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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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. pseudo
False
Before - in front of
Abdomen
Shoulder - collar - pelvic - arms and legs.

2. What is a Comminuted Fracture?
Opening
The bone is crushed or shattered.
Cartilage
Against

3. What is the moon like white area at the base of the nail called?
Lunula
Moving forward
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A change in the code description since the last edition.

4. How are bones categorized?
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
5. (ex 311.56)
Mass
The Axial Skeleton and the Appendicular Skeleton

5. How many regions is the spinal/vertebral column divided into?
Heart
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Lower Back
5

6. When are V codes used?
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
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Interior of the nose
Reimbursement is sent directly from payer to the provider.

7. Frontal Bone
Forms the front part of the skull and the forehead.
Separation - Breakdown
Cartilage
Removal - Excision - Resection

8. -ectomy
Beside
Turning the palm or foot upward
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Removal - Excision - Resection

9. Who investigates and prosecutes Health Care fraud?
CMS
5
Stone
Office of Inspector General (OIG)

10. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Intestine
Vertical plane dividing the body into Anterior and Posterior sections.
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.

11. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Vertical plane dividing the body into Anterior and Posterior sections.
Stomach
Wrist bones

12. Impetigo
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Structural protein found in skin and connective tissue.
Far from the point of attachment of the trunk.

13. What is primary malignancy?
Head
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Forms the roof of the nasal cavity
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

14. Adduction
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
A new procedure or service since the previous edition.
Movement toward the midline
Interior of the nose

15. derm/
Half
Upper Back
Above
Skin

16. What is Carcinoma in situ?
Vertical plane dividing the body into Anterior and Posterior sections.
Abnormal condition
Cancer that has localized and not spread at all.
Many

17. hyster/
Bone
1. Insurance Reform 2. Administrative Simplification
Uteris
Little - scanty

18. Collagen
Shoulder - collar - pelvic - arms and legs.
Structural protein found in skin and connective tissue.
Major skin pigment
Slow

19. Coccygeal
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Coccyx (Tailbone)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Hematopoietic tissue

20. Fibula
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.
Death of tissue due to loss of blood supply
Smaller - lateral leg bone
4. (ex 311.0)

21. cardi/
Record
Heart
Karatin
Absence of hair

22. Inferior nasal conchae
Front part of the body.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
The bone is crushed or shattered.
Interior of the nose

23. Palatine Bones
Ovary
Small with irregular shapes (ie wrist and ankle)
Moving backward
Upper roof of the mouth

24. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Vulva
Little - scanty
Noninvasive - non-spreading - nonmalignant.

25. Malleolus
Painful - difficult
Free moving joints that are surrounded by joint capsules.
Ankle
Karatin

26. 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.
Absence of hair
Fibrous bands of ligaments
Half

27. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Noninvasive - non-spreading - nonmalignant.
Vertical plane dividing the body into Anterior and Posterior sections.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

28. hin/
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Nose
Bones at the corner of each eye that cradle the tearducts
Discolored - flat lesion

29. Sacral
Hematopoietic tissue
Milk
Slow
Sacrum

30. How is Medicare's RBRVS calculated?
CMS
Bone that forms the wall between the nostrils
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
Nose

31. cephal/
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
Head
Neck Bones
Abdomen

32. Adduction
Cancer that has localized and not spread at all.
Movement toward the midline
Discolored - flat lesion
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

33. Can you have TRICARE and CHAMPVA at the same time?
No.
Pain
Lunula
Small with irregular shapes (ie wrist and ankle)

34. What are bones made of?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Surgical Repair
Lower arm bone in line with the thumb
Osseous

35. Occipital Bone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Vagina
Forms the back of the skull
4. (ex 311.0)

36. -scopy
Karatin
Visual Examination
1996
Stomach

37. Ulna
Lower medial arm bone
Vertical plane dividing the body into Anterior and Posterior sections.
Turning the palm or foot upward
Middle of the foot bone

38. What is the Civil Monetary Penalties Law (CMPL)?
Smaller - lateral leg bone
Liver
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Without

39. How many regions is the spinal/vertebral column divided into?
Sacrum
5
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Far from the point of attachment of the trunk.

40. Melanin
Opening
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Ovary
Major skin pigment

41. Transverse/Cross Sectional
To view
Horizontal plane dividing the upper and lower parts of the body.
Toe Bones
Noninvasive - non-spreading - nonmalignant.

42. -emia
Bones the palm of the hand
Treatment
Blood Condition
Coccyx (Tailbone)

43. dys
New
MM/DD/YY
Far from the point of attachment of the trunk.
Painful - difficult

44. Carpals
Moving backward
Lower arm bone in line with the thumb
Between
Wrist bones

45. cephal/
Upper Back
Head
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Smaller - lateral leg bone

46. Ethmoid Bone
Bone that forms the wall between the nostrils
Vagina
Forms the roof of the nasal cavity
Above

47. Cervical
Forms the front part of the skull and the forehead.
Neck Bones
Cheek Bone
A change in the code description since the last edition.

48. mast/
Sacrum
Breast
Little - scanty
Absence of hair

49. sub
5
Under
Ankle
Near the point of attachment to the trunk.

50. Radius
Lower arm bone in line with the thumb
Coccyx (Tailbone)
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
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.