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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. How is Medicare's RBRVS calculated?
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
Toe Bones
CMS
Structural protein found in skin and connective tissue.

2. What is hair made of?
Skull - Ribcage and Spine.
Karatin
Lower arm bone in line with the thumb
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

3. What is a Qualified Diagnosis
Before
Birth
Vulva
A working diagnosis that has not yet been established.

4. Humerus
Upper Arm bone
New
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Fat cell

5. How is Medicare's RBRVS calculated?
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
Below - deficient
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Muscle

6. What is the moon like white area at the base of the nail called?
False
Lunula
Structural protein found in skin and connective tissue.
In the cause of injury - poisoning - accidents or other adverse effects.

7. What is the False Claims Act (FCA)
Visual Examination
Within
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Uteris

8. stomat/
Removal - Excision - Resection
Mouth
Free moving joints that are surrounded by joint capsules.
Middle of the foot bone

9. -rrhaphy
Suture
Skin
Lower medial arm bone
False

10. oophor
Ovary
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Vertical plane dividing the body into Anterior and Posterior sections.
Front part of the body.

11. Alopecia
1. Insurance Reform 2. Administrative Simplification
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Separation - Breakdown
Absence of hair

12. What is secondary malignancy?
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Fallopian tubes
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Cancer that has spread to a secondary site.

13. Proximal
Half
A pregnant woman who has had at least one pregnancy.
Near the point of attachment to the trunk.
Enlargement

14. Temporal Bones
Wrist bones
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
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.
Forms the two lower sides of the cranium

15. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Lower arm bone in line with the thumb
Side

16. What is a Colles Fracture?
Cartilage
A break at the distal end of the bone - usually when someone tries to break their fall.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Turning Inward

17. What are the 2 types of sweat glands?
The bone is broken and pierces an organ.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Lunula
No.

18. Multigravida
Removal - Excision - Resection
Intestine
A pregnant woman who has had at least one pregnancy.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

19. gastro/
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.
Under
Forms the roof of the nasal cavity
Stomach

20. -centisis
Office of Inspector General (OIG)
Surgical Puncture
Toe Bones
Record

21. How many volumes is the ICD-9 manual divided into?
Uteris
Structural protein found in skin and connective tissue.
Below - deficient
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

22. Lateral
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Turning the palm or foot upward
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Side

23. Metacarpals
Gall bladder
Bones the palm of the hand
Forms the front part of the skull and the forehead.
Free moving joints that are surrounded by joint capsules.

24. Tarsal
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Ankle
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Hind foot bone

25. What is CHAMPVA
False
Abdomen
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Mass

26. hemi
Above
Slow
Moving forward
Half

27. What does a bullet in the CPT code book next to a code mean?
Bones at the corner of each eye that cradle the tearducts
False
A new procedure or service since the previous edition.
Surgical Repair

28. What is in a Medical Record?
Vertical plane dividing the body to the left and the right sides.
Below - deficient
Hind foot bone
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

29. What is Carcinoma in situ?
Small collection of clear fluid; blister
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
Skin
Cancer that has localized and not spread at all.

30. How is the Patients DOB entered on the claim form?
Horizontal plane dividing the upper and lower parts of the body.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
MM/DD/YY
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

31. How many digits does an ICD-9 Subclassification code have?
Standards of conduct based on moral principals.
CMS-1500
5. (ex 311.56)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

32. Eversion
1. Insurance Reform 2. Administrative Simplification
Turning Outward
Below
Lung

33. What is Employer Liability?

34. Can you have TRICARE and CHAMPVA at the same time?
Blood Condition
Lunula
Forms the two lower sides of the cranium
No.

35. Transverse/Cross Sectional
Finger Bones
Cartilage
In front of the temporal bones
Horizontal plane dividing the upper and lower parts of the body.

36. What is Assignment of Benefits?
Forms the roof of the nasal cavity
Forms the two lower sides of the cranium
Fallopian tubes
Reimbursement is sent directly from payer to the provider.

37. anti
Slow
Horizontal plane dividing the upper and lower parts of the body.
Against
Upper Back

38. brady
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Slow
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
To cut into

39. -algia
Pain
Nose
Ankle
Absence of hair

40. -meter
Bone
Bones the palm of the hand
MM/DD/YY
Measure

41. nat/
1. Insurance Reform 2. Administrative Simplification
Birth
Below
Suture

42. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Birth
Far from the point of attachment of the trunk.

43. What is Fiscal Intermediary?
Skull - Ribcage and Spine.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Mouth
Wrist bones

44. Maxilla
Upper Jawbone
Finger Bones
Lower medial arm bone
Bacterial inflammatory skin disease with lesions - pustules and vesicles

45. What is a Comminuted Fracture?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Fibrous bands of ligaments
The bone is crushed or shattered.
Before

46. Flat Bones
Heart
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Heart

47. Proximal
Suture
Near the point of attachment to the trunk.
Bones the palm of the hand
Fat cell

48. What does a bullet in the CPT code book next to a code mean?
Cartilage
Pain
A new procedure or service since the previous edition.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

49. How are bones categorized?
Lunula
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
The Axial Skeleton and the Appendicular Skeleton
Without

50. What are bursae?
Uteris
Forms the back of the skull
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.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.