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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. Protraction
Moving backward
Death of tissue due to loss of blood supply
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Moving forward

2. What are the 3 layers of skin?
Far from the point of attachment of the trunk.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

3. chondro/
Death of tissue due to loss of blood supply
Cartilage
4. (ex 311.0)
Breast

4. per
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Cancer that has spread to a secondary site.
Through
Vagina

5. sub
Cheek Bone
Above
Under
Lung

6. oglio
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.
Structural protein found in skin and connective tissue.
To view
Little - scanty

7. para
The bone is broken and pierces an organ.
Enlargement
Beside
Stone

8. -meter
CMS-1500
Hematopoietic tissue
Measure
Pain

9. inter
Birth
Discolored - flat lesion
Blood Condition
Between

10. Tarsal
Movement away from the midline
Lower medial arm bone
Hind foot bone
In the cause of injury - poisoning - accidents or other adverse effects.

11. What are the two types of edits that the NCCI implements?
Lower Jawbone
Blood Condition
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.
Mouth

12. Ethmoid Bone
Discolored - flat lesion
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Forms the roof of the nasal cavity

13. Sphenoid Bones
In front of the temporal bones
Against
Against
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

14. How many digits does an ICD-9 Subclassification code have?
Surgical Puncture
5. (ex 311.56)
Hind foot bone
Karatin

15. Temporal Bones
Within
Inflammation
All
Forms the two lower sides of the cranium

16. cephal/
Head
Upper Back
Back part of the body.
CMS-1500

17. Adduction
Movement toward the midline
Discharge - Flow
Gall bladder
Shoulder - collar - pelvic - arms and legs.

18. Tibia
Shin
Reimbursement is sent directly from payer to the provider.
Half
Osseous

19. stomat/
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Mouth
26

20. Macule
MM/DD/YY
Discolored - flat lesion
Office of Inspector General (OIG)
Middle of the foot bone

21. How many digits does an ICD-9 Category code have?
Forms the two lower sides of the cranium
Discolored - flat lesion
Bones at the corner of each eye that cradle the tearducts
3 (ex 311)

22. Phalanges
The bone is broken and pierces an organ.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Reimbursement is sent directly from payer to the provider.
Finger Bones

23. -therapy
Before
Cartilage
Treatment
The bone is broken and pierces an organ.

24. What does a bullet in the CPT code book next to a code mean?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Enlargement
Treatment
A new procedure or service since the previous edition.

25. sub
Hematopoietic tissue
Under
26
Liver

26. What are the two types of edits that the NCCI implements?
Discharge - Flow
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.
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.
Ankle

27. Infra
Below
Gall bladder
Disease Condition
Side

28. What is secondary malignancy?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Stomach
Hardening
Cancer that has spread to a secondary site.

29. Sacral
Sacrum
5
Above
Abdomen

30. Fibula
Below - deficient
Movement toward the midline
Smaller - lateral leg bone
Moving forward

31. -gram
Record
Tongue
Middle of the body.
Hardening

32. -plasty
Surgical Repair
Beside
Above
Lunula

33. Fibula
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Forms the sides of the cranium
Smaller - lateral leg bone
Skull - Ribcage and Spine.

34. anti
Skull - Ribcage and Spine.
To view
Against
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

35. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Head
Bursting forth blood
Bones at the corner of each eye that cradle the tearducts

36. Metacarpals
To view
Structural protein found in skin and connective tissue.
Bones the palm of the hand
Smaller - lateral leg bone

37. Metacarpals
Many
Slow
Bones the palm of the hand
Small collection of clear fluid; blister

38. -pexy
Cancer that has spread to a secondary site.
Surgical Fixation
A new procedure or service since the previous edition.
Interior of the nose

39. Lacrimal Bones
Cheek Bone
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Bones at the corner of each eye that cradle the tearducts
Fallopian tubes

40. Frontal - Coronal
The fractured area of the bone collapses on itself.
Vertical plane dividing the body into Anterior and Posterior sections.
Ankle
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

41. pseudo
False
Breast
Muscle
Forms the two lower sides of the cranium

42. -megaly
Enlargement
26
Bacterial inflammatory skin disease with lesions - pustules and vesicles
The bone is crushed or shattered.

43. Zygoma
Bone that forms the wall between the nostrils
Slow
Front part of the body.
Cheek Bone

44. What are bones connected together with?
Upper Jawbone
Fibrous bands of ligaments
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Cancer that has spread to a secondary site.

45. gloss/
Fat cell
Tongue
Fibrous bands of ligaments
Interior of the nose

46. nat/
Surgical Repair
Birth
Before
Ovary

47. -centisis
4. (ex 311.0)
Discharge - Flow
Suture
Surgical Puncture

48. Anterior/Ventral
Upper Arm bone
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Front part of the body.
Beside

49. hemi
Half
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Muscle
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

50. Humerus
Discharge - Flow
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Upper Arm bone