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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. pneum/
Far from the point of attachment of the trunk.
Lung
Fallopian tubes
Strong - broad and have large surfaces for muscles to attach to.

2. What are bones made of?
Lower medial arm bone
Osseous
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
CMS

3. How long should Medical Records be retained?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Lower Jawbone
The Axial Skeleton and the Appendicular Skeleton
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

4. -plasty
Surgical Repair
To cut into
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Free moving joints that are surrounded by joint capsules.

5. What is Carcinoma in situ?
Within
Cancer that has localized and not spread at all.
Uteris
Vertical plane dividing the body into Anterior and Posterior sections.

6. -oma
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Back part of the body.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Mass

7. What is the moon like white area at the base of the nail called?
Intestine
Out - out of
Lunula
Upper Jawbone

8. gloss/
Mass
Vertical plane dividing the body to the left and the right sides.
Vertical plane dividing the body to the left and the right sides.
Tongue

9. Macule
Mass
Discolored - flat lesion
Forms the two lower sides of the cranium
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

10. Posterior/Dorsal
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Back part of the body.
Uteris
Vulva

11. mast/
Upper roof of the mouth
Lung
Breast
Liver

12. Cervical
Neck Bones
Small collection of clear fluid; blister
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Upper Back

13. -meter
Measure
Forms the front part of the skull and the forehead.
The fractured area of the bone collapses on itself.
Uteris

14. What is the Civil Monetary Penalties Law (CMPL)?
Upper roof of the mouth
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Suture
Hematopoietic tissue

15. hin/
Intestine
Nose
Lower Jawbone
Discolored - flat lesion

16. -therapy
The bone is broken and pierces an organ.
Mouth
Cartilage
Treatment

17. -scopy
5. (ex 311.56)
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.
Many
To view

18. gloss/
All
Tongue
Hind foot bone
To cut into

19. mast/
Breast
Ankle
Standards of conduct based on moral principals.
Near the point of attachment to the trunk.

20. nat/
Birth
Ovary
Inflammation
Side

21. Alopecia
Above
Middle of the foot bone
Sacrum
Absence of hair

22. Impetigo
Before
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
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Fat cell

23. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
Lunula
Upper Arm bone
Horizontal plane dividing the upper and lower parts of the body.

24. ante
Lower arm bone in line with the thumb
Before
Vagina
Abdomen

25. Tibia
Bone
The bone is crushed or shattered.
Shin
Small with irregular shapes (ie wrist and ankle)

26. Sphenoid Bones
Suture
The bone is crushed or shattered.
In front of the temporal bones
A new procedure or service since the previous edition.

27. episi/
Vulva
Far from the point of attachment of the trunk.
Four
CMS

28. Flat Bones
Fallopian tubes
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Free moving joints that are surrounded by joint capsules.
Tongue

29. pneum/
Slow
Lung
Shoulder - collar - pelvic - arms and legs.
All

30. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Forms the roof of the nasal cavity
Lower Back
Below

31. What is CHAMPVA
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Lunula

32. Maxilla
Before - in front of
MM/DD/YY
Upper Jawbone
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

33. -scopy
Vertical plane dividing the body into Anterior and Posterior sections.
Vagina
To view
Removal - Excision - Resection

34. Zygoma
Moving backward
Cheek Bone
3 (ex 311)
Discolored - flat lesion

35. 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.
Disease Condition
A working diagnosis that has not yet been established.
A break at the distal end of the bone - usually when someone tries to break their fall.

36. What are the two types of edits that the NCCI implements?
1. Insurance Reform 2. Administrative Simplification
Under
Under
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.

37. enter/
Bacterial inflammatory skin disease with lesions - pustules and vesicles
MM/DD/YY
Above
Intestine

38. -ectomy
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Mass
Cartilage
Removal - Excision - Resection

39. What are bones connected together with?
Fibrous bands of ligaments
Sacrum
A change in the code description since the last edition.
Discolored - flat lesion

40. hepato/
Shin
CMS-1500
Interior of the nose
Liver

41. Metacarpals
To view
Interior of the nose
Bones the palm of the hand
Near the point of attachment to the trunk.

42. What are synovial joints?
Measure
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
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Free moving joints that are surrounded by joint capsules.

43. -centisis
Forms the front part of the skull and the forehead.
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Surgical Puncture

44. What is a compression fracture?
Abdomen
Discolored - flat lesion
The fractured area of the bone collapses on itself.
Lunula

45. Zygoma
Cheek Bone
Vertical plane dividing the body to the left and the right sides.
Stomach
Wrist bones

46. cholecyst/
Gall bladder
Vertical plane dividing the body to the left and the right sides.
Finger Bones
Middle of the foot bone

47. What is the National Correct Coding Initiative (NCCI)?
5
Upper Jawbone
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Bone that forms the wall between the nostrils

48. colp/
Vagina
A new procedure or service since the previous edition.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

49. When are V codes used?
A break at the distal end of the bone - usually when someone tries to break their fall.
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
Upper Jawbone
Half

50. What are the two provisions of HIPPA?
Small collection of clear fluid; blister
Discharge - Flow
1. Insurance Reform 2. Administrative Simplification
Beside