Test your basic knowledge |

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. What are bones made of?
Before - in front of
Osseous
Fat cell
Reimbursement is sent directly from payer to the provider.

2. anti
Wrist bones
The bone is crushed or shattered.
Lung
Against

3. Frontal Bone
Forms the front part of the skull and the forehead.
Before
Stomach
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.

4. -oma
Mass
Moving forward
Stomach
Absence of hair

5. Adduction
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Skin
Coccyx (Tailbone)
Movement toward the midline

6. -therapy
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Little - scanty
Treatment
Upper Jawbone

7. What are the 2 types of glands on the skin?
In the cause of injury - poisoning - accidents or other adverse effects.
Vulva
Movement toward the midline
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

8. Coccygeal
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
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
Coccyx (Tailbone)
Small with irregular shapes (ie wrist and ankle)

9. pan
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Noninvasive - non-spreading - nonmalignant.
All
Opening

10. What does a triangle in the CPT book next to a code mean?
Forms the back of the skull
A change in the code description since the last edition.
Upper Back
Suture

11. Cervical
Neck Bones
Milk
Gall bladder
To view

12. What are the two provisions of HIPPA?
5
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Wrist bones
1. Insurance Reform 2. Administrative Simplification

13. What are bones made of?
Moving backward
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Gall bladder
Osseous

14. enter/
Out - out of
1996
Birth
Intestine

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

16. What are bones connected together with?
Moving backward
A new procedure or service since the previous edition.
Abdomen
Fibrous bands of ligaments

17. Ulna
Heart
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Skull - Ribcage and Spine.
Lower medial arm bone

18. Zygoma
Fallopian tubes
Cheek Bone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Ankle

19. mast/
A change in the code description since the last edition.
Surgical Repair
Coccyx (Tailbone)
Breast

20. colp/
Many
Lower medial arm bone
MM/DD/YY
Vagina

21. Medial
Middle of the body.
Without
Cartilage
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

22. What is CHAMPVA
Cheek Bone
A new procedure or service since the previous edition.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
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.

23. poly
Many
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
Enlargement
Bursting forth blood

24. Frontal - Coronal
The bone is broken and pierces an organ.
Vertical plane dividing the body into Anterior and Posterior sections.
Moving forward
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

25. What are the two types of edits that the NCCI implements?
Active - retired - survivors and their families of the Armed Forces.
Surgical Fixation
Forms the front part of the skull and the forehead.
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.

26. What are the two types of edits that the NCCI implements?
Far from the point of attachment of the trunk.
Opening
Absence of hair
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.

27. What are the insides of bones comprised of?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Hematopoietic tissue
All
CMS-1500

28. What is the Civil Monetary Penalties Law (CMPL)?
Turning Inward
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Little - scanty
Intestine

29. Who developed HCPCs codes?
Uteris
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
CMS
Ankle

30. -megaly
Mass
Moving backward
Four
Enlargement

31. Ethmoid Bone
Painful - difficult
Forms the roof of the nasal cavity
Before - in front of
Smaller - lateral leg bone

32. Sesamoid Bones
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Middle of the body.
Upper Arm bone
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

33. Palatine Bones
Upper roof of the mouth
Movement away from the midline
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Lower arm bone in line with the thumb

34. Multigravida
Smaller - lateral leg bone
Toe Bones
A pregnant woman who has had at least one pregnancy.
Visual Examination

35. Supination
Surgical Repair
Turning the palm or foot upward
New
Hardening

36. How many regions is the spinal/vertebral column divided into?
5
Many
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Cartilage

37. Short Bones
Inflammation
Vertical plane dividing the body to the left and the right sides.
Small with irregular shapes (ie wrist and ankle)
Out - out of

38. Phalanges
Upper roof of the mouth
Forms the front part of the skull and the forehead.
Turning Outward
Finger Bones

39. Mandible
Wrist bones
MM/DD/YY
Lower Jawbone
The Axial Skeleton and the Appendicular Skeleton

40. Humerus
Record
Upper Arm bone
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
The fractured area of the bone collapses on itself.

41. What does a bullet in the CPT code book next to a code mean?
The bone is crushed or shattered.
Before
Vertical plane dividing the body to the left and the right sides.
A new procedure or service since the previous edition.

42. pneum/
Absence of hair
Lung
The fractured area of the bone collapses on itself.
Near the point of attachment to the trunk.

43. para
Hematopoietic tissue
Beside
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Surgical Fixation

44. -rrhagia
Lower Jawbone
Bursting forth blood
Middle of the body.
Turning the palm or foot upward

45. brady
The bone is broken and pierces an organ.
To view
Slow
Reimbursement is sent directly from payer to the provider.

46. gastro/
Office of Inspector General (OIG)
Lower medial arm bone
Mouth
Stomach

47. How many digits does an ICD-9 Category code have?
Turning Outward
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Interior of the nose
3 (ex 311)

48. Parietal Bones
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.
Interior of the nose
Forms the sides of the cranium
Abdomen

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

50. What is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
The bone is broken and pierces an organ.
Horizontal plane dividing the upper and lower parts of the body.