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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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1. What are Medical Ethics?
Standards of conduct based on moral principals.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Fibrous bands of ligaments
Fallopian tubes

2. How many volumes is the ICD-9 manual divided into?
Shin
Small with irregular shapes (ie wrist and ankle)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Above

3. What are the key components of E/M?
A break at the distal end of the bone - usually when someone tries to break their fall.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Bones at the corner of each eye that cradle the tearducts
Tongue

4. Proximal
Near the point of attachment to the trunk.
Before
5
Finger Bones

5. -pathy
Active - retired - survivors and their families of the Armed Forces.
Disease Condition
Skin
The fractured area of the bone collapses on itself.

6. Tibia
Suture
Shin
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
The bone is broken and pierces an organ.

7. pre
Surgical Fixation
Before - in front of
26
Forms the two lower sides of the cranium

8. Carpals
Discolored - flat lesion
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Wrist bones
Fat cell

9. Gangrene
Gall bladder
Death of tissue due to loss of blood supply
Stomach
Before

10. myo/
Muscle
A change in the code description since the last edition.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

11. mast/
Heart
Breast
Discharge - Flow
Blood Condition

12. What are the 5 regions of the spine?
Office of Inspector General (OIG)
Smaller - lateral leg bone
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Coccyx (Tailbone)

13. -oma
Before
Movement toward the midline
Mass
The fractured area of the bone collapses on itself.

14. Wheal
Mass
Many
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Lower arm bone in line with the thumb

15. What is the National Correct Coding Initiative (NCCI)?
Active - retired - survivors and their families of the Armed Forces.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Bone
Noninvasive - non-spreading - nonmalignant.

16. -pexy
Against
Surgical Fixation
Lower Back
Tongue

17. When are V codes used?
Without
Front part of the body.
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
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

18. para
Stone
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
Bursting forth blood
Beside

19. colp/
Office of Inspector General (OIG)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Karatin
Vagina

20. What are bones made of?
Opening
The bone is broken and pierces an organ.
CMS-1500
Osseous

21. What are synovial joints?
Lung
Free moving joints that are surrounded by joint capsules.
Slow
Enlargement

22. oste/
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Lower Jawbone
Small with irregular shapes (ie wrist and ankle)
Bone

23. dys
Movement toward the midline
To view
Turning Outward
Painful - difficult

24. cardi/
Blood Condition
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Turning Outward
Heart

25. supra
Pain
Above
Death of tissue due to loss of blood supply
Forms the sides of the cranium

26. -tomy
Strong - broad and have large surfaces for muscles to attach to.
Abdomen
New
To cut into

27. Radius
Mouth
Ovary
Lower arm bone in line with the thumb
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

28. Lateral
To view
Interior of the nose
Side
Back part of the body.

29. nat/
Birth
Head
New
Within

30. How many digits does an ICD-9 Subclassification code have?
Smaller - lateral leg bone
Free moving joints that are surrounded by joint capsules.
Cartilage
5. (ex 311.56)

31. sub
Ankle
Reimbursement is sent directly from payer to the provider.
Under
Mouth

32. -emia
Blood Condition
Vagina
Bone that forms the wall between the nostrils
Neck Bones

33. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Stomach
Far from the point of attachment of the trunk.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

34. What is Employee Liability Insurance?
Visual Examination
Surgical Puncture
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

35. What is the False Claims Act (FCA)
The bone is crushed or shattered.
Against
Front part of the body.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

36. tetra
Vertical plane dividing the body to the left and the right sides.
Back part of the body.
Four
Little - scanty

37. tetra
Muscle
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Cartilage
Four

38. Frontal Bone
Forms the front part of the skull and the forehead.
Lower Jawbone
Below - deficient
Vagina

39. pan
Uteris
All
Record
Within

40. hemi
Forms the two lower sides of the cranium
Fat cell
Epinephrine and Steriods
Half

41. How is Medicare's RBRVS calculated?
Upper Jawbone
Fallopian tubes
4. (ex 311.0)
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

42. gloss/
Gall bladder
Movement toward the midline
Fat cell
Tongue

43. What are the key components of E/M?
CMS-1500
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Little - scanty
26

44. -lysis
Treatment
Gall bladder
Stone
Separation - Breakdown

45. anti
CMS-1500
Epinephrine and Steriods
Against
Lower Back

46. Humerus
Lunula
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Upper Arm bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

47. -sclerosis
Nose
Without
Hardening
MM/DD/YY

48. per
Without
Middle of the body.
Through
Smaller - lateral leg bone

49. Tarsal
Intestine
CMS-1500
Hind foot bone
Reimbursement is sent directly from payer to the provider.

50. Retraction
Epinephrine and Steriods
Bursting forth blood
Moving backward
1996

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Medical Coding Basics

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