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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. Who does TRICARE cover?
A break at the distal end of the bone - usually when someone tries to break their fall.
Active - retired - survivors and their families of the Armed Forces.
Free moving joints that are surrounded by joint capsules.
Moving backward

2. What is the Appendicular Skeleton comprised of?
Vertical plane dividing the body to the left and the right sides.
Shoulder - collar - pelvic - arms and legs.
Uteris
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

3. colp/
Breast
Vagina
Interior of the nose
Out - out of

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

5. Phalanx
Lower Jawbone
Side
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Toe Bones

6. Eversion
Through
Ankle
Nose
Turning Outward

7. Infra
Below
Active - retired - survivors and their families of the Armed Forces.
Hind foot bone
Mouth

8. endo
Cartilage
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
Within

9. derm/
CMS-1500
CMS-1500
Above
Skin

10. Mandible
Middle of the foot bone
Skull - Ribcage and Spine.
Lower Jawbone
Vertical plane dividing the body to the left and the right sides.

11. -emia
Against
Blood Condition
Cancer that has spread to a secondary site.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

12. Radius
Surgical Repair
Lower arm bone in line with the thumb
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Lunula

13. Temporal Bones
Sacrum
Forms the two lower sides of the cranium
Gall bladder
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

14. cholecyst/
Coccyx (Tailbone)
Gall bladder
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.
Vagina

15. hepato/
Liver
Fallopian tubes
Slow
Strong - broad and have large surfaces for muscles to attach to.

16. -itis
Inflammation
Shin
Skull - Ribcage and Spine.
Shin

17. Short Bones
1996
Ovary
Small with irregular shapes (ie wrist and ankle)
Back part of the body.

18. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Record
CMS
Stomach

19. Hypo
Ankle
Treatment
Opening
Below - deficient

20. Lacrimal Bones
Abnormal condition
Cartilage
Discolored - flat lesion
Bones at the corner of each eye that cradle the tearducts

21. brady
Forms the sides of the cranium
A new procedure or service since the previous edition.
Neck Bones
Slow

22. pseudo
Bones the palm of the hand
The fractured area of the bone collapses on itself.
Heart
False

23. What hormones do the adrenal glands secrete?
Below - deficient
Epinephrine and Steriods
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Muscle

24. What is hair made of?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Four
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Karatin

25. Multigravida
Within
A pregnant woman who has had at least one pregnancy.
Lung
Skull - Ribcage and Spine.

26. Lateral
Side
Between
Out - out of
Stomach

27. Lipocyte
Fallopian tubes
Lower arm bone in line with the thumb
Front part of the body.
Fat cell

28. hemi
Half
Fallopian tubes
Turning Inward
Cheek Bone

29. gloss/
Lunula
Forms the roof of the nasal cavity
Tongue
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

30. hemi
5. (ex 311.56)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Half
Hematopoietic tissue

31. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
Half
Before
Slow

32. salping/
Half
Separation - Breakdown
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Fallopian tubes

33. Phalanx
Structural protein found in skin and connective tissue.
Inflammation
Forms the back of the skull
Toe Bones

34. Maxilla
Heart
Finger Bones
Upper Jawbone
Under

35. -megaly
Between
Enlargement
Coccyx (Tailbone)
Wrist bones

36. Posterior/Dorsal
Wrist bones
Disease Condition
Birth
Back part of the body.

37. What are Medical Ethics?
Painful - difficult
Shin
A change in the code description since the last edition.
Standards of conduct based on moral principals.

38. -rrhaphy
Suture
Lung
Osseous
New

39. What does a bullet in the CPT code book next to a code mean?
Small collection of clear fluid; blister
A new procedure or service since the previous edition.
Finger Bones
Lunula

40. Adduction
Smaller - lateral leg bone
In the cause of injury - poisoning - accidents or other adverse effects.
Surgical Fixation
Movement toward the midline

41. What does a Surgical Package (aka Global Surgery) include?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
In front of the temporal bones
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
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

42. a - an
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Without
Nose
Muscle

43. Gangrene
Treatment
Back part of the body.
Death of tissue due to loss of blood supply
Horizontal plane dividing the upper and lower parts of the body.

44. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
Forms the sides of the cranium
Standards of conduct based on moral principals.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

45. -stomy
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
Head
Opening
Fat cell

46. What are the two provisions of HIPPA?
New
Abdomen
1. Insurance Reform 2. Administrative Simplification
Strong - broad and have large surfaces for muscles to attach to.

47. What are Medical Ethics?
Standards of conduct based on moral principals.
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In the cause of injury - poisoning - accidents or other adverse effects.
Discharge - Flow

48. Protraction
A working diagnosis that has not yet been established.
Cancer that has spread to a secondary site.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Moving forward

49. Frontal Bone
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Surgical Repair
Mouth
Forms the front part of the skull and the forehead.

50. Palatine Bones
Upper roof of the mouth
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Small collection of clear fluid; blister
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