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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. When are V codes used?
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
Birth
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Vertical plane dividing the body into Anterior and Posterior sections.

2. Inversion
Turning Inward
Forms the sides of the cranium
Vertical plane dividing the body into Anterior and Posterior sections.
5

3. myo/
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Muscle
Noninvasive - non-spreading - nonmalignant.
Above

4. What hormones do the adrenal glands secrete?
Before - in front of
Movement away from the midline
A change in the code description since the last edition.
Epinephrine and Steriods

5. chondro/
Cartilage
A change in the code description since the last edition.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

6. Can you have TRICARE and CHAMPVA at the same time?
No.
Horizontal plane dividing the upper and lower parts of the body.
Cancer that has spread to a secondary site.
Skull - Ribcage and Spine.

7. -therapy
Noninvasive - non-spreading - nonmalignant.
In the cause of injury - poisoning - accidents or other adverse effects.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Treatment

8. Zygoma
Hardening
Surgical Puncture
Middle of the foot bone
Cheek Bone

9. lapar/
Shin
In the cause of injury - poisoning - accidents or other adverse effects.
Abdomen
Hematopoietic tissue

10. Abduction
Movement away from the midline
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
A new procedure or service since the previous edition.
Many

11. per
Through
Bone that forms the wall between the nostrils
Milk
To cut into

12. epi
Bones the palm of the hand
Above
Bones the palm of the hand
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

13. Cervical
No.
Cancer that has spread to a secondary site.
Shin
Neck Bones

14. derm/
Wrist bones
Smaller - lateral leg bone
Birth
Skin

15. How many digits does an ICD-9 Subcategory code have?
Bones at the corner of each eye that cradle the tearducts
4. (ex 311.0)
Strong - broad and have large surfaces for muscles to attach to.
Bones the palm of the hand

16. -pexy
Disease Condition
To view
Surgical Puncture
Surgical Fixation

17. What is Fiscal Intermediary?
Heart
Hardening
Upper Arm bone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

18. When are V codes used?
1996
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
Inflammation
Shoulder - collar - pelvic - arms and legs.

19. What is Fiscal Intermediary?
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.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
3 (ex 311)

20. lith/
Lower Jawbone
Stone
Surgical Repair
Skull - Ribcage and Spine.

21. What are synovial joints?
A pregnant woman who has had at least one pregnancy.
Upper Jawbone
Free moving joints that are surrounded by joint capsules.
Forms the two lower sides of the cranium

22. para
Reimbursement is sent directly from payer to the provider.
Beside
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Ovary

23. cardi/
Heart
Side
Shoulder - collar - pelvic - arms and legs.
1996

24. -osis
Abnormal condition
Skin
To view
Free moving joints that are surrounded by joint capsules.

25. ante
Before
Slow
Gall bladder
Moving forward

26. sub
Cancer that has localized and not spread at all.
Under
Forms the front part of the skull and the forehead.
Bones at the corner of each eye that cradle the tearducts

27. Multigravida
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
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.
A pregnant woman who has had at least one pregnancy.
Upper Jawbone

28. arth/
Active - retired - survivors and their families of the Armed Forces.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Skin
Cartilage

29. -rrhaphy
Suture
Blood Condition
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

30. Tibia
Absence of hair
Forms the front part of the skull and the forehead.
The Axial Skeleton and the Appendicular Skeleton
Shin

31. Vesicle
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Surgical Puncture
Small collection of clear fluid; blister
Record

32. Can you have TRICARE and CHAMPVA at the same time?
Under
No.
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.
Sacrum

33. cholecyst/
Upper Jawbone
Under
Gall bladder
Bone

34. Parietal Bones
Shoulder - collar - pelvic - arms and legs.
Forms the sides of the cranium
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Head

35. Hypo
Below - deficient
Office of Inspector General (OIG)
Forms the back of the skull
Little - scanty

36. Phalanges
Ankle
Finger Bones
Beside
Forms the back of the skull

37. What is a Qualified Diagnosis
A working diagnosis that has not yet been established.
Mass
Moving forward
Fallopian tubes

38. How long should Medical Records be retained?
Skull - Ribcage and Spine.
Front part of the body.
Cheek Bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

39. -sclerosis
Major skin pigment
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
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
Hardening

40. When was the Health Information and Accountability Act (HIPAA) created?
Uteris
Between
1996
Horizontal plane dividing the upper and lower parts of the body.

41. pan
The Axial Skeleton and the Appendicular Skeleton
Inflammation
Horizontal plane dividing the upper and lower parts of the body.
All

42. What are the insides of bones comprised of?
Hematopoietic tissue
Through
Side
Beside

43. -tomy
To cut into
Moving forward
A new procedure or service since the previous edition.
Forms the front part of the skull and the forehead.

44. myo/
Discharge - Flow
Record
Muscle
Surgical Fixation

45. How is Medicare's RBRVS calculated?
Discharge - Flow
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
Shin
Upper roof of the mouth

46. Vomer
Removal - Excision - Resection
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Bone that forms the wall between the nostrils
Above

47. Metacarpals
Moving backward
Bones the palm of the hand
Near the point of attachment to the trunk.
Painful - difficult

48. dys
Mass
Four
Bones the palm of the hand
Painful - difficult

49. Tibia
Bursting forth blood
Shin
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Vertical plane dividing the body into Anterior and Posterior sections.

50. -tomy
Absence of hair
Uteris
Surgical Fixation
To cut into