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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. sub
Surgical Puncture
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Under
Abdomen

2. What are the 3 classifications of Hypertension?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
5. (ex 311.56)
Near the point of attachment to the trunk.
Strong - broad and have large surfaces for muscles to attach to.

3. pseudo
Bone that forms the wall between the nostrils
Office of Inspector General (OIG)
False
Fibrous bands of ligaments

4. Distal
Many
Far from the point of attachment of the trunk.
Stone
Ovary

5. anti
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Gall bladder
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.
Against

6. pan
All
The fractured area of the bone collapses on itself.
Mouth
Sacrum

7. poly
Many
Suture
Above
Heart

8. Zygoma
Cheek Bone
Shin
Epinephrine and Steriods
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

9. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Fibrous bands of ligaments
Below - deficient
26

10. -centisis
26
Surgical Puncture
Liver
Surgical Repair

11. What does a Surgical Package (aka Global Surgery) include?
Forms the front part of the skull and the forehead.
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
Cartilage
Turning Inward

12. Short Bones
Horizontal plane dividing the upper and lower parts of the body.
Disease Condition
Small with irregular shapes (ie wrist and ankle)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

13. brady
Osseous
Discharge - Flow
Slow
Nose

14. What is the Axial Skeleton comprised of?
Skin
Turning Outward
Skull - Ribcage and Spine.
Nose

15. Zygoma
Nose
Cheek Bone
Stomach
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

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

17. Maxilla
Upper Jawbone
Cartilage
Front part of the body.
Surgical Puncture

18. What is Assignment of Benefits?
Half
Head
Reimbursement is sent directly from payer to the provider.
Forms the front part of the skull and the forehead.

19. -centisis
Middle of the body.
Blood Condition
Gall bladder
Surgical Puncture

20. Melanin
Lower Back
Through
Major skin pigment
Shin

21. para
Shoulder - collar - pelvic - arms and legs.
Surgical Repair
Beside
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

22. Who developed HCPCs codes?
CMS
Middle of the body.
Fallopian tubes
Lower medial arm bone

23. Long Bones
Opening
Strong - broad and have large surfaces for muscles to attach to.
New
Bursting forth blood

24. Coccygeal
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Tongue
Coccyx (Tailbone)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

25. What is the moon like white area at the base of the nail called?
Lunula
Below - deficient
Middle of the body.
Smaller - lateral leg bone

26. What are the insides of bones comprised of?
Liver
Beside
Skull - Ribcage and Spine.
Hematopoietic tissue

27. -rrhagia
Mouth
To cut into
Bursting forth blood
Below - deficient

28. brady
Forms the back of the skull
Epinephrine and Steriods
Slow
Far from the point of attachment of the trunk.

29. What is CHAMPVA
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.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Abdomen

30. What is the False Claims Act (FCA)
Middle of the body.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Forms the front part of the skull and the forehead.
The bone is broken and pierces an organ.

31. Proximal
Noninvasive - non-spreading - nonmalignant.
Many
Near the point of attachment to the trunk.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

32. -rrhagia
Ovary
Office of Inspector General (OIG)
Bursting forth blood
Upper Jawbone

33. myo/
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Suture
New
Muscle

34. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
Noninvasive - non-spreading - nonmalignant.
Vertical plane dividing the body into Anterior and Posterior sections.
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

35. What are the 2 types of sweat glands?
Little - scanty
Absence of hair
Pain
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

36. Frontal Bone
Forms the front part of the skull and the forehead.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Death of tissue due to loss of blood supply
4. (ex 311.0)

37. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
Stone
Cancer that has spread to a secondary site.
Bones at the corner of each eye that cradle the tearducts

38. gloss/
Free moving joints that are surrounded by joint capsules.
Cartilage
Upper roof of the mouth
Tongue

39. Protraction
Milk
Discharge - Flow
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Moving forward

40. What is Fiscal Intermediary?
Removal - Excision - Resection
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Above
Small with irregular shapes (ie wrist and ankle)

41. inter
Karatin
1996
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Between

42. How is Medicare's RBRVS calculated?
Absence of hair
Near the point of attachment to the trunk.
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
Hind foot bone

43. What is Employee Liability Insurance?
Stomach
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Abnormal condition
Surgical Repair

44. Wheal
Vagina
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Hardening
Cartilage

45. -rrhea
Stomach
Middle of the foot bone
Discharge - Flow
Enlargement

46. cardi/
Intestine
Horizontal plane dividing the upper and lower parts of the body.
Forms the back of the skull
Heart

47. Ethmoid Bone
All
Forms the roof of the nasal cavity
Disease Condition
Cartilage

48. Phalanx
Toe Bones
Discolored - flat lesion
Vertical plane dividing the body to the left and the right sides.
New

49. -lysis
Vagina
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Without
Separation - Breakdown

50. Vesicle
Tongue
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Small collection of clear fluid; blister
5. (ex 311.56)