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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 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.
Stomach
Measure
Shin

2. Metacarpals
Without
Visual Examination
Bones the palm of the hand
Treatment

3. Distal
Discharge - Flow
4. (ex 311.0)
Far from the point of attachment of the trunk.
Discolored - flat lesion

4. ante
Lower arm bone in line with the thumb
New
Cheek Bone
Before

5. Parietal Bones
Fibrous bands of ligaments
Forms the sides of the cranium
Turning the palm or foot upward
Record

6. What are the insides of bones comprised of?
Lower arm bone in line with the thumb
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
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.
Hematopoietic tissue

7. How many digits does an ICD-9 Category code have?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Reimbursement is sent directly from payer to the provider.
Smaller - lateral leg bone
3 (ex 311)

8. What is Benign?
New
Free moving joints that are surrounded by joint capsules.
Noninvasive - non-spreading - nonmalignant.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

9. hyster/
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Karatin
Uteris
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

10. hin/
Forms the back of the skull
Back part of the body.
Stomach
Nose

11. poly
The fractured area of the bone collapses on itself.
Many
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

12. Ethmoid Bone
Cartilage
Forms the roof of the nasal cavity
Under
The bone is broken and pierces an organ.

13. Sagittal
Upper Arm bone
All
Vertical plane dividing the body to the left and the right sides.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

14. -sclerosis
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Hardening
Cancer that has spread to a secondary site.
Turning Inward

15. Lumbar
Ankle
Front part of the body.
Before - in front of
Lower Back

16. inter
Record
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Between
Turning Outward

17. lact/
Milk
Wrist bones
Absence of hair
Nose

18. Medial
Against
Cancer that has spread to a secondary site.
Middle of the body.
Birth

19. What does a bullet in the CPT code book next to a code mean?
Mouth
All
Near the point of attachment to the trunk.
A new procedure or service since the previous edition.

20. What are bursae?
Coccyx (Tailbone)
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.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Removal - Excision - Resection

21. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Fat cell
Bones the palm of the hand
Blood Condition

22. -algia
Cancer that has spread to a secondary site.
Movement toward the midline
Pain
In front of the temporal bones

23. oste/
Bone
Mouth
Disease Condition
Middle of the foot bone

24. How is the Patients DOB entered on the claim form?
Vertical plane dividing the body to the left and the right sides.
Strong - broad and have large surfaces for muscles to attach to.
MM/DD/YY
A change in the code description since the last edition.

25. What is Carcinoma in situ?
In front of the temporal bones
Cancer that has localized and not spread at all.
Surgical Fixation
Forms the sides of the cranium

26. Alopecia
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
No.
Absence of hair
Milk

27. What are bones connected together with?
Fibrous bands of ligaments
A new procedure or service since the previous edition.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Structural protein found in skin and connective tissue.

28. -scopy
Below - deficient
Bones the palm of the hand
To view
No.

29. Malleolus
Ankle
The Axial Skeleton and the Appendicular Skeleton
A working diagnosis that has not yet been established.
Toe Bones

30. Can you have TRICARE and CHAMPVA at the same time?
Lower arm bone in line with the thumb
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
No.

31. -emia
Middle of the foot bone
Middle of the foot bone
Hematopoietic tissue
Blood Condition

32. sub
Death of tissue due to loss of blood supply
Disease Condition
Pain
Under

33. arth/
Mass
A pregnant woman who has had at least one pregnancy.
Removal - Excision - Resection
Cartilage

34. -osis
Movement toward the midline
Abnormal condition
Many
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

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.
Bursting forth blood
Bone that forms the wall between the nostrils
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

36. pseudo
Under
False
Lung
Sacrum

37. Humerus
In the cause of injury - poisoning - accidents or other adverse effects.
Above
Upper Arm bone
Noninvasive - non-spreading - nonmalignant.

38. What is the moon like white area at the base of the nail called?
Pain
Wrist bones
Lunula
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.

39. What does a Surgical Package (aka Global Surgery) include?
Opening
MM/DD/YY
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
Lower Back

40. Who investigates and prosecutes Health Care fraud?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Structural protein found in skin and connective tissue.
To view
Office of Inspector General (OIG)

41. What are bones made of?
To view
Beside
Osseous
Before - in front of

42. hin/
Forms the roof of the nasal cavity
26
Ankle
Nose

43. What are bones made of?
Blood Condition
Osseous
Fallopian tubes
Abnormal condition

44. What is a compression fracture?
The fractured area of the bone collapses on itself.
Small with irregular shapes (ie wrist and ankle)
Out - out of
A break at the distal end of the bone - usually when someone tries to break their fall.

45. What does a bullet in the CPT code book next to a code mean?
Toe Bones
A new procedure or service since the previous edition.
Abnormal condition
Birth

46. dys
Upper roof of the mouth
All
Painful - difficult
Through

47. supra
False
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.
Abnormal condition
Above

48. Phalanx
Toe Bones
Stomach
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Side

49. -algia
Smaller - lateral leg bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Movement away from the midline
Pain

50. -osis
5. (ex 311.56)
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Bursting forth blood
Abnormal condition