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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. -scopy
Moving forward
A new procedure or service since the previous edition.
Little - scanty
To view

2. What are synovial joints?
Forms the two lower sides of the cranium
Muscle
Free moving joints that are surrounded by joint capsules.
Lower Jawbone

3. What are the insides of bones comprised of?
1. Insurance Reform 2. Administrative Simplification
To view
Hematopoietic tissue
Hind foot bone

4. What is CHAMPVA
A change in the code description since the last edition.
Within
Before - in front of
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

5. Fibula
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.
Smaller - lateral leg bone
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

6. What are the 3 classifications of Hypertension?
Cheek Bone
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Vagina

7. arth/
Vertical plane dividing the body into Anterior and Posterior sections.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Cartilage
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.

8. Supination
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 Repair
Bone
Turning the palm or foot upward

9. What are the two provisions of HIPPA?
Toe Bones
Wrist bones
1. Insurance Reform 2. Administrative Simplification
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

10. Lipocyte
Within
Fat cell
Bursting forth blood
No.

11. oglio
Little - scanty
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Stone
CMS-1500

12. ex
Uteris
Out - out of
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)

13. -pexy
Enlargement
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Surgical Fixation
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

14. per
Through
Cancer that has localized and not spread at all.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Visual Examination

15. oglio
Wrist bones
Karatin
Little - scanty
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

16. -tomy
To cut into
Heart
Lung
Back part of the body.

17. derm/
Bone that forms the wall between the nostrils
Lung
Skin
Bones the palm of the hand

18. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Ankle
New
Shin

19. Abduction
Movement away from the midline
Lunula
A pregnant woman who has had at least one pregnancy.
Forms the sides of the cranium

20. What are bones connected together with?
Before - in front of
Fibrous bands of ligaments
Upper Jawbone
Small collection of clear fluid; blister

21. What is Employee Liability Insurance?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Cartilage
Opening
Movement away from the midline

22. Can you have TRICARE and CHAMPVA at the same time?
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
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
No.
Middle of the body.

23. tetra
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Before
Four
Coccyx (Tailbone)

24. lapar/
Abdomen
Pain
No.
Upper roof of the mouth

25. What are Medical Ethics?
Uteris
Standards of conduct based on moral principals.
Stone
Lower arm bone in line with the thumb

26. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Separation - Breakdown
26
Blood Condition

27. colp/
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Vagina
A change in the code description since the last edition.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

28. lith/
Absence of hair
A pregnant woman who has had at least one pregnancy.
Stone
Forms the two lower sides of the cranium

29. episi/
Fat cell
Out - out of
Lower Back
Vulva

30. What is the name of the claim form that is standard for submitting claims?
A new procedure or service since the previous edition.
Painful - difficult
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
CMS-1500

31. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Moving forward
A pregnant woman who has had at least one pregnancy.

32. -centisis
Upper Back
Surgical Puncture
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
All

33. -centisis
Forms the roof of the nasal cavity
Abnormal condition
Surgical Puncture
Front part of the body.

34. Macule
Discolored - flat lesion
Bones the palm of the hand
Surgical Puncture
In front of the temporal bones

35. -lysis
Cancer that has localized and not spread at all.
Forms the sides of the cranium
Separation - Breakdown
Horizontal plane dividing the upper and lower parts of the body.

36. Fibula
Lower Jawbone
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.
Smaller - lateral leg bone
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.

37. -plasty
Milk
Surgical Repair
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Mass

38. Flat Bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Coccyx (Tailbone)
Movement toward the midline

39. brady
Upper roof of the mouth
Slow
Milk
Absence of hair

40. Malleolus
Lower arm bone in line with the thumb
Ankle
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Milk

41. What hormones do the adrenal glands secrete?
Ovary
Epinephrine and Steriods
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Horizontal plane dividing the upper and lower parts of the body.

42. Malleolus
Major skin pigment
Forms the roof of the nasal cavity
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Ankle

43. derm/
Hardening
Turning Outward
Skin
Movement away from the midline

44. How are bones categorized?
Discolored - flat lesion
Fat cell
The Axial Skeleton and the Appendicular Skeleton
Standards of conduct based on moral principals.

45. cephal/
In the cause of injury - poisoning - accidents or other adverse effects.
Coccyx (Tailbone)
Head
Milk

46. Short Bones
Many
Small with irregular shapes (ie wrist and ankle)
Small collection of clear fluid; blister
Upper Arm bone

47. Carpals
Tongue
Cancer that has spread to a secondary site.
Wrist bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

48. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
Muscle
Upper Jawbone
Lung

49. Frontal Bone
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Forms the front part of the skull and the forehead.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
5

50. Eversion
Turning Outward
Inflammation
Cheek Bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.