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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. What is Fiscal Intermediary?
Stone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Bursting forth blood
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

2. What is secondary malignancy?
Strong - broad and have large surfaces for muscles to attach to.
Discolored - flat lesion
Cancer that has spread to a secondary site.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

3. Frontal - Coronal
Hind foot bone
3 (ex 311)
Head
Vertical plane dividing the body into Anterior and Posterior sections.

4. -pathy
Back part of the body.
The bone is broken and pierces an organ.
Ovary
Disease Condition

5. Malleolus
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Vertical plane dividing the body to the left and the right sides.
Epinephrine and Steriods
Ankle

6. How many bones are in the spine?
Painful - difficult
To view
26
Below - deficient

7. How many regions is the spinal/vertebral column divided into?
Stone
Discolored - flat lesion
5
Little - scanty

8. Who developed HCPCs codes?
Little - scanty
Surgical Puncture
Horizontal plane dividing the upper and lower parts of the body.
CMS

9. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
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
Lunula
Structural protein found in skin and connective tissue.

10. poly
A change in the code description since the last edition.
Many
Inflammation
Beside

11. -emia
Osseous
Blood Condition
Slow
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

12. What does a Surgical Package (aka Global Surgery) include?
Tongue
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
Surgical Fixation
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

13. epi
Slow
Upper Back
Beside
Above

14. Occipital Bone
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Forms the back of the skull
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Four

15. What are the 5 regions of the spine?
Liver
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Under
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

16. mast/
Before - in front of
Under
Near the point of attachment to the trunk.
Breast

17. -gram
Record
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

18. endo
4. (ex 311.0)
Within
Before - in front of
Muscle

19. -scopy
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
Gall bladder
Fallopian tubes
To view

20. Temporal Bones
Forms the two lower sides of the cranium
Cancer that has spread to a secondary site.
Separation - Breakdown
Ovary

21. cholecyst/
Discolored - flat lesion
The bone is crushed or shattered.
Before
Gall bladder

22. How many volumes is the ICD-9 manual divided into?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Coccyx (Tailbone)
Removal - Excision - Resection
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.

23. myo/
Muscle
Interior of the nose
Painful - difficult
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

24. Distal
Against
Below
Milk
Far from the point of attachment of the trunk.

25. Maxilla
Shoulder - collar - pelvic - arms and legs.
Abdomen
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
Upper Jawbone

26. pan
All
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.
Tongue
Forms the two lower sides of the cranium

27. Medial
3 (ex 311)
CMS-1500
Bone that forms the wall between the nostrils
Middle of the body.

28. Alopecia
Absence of hair
Slow
Fibrous bands of ligaments
Shin

29. Proximal
Reimbursement is sent directly from payer to the provider.
Forms the roof of the nasal cavity
Abnormal condition
Near the point of attachment to the trunk.

30. gastro/
Stomach
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Slow
Back part of the body.

31. When billing an insurance company - what information must be included?
Little - scanty
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Painful - difficult
The fractured area of the bone collapses on itself.

32. Palatine Bones
Coccyx (Tailbone)
Upper roof of the mouth
The fractured area of the bone collapses on itself.
A pregnant woman who has had at least one pregnancy.

33. -tomy
Between
Milk
To cut into
Discolored - flat lesion

34. Coccygeal
Sacrum
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Coccyx (Tailbone)
Tongue

35. Lacrimal Bones
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Bones at the corner of each eye that cradle the tearducts
Ankle
Little - scanty

36. How is Usual - Customary and Reasonable pricing calculated?

37. What are the two types of edits that the NCCI implements?
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.
Death of tissue due to loss of blood supply
Sacrum
Below - deficient

38. Zygoma
Cartilage
Cheek Bone
Under
Before - in front of

39. brady
Slow
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Pain
Bones at the corner of each eye that cradle the tearducts

40. What is the Civil Monetary Penalties Law (CMPL)?
Standards of conduct based on moral principals.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Against

41. What is hair made of?
3 (ex 311)
Karatin
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Without

42. Lateral
Little - scanty
Nose
Side
Surgical Fixation

43. Occipital Bone
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
Nose
Forms the back of the skull
The bone is crushed or shattered.

44. stomat/
Suture
Mouth
MM/DD/YY
Fibrous bands of ligaments

45. per
Measure
Through
Surgical Repair
Shoulder - collar - pelvic - arms and legs.

46. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
Movement away from the midline
Many
CMS-1500

47. Who does TRICARE cover?
CMS
Coccyx (Tailbone)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Active - retired - survivors and their families of the Armed Forces.

48. How is Medicare's RBRVS calculated?
Reimbursement is sent directly from payer to the provider.
Discharge - Flow
Against
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

49. What are bones connected together with?
Cartilage
Fibrous bands of ligaments
Hardening
Hematopoietic tissue

50. Cervical
Neck 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
Opening
Below