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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. Inferior nasal conchae
Moving forward
Interior of the nose
Forms the back of the skull
3 (ex 311)

2. What is the moon like white area at the base of the nail called?
Lunula
Visual Examination
Pain
Shin

3. When can a provider share PHI without specific permission from the patient?

4. What are the key components of E/M?
Cheek Bone
Side
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Near the point of attachment to the trunk.

5. Frontal - Coronal
A working diagnosis that has not yet been established.
CMS
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Vertical plane dividing the body into Anterior and Posterior sections.

6. What is secondary malignancy?
Cancer that has spread to a secondary site.
4. (ex 311.0)
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Tongue

7. When billing an insurance company - what information must be included?
A change in the code description since the last edition.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
The Axial Skeleton and the Appendicular Skeleton
Fat cell

8. How is the Patients DOB entered on the claim form?
Movement away from the midline
Forms the sides of the cranium
MM/DD/YY
Cancer that has spread to a secondary site.

9. Phalanges
Lung
Finger Bones
Under
Beside

10. Parietal Bones
Strong - broad and have large surfaces for muscles to attach to.
Osseous
Forms the sides of the cranium
Horizontal plane dividing the upper and lower parts of the body.

11. lact/
Fibrous bands of ligaments
Discolored - flat lesion
Milk
Discharge - Flow

12. per
Surgical Puncture
Surgical Repair
1. Insurance Reform 2. Administrative Simplification
Through

13. Who investigates and prosecutes Health Care fraud?
Shin
Fallopian tubes
Office of Inspector General (OIG)
Forms the front part of the skull and the forehead.

14. poly
Lower arm bone in line with the thumb
Noninvasive - non-spreading - nonmalignant.
Many
Stone

15. neo
Four
New
Surgical Fixation
Cartilage

16. -tomy
Enlargement
To cut into
The fractured area of the bone collapses on itself.
Shin

17. Adduction
Little - scanty
Forms the roof of the nasal cavity
Movement toward the midline
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

18. Melanin
Major skin pigment
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Forms the front part of the skull and the forehead.
Little - scanty

19. Distal
Far from the point of attachment of the trunk.
1996
Coccyx (Tailbone)
Surgical Fixation

20. -gram
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
The bone is broken and pierces an organ.
Record
Movement toward the midline

21. Occipital Bone
Little - scanty
The bone is broken and pierces an organ.
New
Forms the back of the skull

22. What is a Comminuted Fracture?
Epinephrine and Steriods
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
The bone is crushed or shattered.
Breast

23. What is primary malignancy?
Vagina
A new procedure or service since the previous edition.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Discolored - flat lesion

24. Phalanx
Bones at the corner of each eye that cradle the tearducts
Bursting forth blood
Cartilage
Toe Bones

25. -scopy
Head
To view
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Neck Bones

26. pre
Interior of the nose
Surgical Puncture
Active - retired - survivors and their families of the Armed Forces.
Before - in front of

27. How many digits does an ICD-9 Category code have?
Through
3 (ex 311)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

28. Wheal
False
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Vertical plane dividing the body to the left and the right sides.
Measure

29. Melanin
Cheek Bone
Major skin pigment
Half
Lung

30. tetra
Treatment
Coccyx (Tailbone)
Gall bladder
Four

31. When was the Health Information and Accountability Act (HIPAA) created?
1996
Lower Jawbone
Turning Outward
Removal - Excision - Resection

32. When are E codes used?
Cancer that has localized and not spread at all.
5
In the cause of injury - poisoning - accidents or other adverse effects.
CMS

33. What is the name of the claim form that is standard for submitting claims?
Neck Bones
CMS-1500
Removal - Excision - Resection
Bone that forms the wall between the nostrils

34. anti
Against
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.
Hind foot bone
In front of the temporal bones

35. myo/
The bone is broken and pierces an organ.
Mass
4. (ex 311.0)
Muscle

36. inter
Between
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
The bone is broken and pierces an organ.
Small collection of clear fluid; blister

37. Impetigo
Within
Milk
All
Bacterial inflammatory skin disease with lesions - pustules and vesicles

38. Abduction
Through
Lung
Movement away from the midline
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

39. How many regions is the spinal/vertebral column divided into?
Out - out of
Upper Back
5
Liver

40. -ectomy
Forms the sides of the cranium
Removal - Excision - Resection
Small with irregular shapes (ie wrist and ankle)
Lower Jawbone

41. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
To cut into
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

42. How many regions is the spinal/vertebral column divided into?
5
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Moving backward
Front part of the body.

43. What is a Colles Fracture?
Through
Office of Inspector General (OIG)
A break at the distal end of the bone - usually when someone tries to break their fall.
Osseous

44. Proximal
Near the point of attachment to the trunk.
Abdomen
The bone is broken and pierces an organ.
Before

45. What is the Axial Skeleton comprised of?
The Axial Skeleton and the Appendicular Skeleton
Surgical Puncture
Liver
Skull - Ribcage and Spine.

46. Carpals
Against
Wrist bones
Hematopoietic tissue
Forms the front part of the skull and the forehead.

47. Palatine Bones
Interior of the nose
Upper roof of the mouth
Lower medial arm bone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

48. When billing an insurance company - what information must be included?
Lunula
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Ovary
Pain

49. Transverse/Cross Sectional
Before - in front of
Bursting forth blood
Horizontal plane dividing the upper and lower parts of the body.
Stone

50. What are synovial joints?
Major skin pigment
Four
Free moving joints that are surrounded by joint capsules.
Upper roof of the mouth