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Medical Coding Basics

Instructions:

Answer 50 questions in 20 minutes. 2 minutes extra for reading the instructions.
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. Sesamoid Bones
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.
Toe Bones
Many

2. Coccygeal
Before
To cut into
Coccyx (Tailbone)
Abnormal condition

3. -pexy
Surgical Fixation
Skull - Ribcage and Spine.
Before - in front of
Abnormal condition

4. Lipocyte
Fat cell
Between
Muscle
Enlargement

5. -pathy
Cancer that has spread to a secondary site.
Sacrum
Osseous
Disease Condition

6. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Forms the sides of the cranium
Cancer that has localized and not spread at all.
Against

7. -tomy
Turning Inward
Cartilage
To cut into
Vagina

8. Temporal Bones
Forms the two lower sides of the cranium
Noninvasive - non-spreading - nonmalignant.
Bursting forth blood
Upper Back

9. What is a Colles Fracture?
Intestine
Neck Bones
A break at the distal end of the bone - usually when someone tries to break their fall.
Discolored - flat lesion

10. Retraction
Milk
No.
Moving backward
Out - out of

11. lact/
Hematopoietic tissue
Death of tissue due to loss of blood supply
Front part of the body.
Milk

12. oophor
The bone is broken and pierces an organ.
Near the point of attachment to the trunk.
Ovary
Strong - broad and have large surfaces for muscles to attach to.

13. -emia
Disease Condition
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.
Lower Jawbone
Blood Condition

14. pan
Osseous
All
Little - scanty
Muscle

15. How is the Patients DOB entered on the claim form?
MM/DD/YY
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Movement away from the midline
Lunula

16. Multigravida
A pregnant woman who has had at least one pregnancy.
Noninvasive - non-spreading - nonmalignant.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Turning Outward

17. hyster/
Uteris
Office of Inspector General (OIG)
Neck Bones
The bone is broken and pierces an organ.

18. Who developed HCPCs codes?
Forms the roof of the nasal cavity
CMS
1. Insurance Reform 2. Administrative Simplification
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.

19. tetra
Enlargement
Hardening
Four
Through

20. When was the Health Information and Accountability Act (HIPAA) created?
Forms the sides of the cranium
Ankle
1996
Bursting forth blood

21. Macule
Discolored - flat lesion
Smaller - lateral leg bone
Shoulder - collar - pelvic - arms and legs.
1. Insurance Reform 2. Administrative Simplification

22. What is the Axial Skeleton comprised of?
All
The Axial Skeleton and the Appendicular Skeleton
Neck Bones
Skull - Ribcage and Spine.

23. -oma
Pain
Mass
Near the point of attachment to the trunk.
5

24. What is a Colles Fracture?
Breast
The fractured area of the bone collapses on itself.
A break at the distal end of the bone - usually when someone tries to break their fall.
Pain

25. a - an
Standards of conduct based on moral principals.
Hind foot bone
Without
Stomach

26. Mandible
Noninvasive - non-spreading - nonmalignant.
Lower Jawbone
Vagina
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.

27. salping/
Little - scanty
Fallopian tubes
New
Through

28. Transverse/Cross Sectional
Visual Examination
Nose
Breast
Horizontal plane dividing the upper and lower parts of the body.

29. Lipocyte
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
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Vagina
Fat cell

30. Ulna
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Lower medial arm bone
3 (ex 311)

31. inter
Coccyx (Tailbone)
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Between
5

32. What is a Qualified Diagnosis
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.
A working diagnosis that has not yet been established.
The fractured area of the bone collapses on itself.
Shin

33. lact/
No.
Milk
All
All

34. What is a Comminuted Fracture?
The bone is crushed or shattered.
Many
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Shin

35. Sesamoid Bones
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Cheek Bone
Many
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

36. What are the 2 types of glands on the skin?
A new procedure or service since the previous edition.
Forms the sides of the cranium
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Turning Outward

37. What are the key components of E/M?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
1996
Strong - broad and have large surfaces for muscles to attach to.
Back part of the body.

38. -centisis
Through
Surgical Puncture
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Intestine

39. Radius
Horizontal plane dividing the upper and lower parts of the body.
Upper Jawbone
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.
Lower arm bone in line with the thumb

40. pre
Ovary
Before - in front of
Horizontal plane dividing the upper and lower parts of the body.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

41. How many digits does an ICD-9 Category code have?
3 (ex 311)
Milk
Against
CMS

42. Ethmoid Bone
Hind foot bone
Below - deficient
Forms the roof of the nasal cavity
Bacterial inflammatory skin disease with lesions - pustules and vesicles

43. What are bones made of?
In front of the temporal bones
Osseous
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Before

44. How many digits does an ICD-9 Category code have?
Upper Arm bone
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.
MM/DD/YY
3 (ex 311)

45. pneum/
Near the point of attachment to the trunk.
Lung
Against
The bone is broken and pierces an organ.

46. What are the 3 classifications of Hypertension?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Major skin pigment
Movement away from the midline
Near the point of attachment to the trunk.

47. Cervical
Absence of hair
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Toe Bones
Neck Bones

48. Proximal
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Head
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Near the point of attachment to the trunk.

49. hin/
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Osseous
Nose
Standards of conduct based on moral principals.

50. What are the 3 layers of skin?
A pregnant woman who has had at least one pregnancy.
Surgical Repair
Forms the front part of the skull and the forehead.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer