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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.
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. -tomy
The Axial Skeleton and the Appendicular Skeleton
Skin
Liver
To cut into

2. Humerus
4. (ex 311.0)
Above
Horizontal plane dividing the upper and lower parts of the body.
Upper Arm bone

3. What is a Complicated Fracture?
Pain
The bone is broken and pierces an organ.
A change in the code description since the last edition.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

4. How long should Medical Records be retained?
Within
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Turning Outward
Surgical Puncture

5. What is a Qualified Diagnosis
Death of tissue due to loss of blood supply
A working diagnosis that has not yet been established.
1996
Vertical plane dividing the body to the left and the right sides.

6. What is the name of the claim form that is standard for submitting claims?
CMS-1500
Head
The bone is broken and pierces an organ.
Middle of the body.

7. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Muscle
Office of Inspector General (OIG)
Gall bladder

8. -scopy
To view
Intestine
1996
Under

9. What are the 2 types of glands on the skin?
Upper Arm bone
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Ovary
Hematopoietic tissue

10. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

11. -algia
Pain
Skin
Upper Jawbone
Opening

12. nat/
Enlargement
Upper Jawbone
Below - deficient
Birth

13. Distal
Side
Middle of the foot bone
Far from the point of attachment of the trunk.
Heart

14. a - an
Birth
Without
Separation - Breakdown
Separation - Breakdown

15. Proximal
Horizontal plane dividing the upper and lower parts of the body.
Cancer that has localized and not spread at all.
CMS-1500
Near the point of attachment to the trunk.

16. -pexy
Abdomen
To view
Surgical Fixation
Hind foot bone

17. Lumbar
Epinephrine and Steriods
Above
Strong - broad and have large surfaces for muscles to attach to.
Lower Back

18. Anterior/Ventral
Turning Outward
Front part of the body.
Finger Bones
Smaller - lateral leg bone

19. What are bursae?
Forms the sides of the cranium
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
5. (ex 311.56)
Enlargement

20. -algia
Pain
Surgical Repair
4. (ex 311.0)
Toe Bones

21. Protraction
Smaller - lateral leg bone
Moving forward
Forms the sides of the cranium
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

22. Protraction
Without
Pain
Moving forward
Surgical Repair

23. Medial
Middle of the body.
Cancer that has localized and not spread at all.
New
Absence of hair

24. -ectomy
Removal - Excision - Resection
Little - scanty
Four
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.

25. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
A change in the code description since the last edition.
Disease Condition
Standards of conduct based on moral principals.

26. -sclerosis
Half
Turning Outward
Hardening
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

27. Collagen
Structural protein found in skin and connective tissue.
All
Forms the two lower sides of the cranium
Measure

28. Sphenoid Bones
Small collection of clear fluid; blister
Horizontal plane dividing the upper and lower parts of the body.
In front of the temporal bones
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

29. Mandible
Upper roof of the mouth
Lower Jawbone
Bone
Separation - Breakdown

30. What is Employee Liability Insurance?
Far from the point of attachment of the trunk.
Visual Examination
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Forms the two lower sides of the cranium

31. Coccygeal
Office of Inspector General (OIG)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Coccyx (Tailbone)
Middle of the body.

32. chondro/
Skin
Cartilage
Lunula
New

33. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Bone
In the cause of injury - poisoning - accidents or other adverse effects.
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.

34. Cervical
Neck Bones
Half
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
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

35. hemi
Upper roof of the mouth
Half
Pain
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

36. What is a Qualified Diagnosis
Four
To cut into
A working diagnosis that has not yet been established.
Free moving joints that are surrounded by joint capsules.

37. mast/
Below - deficient
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.
Wrist bones
Breast

38. myo/
Intestine
CMS
Muscle
Mouth

39. What are the 2 types of sweat glands?
A change in the code description since the last edition.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Abnormal condition
Liver

40. dys
Lower Jawbone
Sacrum
Painful - difficult
Upper Jawbone

41. Lumbar
Lower Back
Surgical Repair
Four
Stomach

42. How are bones categorized?
Surgical Repair
The Axial Skeleton and the Appendicular Skeleton
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

43. epi
Blood Condition
Above
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Painful - difficult

44. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
1996
Surgical Puncture
3 (ex 311)

45. Who does TRICARE cover?
Cancer that has localized and not spread at all.
Active - retired - survivors and their families of the Armed Forces.
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.
Upper Jawbone

46. What are the key components of E/M?
Active - retired - survivors and their families of the Armed Forces.
Upper Arm bone
Abdomen
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

47. Fibula
Upper Jawbone
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Osseous
Smaller - lateral leg bone

48. Metatarsal
Noninvasive - non-spreading - nonmalignant.
Forms the front part of the skull and the forehead.
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Middle of the foot bone

49. Ulna
Below - deficient
3 (ex 311)
Lower medial arm bone
Office of Inspector General (OIG)

50. What does a Surgical Package (aka Global Surgery) include?
Pain
Front part of the body.
Hind foot 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