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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. arth/
Bone
Cartilage
4. (ex 311.0)
Below

2. Malleolus
Many
Ankle
Separation - Breakdown
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

3. Impetigo
Little - scanty
Vagina
Epinephrine and Steriods
Bacterial inflammatory skin disease with lesions - pustules and vesicles

4. lapar/
Inflammation
Abdomen
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.
CMS-1500

5. Frontal Bone
Turning the palm or foot upward
Forms the front part of the skull and the forehead.
All
Smaller - lateral leg bone

6. Who investigates and prosecutes Health Care fraud?
Small with irregular shapes (ie wrist and ankle)
Office of Inspector General (OIG)
Lung
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

7. myo/
Muscle
The fractured area of the bone collapses on itself.
Upper Arm bone
Middle of the body.

8. Alopecia
Standards of conduct based on moral principals.
Record
Absence of hair
Tongue

9. What are Medical Ethics?
Standards of conduct based on moral principals.
Hematopoietic tissue
Discharge - Flow
Moving backward

10. What is in a Medical Record?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Noninvasive - non-spreading - nonmalignant.
Many
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

11. What is the moon like white area at the base of the nail called?
Lunula
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Abdomen

12. lith/
Treatment
Stone
Cartilage
Forms the sides of the cranium

13. -oma
Under
Karatin
Bones the palm of the hand
Mass

14. -oma
Mass
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Heart
Standards of conduct based on moral principals.

15. Mandible
Side
Heart
Lower Jawbone
Lung

16. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Coccyx (Tailbone)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Above

17. Abduction
Upper roof of the mouth
Bones at the corner of each eye that cradle the tearducts
Sacrum
Movement away from the midline

18. inter
Hind foot bone
Forms the roof of the nasal cavity
Between
Back part of the body.

19. What are the two provisions of HIPPA?
A break at the distal end of the bone - usually when someone tries to break their fall.
Wrist bones
Bones at the corner of each eye that cradle the tearducts
1. Insurance Reform 2. Administrative Simplification

20. What is a Comminuted Fracture?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Abnormal condition
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
The bone is crushed or shattered.

21. How is Medicare's RBRVS calculated?
Skin
Removal - Excision - Resection
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
Coccyx (Tailbone)

22. When are E codes used?
Sacrum
Far from the point of attachment of the trunk.
Treatment
In the cause of injury - poisoning - accidents or other adverse effects.

23. cardi/
Abnormal 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
Heart
Enlargement

24. Humerus
Forms the two lower sides of the cranium
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Above
Upper Arm bone

25. Retraction
Moving backward
Painful - difficult
Forms the sides of the cranium
Discolored - flat lesion

26. How is Medicare's RBRVS calculated?
Opening
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
Small collection of clear fluid; blister
A pregnant woman who has had at least one pregnancy.

27. How long should Medical Records be retained?
Upper roof of the mouth
Discharge - Flow
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
5. (ex 311.56)

28. Ethmoid Bone
Measure
To view
Ankle
Forms the roof of the nasal cavity

29. lact/
Suture
Interior of the nose
Milk
5

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

31. derm/
Skin
Bacterial inflammatory skin disease with lesions - pustules and vesicles
A pregnant woman who has had at least one pregnancy.
1. Insurance Reform 2. Administrative Simplification

32. Alopecia
Blood Condition
Absence of hair
5
Coccyx (Tailbone)

33. gloss/
Vertical plane dividing the body into Anterior and Posterior sections.
Turning Outward
Reimbursement is sent directly from payer to the provider.
Tongue

34. arth/
Lung
Cartilage
Above
Moving forward

35. What is Benign?
Noninvasive - non-spreading - nonmalignant.
Vagina
Separation - Breakdown
Epinephrine and Steriods

36. When are V codes used?
Below - deficient
Four
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
Hardening

37. What is hair made of?
Karatin
Back part of the body.
Head
Front part of the body.

38. Thoracic
Slow
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Standards of conduct based on moral principals.
Upper Back

39. When are V codes used?
Tongue
A pregnant woman who has had at least one pregnancy.
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
A new procedure or service since the previous edition.

40. Collagen
A pregnant woman who has had at least one pregnancy.
Below - deficient
Structural protein found in skin and connective tissue.
Upper Back

41. Carpals
3 (ex 311)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Wrist bones

42. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Out - out of
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Stone

43. Frontal - Coronal
Removal - Excision - Resection
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
Vertical plane dividing the body into Anterior and Posterior sections.
Movement toward the midline

44. lapar/
Enlargement
Abdomen
Head
A new procedure or service since the previous edition.

45. Fibula
Lower medial arm bone
Separation - Breakdown
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Smaller - lateral leg bone

46. Frontal - Coronal
A working diagnosis that has not yet been established.
MM/DD/YY
Forms the roof of the nasal cavity
Vertical plane dividing the body into Anterior and Posterior sections.

47. Maxilla
Upper Jawbone
Forms the back of the skull
Bursting forth blood
Disease Condition

48. Eversion
Turning Outward
False
Side
Hematopoietic tissue

49. When billing an insurance company - what information must be included?
Four
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Blood Condition
Upper Arm bone

50. cardi/
Reimbursement is sent directly from payer to the provider.
Heart
Between
A law passed by the Federal Government to prosecute cases of Medicaid fraud.