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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. -plasty
Absence of hair
Surgical Repair
Ovary
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

2. What is the Axial Skeleton comprised of?
Mouth
Separation - Breakdown
Ankle
Skull - Ribcage and Spine.

3. Maxilla
Upper Jawbone
No.
Nose
Record

4. What is the False Claims Act (FCA)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Lower Jawbone
Bones at the corner of each eye that cradle the tearducts
Fat cell

5. Sesamoid Bones
5. (ex 311.56)
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
All
Above

6. Tarsal
Hind foot 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
Lower Back
Back part of the body.

7. What is Fiscal Intermediary?
Interior of the nose
Turning Outward
Forms the sides of the cranium
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

8. What are the 3 layers of skin?
Back part of the body.
Office of Inspector General (OIG)
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Forms the two lower sides of the cranium

9. What are the 2 types of sweat glands?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
4. (ex 311.0)
Discharge - Flow
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

10. What is the Appendicular Skeleton comprised of?
Tongue
Shoulder - collar - pelvic - arms and legs.
Birth
Many

11. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Many
Lower Jawbone
In the cause of injury - poisoning - accidents or other adverse effects.

12. per
Through
Measure
All
Horizontal plane dividing the upper and lower parts of the body.

13. Anterior/Ventral
Birth
Front part of the body.
Ankle
Vagina

14. stomat/
Slow
Mouth
Lower arm bone in line with the thumb
Vertical plane dividing the body into Anterior and Posterior sections.

15. Lateral
Osseous
Side
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.
Hematopoietic tissue

16. What are bursae?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
To cut into
Without

17. Posterior/Dorsal
Back part of the body.
Painful - difficult
A working diagnosis that has not yet been established.
Sacrum

18. oglio
Little - scanty
Nose
Bones at the corner of each eye that cradle the tearducts
Small with irregular shapes (ie wrist and ankle)

19. Ethmoid Bone
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
The bone is crushed or shattered.
Lower Back
Forms the roof of the nasal cavity

20. What are bursae?
Karatin
Death of tissue due to loss of blood supply
Suture
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

21. cholecyst/
Gall bladder
Small with irregular shapes (ie wrist and ankle)
A change in the code description since the last edition.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

22. -pexy
The bone is crushed or shattered.
Surgical Fixation
Above
Below

23. Maxilla
Upper Jawbone
Vagina
Enlargement
Office of Inspector General (OIG)

24. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Movement away from the midline
Record
Uteris

25. What is a Comminuted Fracture?
1. Insurance Reform 2. Administrative Simplification
Upper Back
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
The bone is crushed or shattered.

26. Supination
Slow
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.
Turning the palm or foot upward
5

27. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Milk
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

28. lapar/
Middle of the body.
Osseous
Abdomen
Cancer that has localized and not spread at all.

29. Lumbar
Cartilage
Lower Back
Small collection of clear fluid; blister
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

30. -sclerosis
Upper Back
Turning the palm or foot upward
Hardening
No.

31. Tibia
Lunula
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Surgical Fixation
Shin

32. Flat Bones
Enlargement
Standards of conduct based on moral principals.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

33. myo/
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Below - deficient
Muscle
Before

34. Proximal
Turning the palm or foot upward
Cartilage
Forms the two lower sides of the cranium
Near the point of attachment to the trunk.

35. Multigravida
Office of Inspector General (OIG)
A pregnant woman who has had at least one pregnancy.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

36. Tarsal
Surgical Fixation
Gall bladder
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Hind foot bone

37. Medial
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Middle of the body.
26
Stomach

38. -scopy
Vertical plane dividing the body to the left and the right sides.
Turning Outward
Small with irregular shapes (ie wrist and ankle)
To view

39. cardi/
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Heart
The bone is crushed or shattered.

40. What is hair made of?
Karatin
Muscle
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Beside

41. -gram
Tongue
5
Stone
Record

42. Abduction
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
The fractured area of the bone collapses on itself.
Head
Movement away from the midline

43. Ulna
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Through
Lower medial arm bone
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

44. sub
Major skin pigment
All
Under
Enlargement

45. Eversion
Vertical plane dividing the body into Anterior and Posterior sections.
Sacrum
Turning Outward
Horizontal plane dividing the upper and lower parts of the body.

46. What are the insides of bones comprised of?
Liver
A change in the code description since the last edition.
Gall bladder
Hematopoietic tissue

47. -itis
Inflammation
Opening
In front of the temporal bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

48. What is Benign?
Small collection of clear fluid; blister
Noninvasive - non-spreading - nonmalignant.
Tongue
Smaller - lateral leg bone

49. What is the name of the claim form that is standard for submitting claims?
4. (ex 311.0)
Turning Outward
CMS-1500
Bacterial inflammatory skin disease with lesions - pustules and vesicles

50. mast/
Out - out of
Bone that forms the wall between the nostrils
Breast
Toe Bones