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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 a Colles Fracture?
Lower Jawbone
A break at the distal end of the bone - usually when someone tries to break their fall.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Cancer that has localized and not spread at all.

2. How many regions is the spinal/vertebral column divided into?
Cancer that has spread to a secondary site.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
5
Movement toward the midline

3. What are the two types of edits that the NCCI implements?
Turning the palm or foot upward
The bone is crushed or shattered.
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.
Milk

4. cephal/
Far from the point of attachment of the trunk.
Head
Lung
Stomach

5. -centisis
New
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
Surgical Puncture
CMS-1500

6. What is Assignment of Benefits?
In the cause of injury - poisoning - accidents or other adverse effects.
Four
Toe Bones
Reimbursement is sent directly from payer to the provider.

7. Hypo
Death of tissue due to loss of blood supply
Half
Below - deficient
Bone that forms the wall between the nostrils

8. What are synovial joints?
Interior of the nose
Free moving joints that are surrounded by joint capsules.
Half
Bacterial inflammatory skin disease with lesions - pustules and vesicles

9. Metatarsal
Death of tissue due to loss of blood supply
Vertical plane dividing the body to the left and the right sides.
Middle of the foot bone
Strong - broad and have large surfaces for muscles to attach to.

10. cholecyst/
Sacrum
Movement away from the midline
3 (ex 311)
Gall bladder

11. Who does TRICARE cover?
Skull - Ribcage and Spine.
Cancer that has spread to a secondary site.
Finger Bones
Active - retired - survivors and their families of the Armed Forces.

12. What are the two provisions of HIPPA?
Hardening
1. Insurance Reform 2. Administrative Simplification
Bones the palm of the hand
Separation - Breakdown

13. Cervical
Ankle
Neck Bones
Movement away from the midline
Surgical Repair

14. -algia
Above
Surgical Fixation
Opening
Pain

15. What are bursae?
Standards of conduct based on moral principals.
Middle of the foot bone
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

16. What is a compression fracture?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
No.
The fractured area of the bone collapses on itself.
Below - deficient

17. Thoracic
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.
A pregnant woman who has had at least one pregnancy.
Shin
Upper Back

18. What does a Surgical Package (aka Global Surgery) include?
Visual Examination
Against
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
Forms the sides of the cranium

19. Sesamoid Bones
Nose
Surgical Repair
Uteris
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

20. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
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.
Karatin
Cancer that has spread to a secondary site.

21. pre
Structural protein found in skin and connective tissue.
Finger Bones
Before - in front of
Measure

22. Impetigo
26
Little - scanty
Bacterial inflammatory skin disease with lesions - pustules and vesicles
False

23. gastro/
Stomach
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
A change in the code description since the last edition.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

24. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
Bones the palm of the hand
Half
Before - in front of

25. What is Employer Liability?

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26. Occipital Bone
New
Bones at the corner of each eye that cradle the tearducts
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.
Forms the back of the skull

27. Eversion
Lower Jawbone
Turning Outward
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Interior of the nose

28. hemi
Half
Mouth
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 medial arm bone

29. inter
Between
Turning Inward
Shoulder - collar - pelvic - arms and legs.
Far from the point of attachment of the trunk.

30. Melanin
Smaller - lateral leg bone
Major skin pigment
1996
Below - deficient

31. mast/
Vertical plane dividing the body into Anterior and Posterior sections.
Reimbursement is sent directly from payer to the provider.
Breast
Middle of the body.

32. Mandible
Forms the two lower sides of the cranium
Lower Jawbone
Forms the roof of the nasal cavity
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

33. Lumbar
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Moving backward
New
Lower Back

34. What is in a Medical Record?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Between
Measure
Discolored - flat lesion

35. salping/
Fallopian tubes
4. (ex 311.0)
Half
Muscle

36. Sphenoid Bones
Suture
Out - out of
In front of the temporal bones
Under

37. Vomer
All
Bone that forms the wall between the nostrils
Cheek Bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

38. What is a Complicated Fracture?
Back part of the body.
Shin
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
The bone is broken and pierces an organ.

39. poly
Sacrum
Many
In front of the temporal bones
Lower medial arm bone

40. ex
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Breast
Near the point of attachment to the trunk.
Out - out of

41. Ulna
Lower medial arm bone
Within
In the cause of injury - poisoning - accidents or other adverse effects.
In front of the temporal bones

42. hepato/
Liver
Disease Condition
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
To cut into

43. -tomy
Wrist bones
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
A break at the distal end of the bone - usually when someone tries to break their fall.
To cut into

44. pneum/
Little - scanty
A new procedure or service since the previous edition.
Lung
False

45. How are bones categorized?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
The Axial Skeleton and the Appendicular Skeleton
CMS

46. sub
Four
Under
Coccyx (Tailbone)
Above

47. -rrhagia
Moving forward
Bursting forth blood
Discolored - flat lesion
Head

48. a - an
A working diagnosis that has not yet been established.
Record
Without
Mass

49. Who investigates and prosecutes Health Care fraud?
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
Office of Inspector General (OIG)
Before
Opening

50. When are V codes used?
Moving backward
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
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
Measure