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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. Medial
Record
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Inflammation
Middle of the body.

2. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Cancer that has localized and not spread at all.
Discharge - Flow
In the cause of injury - poisoning - accidents or other adverse effects.

3. What are the two provisions of HIPPA?
Epinephrine and Steriods
1. Insurance Reform 2. Administrative Simplification
Above
Suture

4. nat/
Opening
Finger Bones
Far from the point of attachment of the trunk.
Birth

5. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Suture
Cancer that has spread to a secondary site.
Pain

6. Posterior/Dorsal
Back part of the body.
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.
Near the point of attachment to the trunk.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

7. chondro/
CMS
In front of the temporal bones
Out - out of
Cartilage

8. Radius
Lower arm bone in line with the thumb
5. (ex 311.56)
Interior of the nose
A break at the distal end of the bone - usually when someone tries to break their fall.

9. cholecyst/
Painful - difficult
Gall bladder
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Absence of hair

10. nat/
Birth
A working diagnosis that has not yet been established.
Sacrum
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

11. When are E codes used?
Under
Discolored - flat lesion
Fat cell
In the cause of injury - poisoning - accidents or other adverse effects.

12. Posterior/Dorsal
Heart
Back part of the body.
Turning Inward
Liver

13. -emia
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Intestine
Blood Condition
Slow

14. Melanin
Major skin pigment
New
Separation - Breakdown
The fractured area of the bone collapses on itself.

15. -itis
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Skull - Ribcage and Spine.
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.
Inflammation

16. -lysis
Through
Skull - Ribcage and Spine.
Separation - Breakdown
Without

17. lith/
No.
Strong - broad and have large surfaces for muscles to attach to.
Four
Stone

18. What hormones do the adrenal glands secrete?
26
Epinephrine and Steriods
Uteris
Strong - broad and have large surfaces for muscles to attach to.

19. Ethmoid Bone
Forms the roof of the nasal cavity
Ovary
Vagina
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

20. Protraction
Half
Forms the back of the skull
Moving forward
Within

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

22. gloss/
Bones at the corner of each eye that cradle the tearducts
Tongue
A pregnant woman who has had at least one pregnancy.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

23. What is the Appendicular Skeleton comprised of?
The bone is broken and pierces an organ.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Shoulder - collar - pelvic - arms and legs.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

24. When are V codes used?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Vagina
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

25. tetra
Surgical Puncture
Vagina
Four
Sacrum

26. oglio
Little - scanty
Record
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Horizontal plane dividing the upper and lower parts of the body.

27. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Finger Bones
Before - in front of
Lower Jawbone

28. Sphenoid Bones
Stone
In front of the temporal bones
Stomach
Muscle

29. What is Employee Liability Insurance?
Vulva
Movement away from the midline
Stone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

30. Humerus
Upper Back
Upper Arm bone
Major skin pigment
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

31. Thoracic
Upper Back
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.
Karatin
Toe Bones

32. What is the Axial Skeleton comprised of?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Blood Condition
Skull - Ribcage and Spine.
Suture

33. -megaly
Enlargement
Forms the sides of the cranium
Nose
Before - in front of

34. Lateral
Side
Between
In front of the temporal bones
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

35. What is a Qualified Diagnosis
Separation - Breakdown
Office of Inspector General (OIG)
A working diagnosis that has not yet been established.
Small collection of clear fluid; blister

36. Tibia
A pregnant woman who has had at least one pregnancy.
Forms the front part of the skull and the forehead.
Shin
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

37. hemi
Visual Examination
Cheek Bone
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.
Half

38. -plasty
Out - out of
Surgical Repair
Shin
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

39. lith/
26
Ankle
Standards of conduct based on moral principals.
Stone

40. What is Employee Liability Insurance?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Before - in front of
Suture
Moving backward

41. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
Office of Inspector General (OIG)
Strong - broad and have large surfaces for muscles to attach to.
The fractured area of the bone collapses on itself.

42. What are the two types of edits that the NCCI implements?
Removal - Excision - Resection
Surgical Puncture
A break at the distal end of the bone - usually when someone tries to break their fall.
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.

43. Maxilla
Turning the palm or foot upward
Upper Jawbone
The Axial Skeleton and the Appendicular Skeleton
False

44. Who developed HCPCs codes?
CMS
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
Discolored - flat lesion

45. Carpals
Wrist bones
Separation - Breakdown
Hind foot bone
Structural protein found in skin and connective tissue.

46. What is a Complicated Fracture?
Milk
Epinephrine and Steriods
The bone is broken and pierces an organ.
Skin

47. 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)
Birth
Forms the roof of the nasal cavity
Small with irregular shapes (ie wrist and ankle)

48. Zygoma
Without
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.
Cheek Bone
Standards of conduct based on moral principals.

49. myo/
Upper roof of the mouth
Muscle
Fat cell
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

50. -rrhagia
Hardening
Bursting forth blood
The bone is crushed or shattered.
Ovary