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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. -rrhea
Discharge - Flow
Movement away from the midline
Tongue
Opening

2. What is Fiscal Intermediary?
Vertical plane dividing the body into Anterior and Posterior sections.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Against
Mouth

3. Frontal Bone
Visual Examination
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
Forms the front part of the skull and the forehead.
Record

4. Who developed HCPCs codes?
Horizontal plane dividing the upper and lower parts of the body.
CMS
Horizontal plane dividing the upper and lower parts of the body.
Turning the palm or foot upward

5. Gangrene
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Death of tissue due to loss of blood supply
Movement toward the midline
CMS-1500

6. pseudo
Lunula
False
Shin
Birth

7. oglio
Little - scanty
Four
Record
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

8. What are bones made of?
Front part of the body.
Major skin pigment
Osseous
Cancer that has spread to a secondary site.

9. Tibia
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Shin
Stone
Reimbursement is sent directly from payer to the provider.

10. Inferior nasal conchae
Removal - Excision - Resection
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Interior of the nose
Hind foot bone

11. Infra
Below
Forms the two lower sides of the cranium
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.

12. Can you have TRICARE and CHAMPVA at the same time?
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. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
No.

13. Melanin
Before - in front of
The fractured area of the bone collapses on itself.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Major skin pigment

14. Zygoma
Forms the sides of the cranium
Inflammation
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Cheek Bone

15. Inferior nasal conchae
Disease Condition
Interior of the nose
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Toe Bones

16. ante
Before
Removal - Excision - Resection
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. The amount of time - intensity of effort and medical skill required for the service 2.Overhead; the practice costs related to performing the service 3. Cost of Medical Malpractice insurance

17. How many volumes is the ICD-9 manual divided into?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Forms the sides of the cranium
Shoulder - collar - pelvic - arms and legs.
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

18. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
Fat cell
Above
Upper Back

19. chondro/
4. (ex 311.0)
Surgical Repair
3 (ex 311)
Cartilage

20. -therapy
Stomach
Cartilage
Upper Back
Treatment

21. arth/
Structural protein found in skin and connective tissue.
Cartilage
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Movement toward the midline

22. hin/
Major skin pigment
No.
Sacrum
Nose

23. Frontal - Coronal
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.
Vertical plane dividing the body into Anterior and Posterior sections.
Wrist bones
Above

24. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
Back part of the body.
Opening
Vagina

25. Retraction
Moving backward
Far from the point of attachment of the trunk.
Noninvasive - non-spreading - nonmalignant.
Epinephrine and Steriods

26. How long should Medical Records be retained?
Under
Lower medial arm bone
Surgical Puncture
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

27. What does a triangle in the CPT book next to a code mean?
Suture
Muscle
The Axial Skeleton and the Appendicular Skeleton
A change in the code description since the last edition.

28. -itis
Inflammation
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Moving backward
Active - retired - survivors and their families of the Armed Forces.

29. -centisis
Karatin
Cartilage
Hind foot bone
Surgical Puncture

30. mast/
A break at the distal end of the bone - usually when someone tries to break their fall.
Nose
Skin
Breast

31. per
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Through
Forms the back of the skull
False

32. Flat Bones
Horizontal plane dividing the upper and lower parts of the body.
1. Insurance Reform 2. Administrative Simplification
Within
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

33. -scopy
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Reimbursement is sent directly from payer to the provider.
Visual Examination
Coccyx (Tailbone)

34. What is a Colles Fracture?
Cancer that has spread to a secondary site.
Upper roof of the mouth
A pregnant woman who has had at least one pregnancy.
A break at the distal end of the bone - usually when someone tries to break their fall.

35. pan
All
Lung
New
Above

36. How are bones categorized?
Karatin
The Axial Skeleton and the Appendicular Skeleton
Sacrum
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

37. Transverse/Cross Sectional
Surgical Fixation
Horizontal plane dividing the upper and lower parts of the body.
Blood Condition
Tongue

38. How many digits does an ICD-9 Subclassification code have?
Moving backward
5. (ex 311.56)
Mass
Below

39. What are Medical Ethics?
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.
Cancer that has spread to a secondary site.
Standards of conduct based on moral principals.
Cancer that has spread to a secondary site.

40. Who investigates and prosecutes Health Care fraud?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Cartilage
Office of Inspector General (OIG)
Beside

41. Collagen
Skin
Lower arm bone in line with the thumb
Tongue
Structural protein found in skin and connective tissue.

42. Fibula
Below - deficient
Movement away from the midline
Smaller - lateral leg bone
Before

43. cardi/
Heart
Lower arm bone in line with the thumb
Upper roof of the mouth
Fallopian tubes

44. ex
Out - out of
Sacrum
The Axial Skeleton and the Appendicular Skeleton
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

45. anti
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Cheek Bone
Sacrum
Against

46. -rrhagia
1996
Shin
5. (ex 311.56)
Bursting forth blood

47. Retraction
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Suture
Moving backward
Hematopoietic tissue

48. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
Small with irregular shapes (ie wrist and ankle)
Enlargement
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.

49. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Measure
Smaller - lateral leg bone
Lunula

50. Maxilla
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.
Upper Jawbone
Turning the palm or foot upward
Finger Bones