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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 key components of E/M?
Turning Inward
Neck 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
Intestine

2. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Vulva
3 (ex 311)

3. How many bones are in the spine?
Pain
Suture
Forms the sides of the cranium
26

4. hemi
Within
All
Half
Vertical plane dividing the body into Anterior and Posterior sections.

5. What is in a Medical Record?
Separation - Breakdown
Blood Condition
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
MM/DD/YY

6. lapar/
Abdomen
Turning Outward
In front of the temporal bones
The Axial Skeleton and the Appendicular Skeleton

7. What is the name of the claim form that is standard for submitting claims?
The fractured area of the bone collapses on itself.
Active - retired - survivors and their families of the Armed Forces.
CMS-1500
Surgical Repair

8. Impetigo
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Cartilage
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Through

9. hepato/
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.
Major skin pigment
Liver
Separation - Breakdown

10. What does a Surgical Package (aka Global Surgery) include?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
False
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
Reimbursement is sent directly from payer to the provider.

11. -meter
Mass
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Vulva
Measure

12. -megaly
Front part of the body.
Enlargement
Turning Inward
Turning the palm or foot upward

13. What are the two types of edits that the NCCI implements?
Abnormal condition
Within
Surgical Repair
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.

14. Macule
Vagina
All
Below - deficient
Discolored - flat lesion

15. Transverse/Cross Sectional
In the cause of injury - poisoning - accidents or other adverse effects.
Horizontal plane dividing the upper and lower parts of the body.
Cancer that has spread to a secondary site.
Forms the sides of the cranium

16. nat/
Vertical plane dividing the body to the left and the right sides.
Birth
Half
Lunula

17. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Cancer that has spread to a secondary site.
Cancer that has localized and not spread at all.
Toe Bones

18. gastro/
Heart
Beside
Stomach
Ovary

19. gastro/
Stomach
Fat cell
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
Interior of the nose

20. Phalanx
Toe Bones
Moving backward
A new procedure or service since the previous edition.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

21. Anterior/Ventral
Mouth
CMS-1500
Front part of the body.
Blood Condition

22. Thoracic
Noninvasive - non-spreading - nonmalignant.
Separation - Breakdown
Upper Back
Bursting forth blood

23. Lateral
Birth
Side
Movement toward the midline
Gall bladder

24. What are the 5 regions of the spine?
Movement away from the midline
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
1996
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

25. pre
Discharge - Flow
Treatment
Free moving joints that are surrounded by joint capsules.
Before - in front of

26. cholecyst/
Bone that forms the wall between the nostrils
Hematopoietic tissue
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Gall bladder

27. gloss/
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.
Active - retired - survivors and their families of the Armed Forces.
Tongue
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

28. How are bones categorized?
Abdomen
Death of tissue due to loss of blood supply
The Axial Skeleton and the Appendicular Skeleton
Treatment

29. What is Employer Liability?

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30. How many regions is the spinal/vertebral column divided into?
Coccyx (Tailbone)
5
Mass
26

31. endo
Mouth
The bone is crushed or shattered.
Within
Four

32. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Blood Condition
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Horizontal plane dividing the upper and lower parts of the body.

33. Retraction
CMS-1500
Moving backward
Cartilage
Cartilage

34. What is a Complicated Fracture?
Toe Bones
Skull - Ribcage and Spine.
Opening
The bone is broken and pierces an organ.

35. -oma
Breast
Below - deficient
Skull - Ribcage and Spine.
Mass

36. Lumbar
Fallopian tubes
Lower Back
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Karatin

37. What are bones connected together with?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Abdomen
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Fibrous bands of ligaments

38. Tarsal
Enlargement
Forms the roof of the nasal cavity
Hind foot bone
The bone is broken and pierces an organ.

39. stomat/
Beside
Back part of the body.
Intestine
Mouth

40. How many bones are in the spine?
To view
Bursting forth blood
Above
26

41. Can you have TRICARE and CHAMPVA at the same time?
A pregnant woman who has had at least one pregnancy.
Structural protein found in skin and connective tissue.
No.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

42. Zygoma
Disease Condition
Movement away from the midline
Cheek Bone
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

43. -rrhaphy
New
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Above
Suture

44. -scopy
Between
Active - retired - survivors and their families of the Armed Forces.
Ankle
Visual Examination

45. Ethmoid Bone
Standards of conduct based on moral principals.
In front of the temporal bones
Forms the roof of the nasal cavity
Vertical plane dividing the body into Anterior and Posterior sections.

46. Flat Bones
Between
The bone is crushed or shattered.
Noninvasive - non-spreading - nonmalignant.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

47. -gram
Above
All
Record
Measure

48. pseudo
Slow
False
Neck Bones
Mass

49. Hypo
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
Below - deficient
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Surgical Fixation

50. -scopy
Visual Examination
Surgical Puncture
Four
Horizontal plane dividing the upper and lower parts of the body.