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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. Abduction
Standards of conduct based on moral principals.
Through
Movement away from the midline
Hematopoietic tissue

2. What does a Surgical Package (aka Global Surgery) include?
Suture
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
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
Stomach

3. brady
Turning the palm or foot upward
Slow
Cheek Bone
Side

4. How is the Patients DOB entered on the claim form?
MM/DD/YY
Fibrous bands of ligaments
Lower Jawbone
Visual Examination

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

6. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Shoulder - collar - pelvic - arms and legs.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Forms the front part of the skull and the forehead.

7. -algia
Pain
Bursting forth blood
Beside
Nose

8. lith/
Stone
Heart
To view
Reimbursement is sent directly from payer to the provider.

9. pan
5
All
Under
Through

10. What are the 3 layers of skin?
CMS-1500
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Movement toward the midline

11. colp/
Head
Upper Jawbone
In front of the temporal bones
Vagina

12. Occipital Bone
Bones at the corner of each eye that cradle the tearducts
Upper roof of the mouth
Before
Forms the back of the skull

13. What is hair made of?
Karatin
Noninvasive - non-spreading - nonmalignant.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Opening

14. When are V codes used?
Opening
Noninvasive - non-spreading - nonmalignant.
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
False

15. -emia
Blood Condition
Vagina
Cheek Bone
Forms the front part of the skull and the forehead.

16. anti
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Against
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

17. Short Bones
Cancer that has spread to a secondary site.
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.
The fractured area of the bone collapses on itself.
Small with irregular shapes (ie wrist and ankle)

18. How many volumes is the ICD-9 manual divided into?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
1996
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
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

19. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
Before
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Forms the roof of the nasal cavity

20. Melanin
Bones the palm of the hand
Upper Arm bone
Major skin pigment
Uteris

21. What is CHAMPVA
Shin
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Abdomen
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

22. arth/
Suture
Cartilage
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Vertical plane dividing the body into Anterior and Posterior sections.

23. What is a Complicated Fracture?
Turning Outward
In front of the temporal bones
The bone is broken and pierces an organ.
Turning the palm or foot upward

24. -therapy
A change in the code description since the last edition.
Treatment
26
Pain

25. How is the Patients DOB entered on the claim form?
MM/DD/YY
Far from the point of attachment of the trunk.
Skin
Active - retired - survivors and their families of the Armed Forces.

26. -oma
Mass
Upper Jawbone
Removal - Excision - Resection
Before - in front of

27. Wheal
Major skin pigment
Bursting forth blood
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
To view

28. What is hair made of?
Karatin
Removal - Excision - Resection
Hematopoietic tissue
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

29. How is Medicare's RBRVS calculated?
Shoulder - collar - pelvic - arms and legs.
4. (ex 311.0)
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
Upper Arm bone

30. What is a Colles Fracture?
Many
Fallopian tubes
A break at the distal end of the bone - usually when someone tries to break their fall.
Death of tissue due to loss of blood supply

31. Lateral
Head
Strong - broad and have large surfaces for muscles to attach to.
Finger Bones
Side

32. Phalanges
Far from the point of attachment of the trunk.
Finger Bones
Turning Inward
No.

33. hepato/
Turning the palm or foot upward
Liver
Upper Back
Upper Jawbone

34. poly
Strong - broad and have large surfaces for muscles to attach to.
Turning the palm or foot upward
Many
MM/DD/YY

35. Lipocyte
All
Little - scanty
Half
Fat cell

36. What is primary malignancy?
Stomach
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

37. How many regions is the spinal/vertebral column divided into?
Breast
Disease Condition
Turning Outward
5

38. What is Assignment of Benefits?
Hind foot bone
Reimbursement is sent directly from payer to the provider.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Below - deficient

39. What are the insides of bones comprised of?
Gall bladder
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
Abnormal condition
Hematopoietic tissue

40. pre
Between
Before - in front of
Blood Condition
Sacrum

41. chondro/
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Far from the point of attachment of the trunk.
Structural protein found in skin and connective tissue.
Cartilage

42. Metatarsal
Free moving joints that are surrounded by joint capsules.
Lunula
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Middle of the foot bone

43. Inferior nasal conchae
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Bones the palm of the hand
Interior of the nose
A break at the distal end of the bone - usually when someone tries to break their fall.

44. -itis
Abdomen
Ankle
Inflammation
Lower Back

45. What is a compression fracture?
The fractured area of the bone collapses on itself.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Mass
Turning the palm or foot upward

46. When billing an insurance company - what information must be included?
Near the point of attachment to the trunk.
Discharge - Flow
Discharge - Flow
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

47. How many digits does an ICD-9 Subcategory code have?
Turning the palm or foot upward
4. (ex 311.0)
Surgical Repair
Heart

48. How long should Medical Records be retained?
Hind foot bone
Below - deficient
Hardening
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

49. Phalanx
Horizontal plane dividing the upper and lower parts of the body.
Toe Bones
Forms the front part of the skull and the forehead.
1996

50. -emia
5
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.
Blood Condition
Ankle