at least one pregnancy.
Upper Jawbone
Treatment
Four

38. lapar/
Visual Examination
Abdomen
Stone
Before

39. Multigravida
A pregnant woman who has had at least one pregnancy.
Slow
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
Measure

40. lact/
Milk
A working diagnosis that has not yet been established.
Small collection of clear fluid; blister
CMS-1500

41. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Reimbursement is sent directly from payer to the provider.
Strong - broad and have large surfaces for muscles to attach to.
Osseous

42. Inversion
Bones at the corner of each eye that cradle the tearducts
Before
Moving forward
Turning Inward

43. What are the 2 types of sweat glands?
Forms the back of the skull
Heart
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

44. -rrhea
Discharge - Flow
Mouth
Intestine
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

45. pneum/
Below - deficient
Lung
Bone that forms the wall between the nostrils
Slow

46. Lipocyte
Back part of the body.
3 (ex 311)
Hardening
Fat cell

47. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
Tongue
Horizontal plane dividing the upper and lower parts of the body.
Upper roof of the mouth

48. Medial
Moving backward
Forms the roof of the nasal cavity
Milk
Middle of the body.

49. Sphenoid Bones
Bones the palm of the hand
Record
Back part of the body.
In front of the temporal bones

50. -rrhaphy
Suture
Noninvasive - non-spreading - nonmalignant.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Upper Jawbone