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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. -meter
Middle of the foot bone
All
Measure
Record

2. Sesamoid Bones
Bursting forth blood
Nose
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Finger Bones

3. arth/
Cartilage
The fractured area of the bone collapses on itself.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Front part of the body.

4. What is in a Medical Record?
MM/DD/YY
Treatment
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Cartilage

5. Hypo
Below - deficient
To cut into
1. Insurance Reform 2. Administrative Simplification
Milk

6. What are the 2 types of sweat glands?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Within
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Shin

7. -rrhea
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
Discharge - Flow
Fat cell
Gall bladder

8. dys
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
5. (ex 311.56)
A new procedure or service since the previous edition.
Painful - difficult

9. Lipocyte
5. (ex 311.56)
Horizontal plane dividing the upper and lower parts of the body.
Abnormal condition
Fat cell

10. What are synovial joints?
Against
Strong - broad and have large surfaces for muscles to attach to.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Free moving joints that are surrounded by joint capsules.

11. What is a Comminuted Fracture?
Skin
The bone is crushed or shattered.
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.
Uteris

12. What is the National Correct Coding Initiative (NCCI)?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Coccyx (Tailbone)
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

13. ante
Within
Before
A new procedure or service since the previous edition.
Tongue

14. sub
Lower Jawbone
Under
Lung
Lunula

15. chondro/
Bones the palm of the hand
Vagina
Cartilage
No.

16. What are bursae?
Birth
To view
Major skin pigment
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

17. colp/
Abdomen
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Cartilage
Vagina

18. Who does TRICARE cover?
Finger Bones
Active - retired - survivors and their families of the Armed Forces.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
CMS-1500

19. Melanin
Nose
To cut into
Cancer that has spread to a secondary site.
Major skin pigment

20. per
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Slow
Through

21. Frontal Bone
A working diagnosis that has not yet been established.
Small with irregular shapes (ie wrist and ankle)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Forms the front part of the skull and the forehead.

22. What is Employee Liability Insurance?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Stomach
Out - out of

23. Occipital Bone
Forms the back of the skull
Stomach
Small with irregular shapes (ie wrist and ankle)
False

24. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
To cut into
Skin
Measure

25. -rrhagia
Bursting forth blood
Uteris
Enlargement
3 (ex 311)

26. Collagen
Structural protein found in skin and connective tissue.
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
1996
A new procedure or service since the previous edition.

27. per
Through
Gall bladder
5
Heart

28. Vomer
Horizontal plane dividing the upper and lower parts of the body.
Blood Condition
Bone that forms the wall between the nostrils
Head

29. lith/
Lung
Fibrous bands of ligaments
Upper roof of the mouth
Stone

30. Posterior/Dorsal
Toe Bones
Back part of the body.
Middle of the body.
4. (ex 311.0)

31. Eversion
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Moving backward
Half
Turning Outward

32. Humerus
Upper Jawbone
Pain
Upper Arm bone
Below - deficient

33. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
Nose
Skull - Ribcage and Spine.
Discharge - Flow

34. arth/
Separation - Breakdown
Cartilage
Uteris
Mouth

35. Sacral
Removal - Excision - Resection
Horizontal plane dividing the upper and lower parts of the body.
Free moving joints that are surrounded by joint capsules.
Sacrum

36. What are bones made of?
Forms the back of the skull
Visual Examination
Osseous
A new procedure or service since the previous edition.

37. hemi
Half
Sacrum
To view
Bone that forms the wall between the nostrils

38. pre
Before - in front of
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.
Above
New

39. What are the key components of E/M?
No.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Hematopoietic tissue
Below - deficient

40. Occipital Bone
Nose
Moving forward
Movement toward the midline
Forms the back of the skull

41. derm/
Skin
Smaller - lateral leg bone
Fallopian tubes
Hind foot bone

42. Sphenoid Bones
In front of the temporal bones
Moving forward
Little - scanty
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

43. Who does TRICARE cover?
Lower medial arm bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Active - retired - survivors and their families of the Armed Forces.
Above

44. What is a Comminuted Fracture?
The bone is crushed or shattered.
Forms the back of the skull
Surgical Fixation
The bone is broken and pierces an organ.

45. Tibia
Above
Shin
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.
False

46. What are the 2 types of glands on the skin?
Without
Four
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Bacterial inflammatory skin disease with lesions - pustules and vesicles

47. Retraction
Forms the front part of the skull and the forehead.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Moving backward
Treatment

48. Carpals
Cartilage
Vagina
Out - out of
Wrist bones

49. -ectomy
Between
Lower Back
Without
Removal - Excision - Resection

50. Ulna
Lower Jawbone
Fat cell
Lower medial arm bone
Ovary