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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
Through
Bursting forth blood
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
Moving forward

2. cholecyst/
Gall bladder
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.
Middle of the body.
Fibrous bands of ligaments

3. Sphenoid Bones
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
In front of the temporal bones
Structural protein found in skin and connective tissue.
Intestine

4. nat/
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Lower medial arm bone
Four
Birth

5. Infra
Movement away from the midline
Below
Stone
Half

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

7. What is a Complicated Fracture?
Cartilage
The bone is broken and pierces an organ.
Before
Below

8. Macule
Discolored - flat lesion
Interior of the nose
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.
Turning the palm or foot upward

9. How many digits does an ICD-9 Category code have?
To cut into
Neck Bones
3 (ex 311)
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

10. What is the Civil Monetary Penalties Law (CMPL)?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Epinephrine and Steriods
The fractured area of the bone collapses on itself.

11. -lysis
Separation - Breakdown
Hematopoietic tissue
Muscle
Absence of hair

12. hyster/
Tongue
Nose
Major skin pigment
Uteris

13. -stomy
Forms the sides of the cranium
Slow
Opening
Hind foot bone

14. -lysis
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Blood Condition
Separation - Breakdown
Under

15. pseudo
Turning Inward
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.
False
Against

16. -therapy
Upper Jawbone
Treatment
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
In the cause of injury - poisoning - accidents or other adverse effects.

17. Tibia
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Shin
Lung
Vertical plane dividing the body to the left and the right sides.

18. poly
Upper Back
Coccyx (Tailbone)
Many
Cartilage

19. -algia
Heart
Discolored - flat lesion
Pain
Uteris

20. Retraction
Horizontal plane dividing the upper and lower parts of the body.
Moving backward
Front part of the body.
Cancer that has localized and not spread at all.

21. oophor
Without
Back part of the body.
Surgical Repair
Ovary

22. Vesicle
No.
Small collection of clear fluid; blister
A change in the code description since the last edition.
Enlargement

23. Lacrimal Bones
3 (ex 311)
Bones at the corner of each eye that cradle the tearducts
Lower Jawbone
Separation - Breakdown

24. 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)
Middle of the foot bone
Slow
Nose

25. Tibia
Shin
Opening
Forms the front part of the skull and the forehead.
Office of Inspector General (OIG)

26. What are the 2 types of glands on the skin?
Four
Birth
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Structural protein found in skin and connective tissue.

27. supra
Bones the palm of the hand
Above
Painful - difficult
Bursting forth blood

28. Humerus
Upper Arm bone
Measure
Beside
Beside

29. What is Employee Liability Insurance?
5. (ex 311.56)
Within
Office of Inspector General (OIG)
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

30. Occipital Bone
Liver
The bone is crushed or shattered.
Forms the back of the skull
Uteris

31. What are the 3 classifications of Hypertension?
Office of Inspector General (OIG)
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Forms the roof of the nasal cavity

32. What is Assignment of Benefits?
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.
Smaller - lateral leg bone
In front of the temporal bones

33. pneum/
Many
Suture
Lung
Forms the roof of the nasal cavity

34. salping/
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
Against
Turning Outward
Fallopian tubes

35. What is the moon like white area at the base of the nail called?
Upper roof of the mouth
Lunula
Birth
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

36. 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)
False
A change in the code description since the last edition.
Out - out of

37. How many volumes is the ICD-9 manual divided into?
Lower Back
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Stomach

38. What is Fiscal Intermediary?
Surgical Repair
Free moving joints that are surrounded by joint capsules.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Slow

39. -oma
Mass
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Lung
Small with irregular shapes (ie wrist and ankle)

40. What is the Appendicular Skeleton comprised of?
Vagina
Shoulder - collar - pelvic - arms and legs.
Discolored - flat lesion
Shin

41. Thoracic
Upper Back
Out - out of
Beside
Enlargement

42. What are bones made of?
Far from the point of attachment of the trunk.
A new procedure or service since the previous edition.
Tongue
Osseous

43. Hypo
Gall bladder
Below - deficient
Surgical Fixation
Middle of the body.

44. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
Fibrous bands of ligaments
Moving backward
A pregnant woman who has had at least one pregnancy.

45. -stomy
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
Cartilage
Opening
Back part of the body.

46. When was the Health Information and Accountability Act (HIPAA) created?
The Axial Skeleton and the Appendicular Skeleton
Bones at the corner of each eye that cradle the tearducts
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
1996

47. Collagen
Many
Record
Through
Structural protein found in skin and connective tissue.

48. How is Usual - Customary and Reasonable pricing calculated?

49. -tomy
Lower arm bone in line with the thumb
To cut into
Below
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

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