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Medical Coding Basics

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. salping/
Fallopian tubes
4. (ex 311.0)
Structural protein found in skin and connective tissue.
Death of tissue due to loss of blood supply

2. What is the Appendicular Skeleton comprised of?
Lower Jawbone
Shoulder - collar - pelvic - arms and legs.
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
Moving backward

3. What is a Complicated Fracture?
Cancer that has spread to a secondary site.
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
The bone is broken and pierces an organ.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

4. arth/
5. (ex 311.56)
Blood Condition
Upper Back
Cartilage

5. What is the name of the claim form that is standard for submitting claims?
Far from the point of attachment of the trunk.
CMS-1500
Gall bladder
Forms the sides of the cranium

6. How are bones categorized?
Through
The Axial Skeleton and the Appendicular Skeleton
Cancer that has spread to a secondary site.
Turning the palm or foot upward

7. enter/
Gall bladder
Within
Horizontal plane dividing the upper and lower parts of the body.
Intestine

8. How many digits does an ICD-9 Subcategory code have?
Vertical plane dividing the body to the left and the right sides.
Before
Above
4. (ex 311.0)

9. Short Bones
Small with irregular shapes (ie wrist and ankle)
Hematopoietic tissue
Nose
CMS

10. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Forms the roof of the nasal cavity
Smaller - lateral leg bone
Intestine

11. pneum/
Lung
Major skin pigment
MM/DD/YY
Interior of the nose

12. How many bones are in the spine?
Enlargement
All
Upper roof of the mouth
26

13. What are the two types of edits that the NCCI implements?
Measure
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.
Bone that forms the wall between the nostrils
Turning the palm or foot upward

14. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
Before - in front of
5
Horizontal plane dividing the upper and lower parts of the body.

15. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Moving backward
Side
Discharge - Flow

16. When are E codes used?
Birth
In the cause of injury - poisoning - accidents or other adverse effects.
Turning the palm or foot upward
Slow

17. What is Benign?
Hematopoietic tissue
Noninvasive - non-spreading - nonmalignant.
Hematopoietic tissue
1. Insurance Reform 2. Administrative Simplification

18. Who developed HCPCs codes?
CMS
Stone
All
Hematopoietic tissue

19. What is the National Correct Coding Initiative (NCCI)?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
5
Disease Condition
Abnormal condition

20. How many digits does an ICD-9 Subclassification code have?
Half
Standards of conduct based on moral principals.
5. (ex 311.56)
CMS-1500

21. -osis
Discolored - flat lesion
Shoulder - collar - pelvic - arms and legs.
Beside
Abnormal condition

22. Distal
Surgical Fixation
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Far from the point of attachment of the trunk.
Gall bladder

23. -oma
Below
Mass
Many
Fibrous bands of ligaments

24. cardi/
Mouth
Heart
Horizontal plane dividing the upper and lower parts of the body.
Smaller - lateral leg bone

25. Sagittal
Vertical plane dividing the body to the left and the right sides.
Cancer that has localized and not spread at all.
All
Above

26. hyster/
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Without
Uteris
Birth

27. chondro/
Surgical Repair
Milk
Bones the palm of the hand
Cartilage

28. episi/
Beside
Vulva
Turning Outward
Moving backward

29. -sclerosis
Near the point of attachment to the trunk.
Surgical Fixation
Side
Hardening

30. Protraction
Moving forward
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Lower Jawbone
Many

31. -rrhaphy
Mass
Suture
Cancer that has localized and not spread at all.
Standards of conduct based on moral principals.

32. tetra
Four
Horizontal plane dividing the upper and lower parts of the body.
Lower medial arm bone
Removal - Excision - Resection

33. Hypo
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.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Small collection of clear fluid; blister
Below - deficient

34. -megaly
Noninvasive - non-spreading - nonmalignant.
Structural protein found in skin and connective tissue.
Neck Bones
Enlargement

35. Transverse/Cross Sectional
All
Stomach
Four
Horizontal plane dividing the upper and lower parts of the body.

36. What hormones do the adrenal glands secrete?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
All
Epinephrine and Steriods
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

37. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
A pregnant woman who has had at least one pregnancy.
Birth
A new procedure or service since the previous edition.

38. Short Bones
Fat cell
Small with irregular shapes (ie wrist and ankle)
Enlargement
Within

39. Inferior nasal conchae
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.
Front part of the body.
Interior of the nose
1. Insurance Reform 2. Administrative Simplification

40. -plasty
Pain
In the cause of injury - poisoning - accidents or other adverse effects.
Surgical Repair
Opening

41. Parietal Bones
Shoulder - collar - pelvic - arms and legs.
Stomach
Forms the sides of the cranium
Visual Examination

42. How many volumes is the ICD-9 manual divided into?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Fat cell
Lung

43. Palatine Bones
Vertical plane dividing the body into Anterior and Posterior sections.
Active - retired - survivors and their families of the Armed Forces.
Upper roof of the mouth
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

44. -scopy
Discharge - Flow
Wrist bones
Tongue
Visual Examination

45. Can you have TRICARE and CHAMPVA at the same time?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
No.
Discolored - flat lesion
Through

46. Lacrimal Bones
Lower arm bone in line with the thumb
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Bones at the corner of each eye that cradle the tearducts
Heart

47. supra
Above
Fibrous bands of ligaments
Out - out of
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

48. -ectomy
Vertical plane dividing the body into Anterior and Posterior sections.
5. (ex 311.56)
Removal - Excision - Resection
Little - scanty

49. gastro/
Stomach
Vertical plane dividing the body to the left and the right sides.
Fallopian tubes
Abnormal condition

50. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Mass
Through
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.

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Test your basic knowledge |

Medical Coding Basics

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After Effects Keyboard Shortcuts

Agile Development

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