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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. endo
Within
5
Osseous
Little - scanty

2. -centisis
Ankle
Disease Condition
Surgical Puncture
Small collection of clear fluid; blister

3. cardi/
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Heart
To cut into
Tongue

4. Inversion
Turning Inward
Between
Lunula
5

5. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Lower Jawbone
Neck Bones
Fibrous bands of ligaments

6. hepato/
Without
Liver
Abnormal condition
Discharge - Flow

7. Tibia
Shin
Uteris
Four
Hardening

8. Ethmoid Bone
Forms the roof of the nasal cavity
Far from the point of attachment of the trunk.
Nose
Karatin

9. What is the False Claims Act (FCA)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
In the cause of injury - poisoning - accidents or other adverse effects.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

10. inter
Between
Vulva
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Bone

11. Retraction
Cartilage
Nose
Moving backward
Uteris

12. -plasty
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Reimbursement is sent directly from payer to the provider.
Surgical Repair
Stone

13. How is Usual - Customary and Reasonable pricing calculated?

14. What is in a Medical Record?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Coccyx (Tailbone)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Bone

15. Temporal Bones
Bones at the corner of each eye that cradle the tearducts
Forms the two lower sides of the cranium
All
Slow

16. Adduction
Below - deficient
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Movement toward the midline

17. -ectomy
Removal - Excision - Resection
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. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Middle of the body.

18. -plasty
In the cause of injury - poisoning - accidents or other adverse effects.
Surgical Repair
Record
Karatin

19. What is CHAMPVA
Skin
Turning the palm or foot upward
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Standards of conduct based on moral principals.

20. What is CHAMPVA
Coccyx (Tailbone)
No.
The bone is crushed or shattered.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

21. lith/
Under
Slow
4. (ex 311.0)
Stone

22. Sacral
Vagina
Sacrum
Out - out of
To cut into

23. -pathy
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Disease Condition
Shoulder - collar - pelvic - arms and legs.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

24. Alopecia
Absence of hair
Tongue
Fat cell
To cut into

25. What are the two provisions of HIPPA?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Visual Examination
1. Insurance Reform 2. Administrative Simplification
Forms the two lower sides of the cranium

26. What does a Surgical Package (aka Global Surgery) include?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Birth
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
Uteris

27. Infra
Through
Muscle
Below
Forms the roof of the nasal cavity

28. -scopy
All
To cut into
Horizontal plane dividing the upper and lower parts of the body.
To view

29. ante
Intestine
False
Before
Painful - difficult

30. -pathy
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Disease Condition
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

31. oophor
Measure
Neck Bones
Near the point of attachment to the trunk.
Ovary

32. How many digits does an ICD-9 Subcategory code have?
Office of Inspector General (OIG)
Treatment
Without
4. (ex 311.0)

33. Thoracic
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Reimbursement is sent directly from payer to the provider.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Upper Back

34. Temporal Bones
Upper Back
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Forms the two lower sides of the cranium
Cartilage

35. What is Employer Liability?

36. What is a Colles Fracture?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Side
A break at the distal end of the bone - usually when someone tries to break their fall.
False

37. Lateral
Side
Free moving joints that are surrounded by joint capsules.
Intestine
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

38. -tomy
Small with irregular shapes (ie wrist and ankle)
To cut into
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Hardening

39. lact/
Lower Back
Milk
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
Painful - difficult

40. When are E codes used?
Surgical Fixation
1996
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
In the cause of injury - poisoning - accidents or other adverse effects.

41. Humerus
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Karatin
Upper Arm bone

42. What are the 2 types of glands on the skin?
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.
Middle of the foot bone
Head
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

43. -sclerosis
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Hardening
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Absence of hair

44. salping/
Interior of the nose
Little - scanty
Vagina
Fallopian tubes

45. ex
Out - out of
Cancer that has localized and not spread at all.
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.
Neck Bones

46. Lateral
To view
Disease Condition
Skin
Side

47. -rrhaphy
Below
Horizontal plane dividing the upper and lower parts of the body.
Suture
Below - deficient

48. Sacral
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Half
5. (ex 311.56)
Sacrum

49. Metacarpals
Out - out of
Lower Jawbone
Small collection of clear fluid; blister
Bones the palm of the hand

50. Phalanx
A change in the code description since the last edition.
Toe Bones
Turning the palm or foot upward
Enlargement