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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. -itis
3 (ex 311)
Inflammation
Turning Outward
Removal - Excision - Resection

2. When are V codes used?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
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
To cut into
Beside

3. Occipital Bone
Middle of the body.
MM/DD/YY
Forms the back of the skull
Slow

4. -scopy
False
5. (ex 311.56)
Visual Examination
Strong - broad and have large surfaces for muscles to attach to.

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

6. Sacral
Cartilage
Karatin
Sacrum
1996

7. Mandible
Above
Upper Jawbone
Lower Jawbone
Opening

8. lact/
Hardening
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Record
Milk

9. Can you have TRICARE and CHAMPVA at the same time?
No.
The Axial Skeleton and the Appendicular Skeleton
Horizontal plane dividing the upper and lower parts of the body.
CMS

10. -pexy
Beside
Wrist bones
Surgical Fixation
Below

11. ante
Bones at the corner of each eye that cradle the tearducts
Before
Above
Upper roof of the mouth

12. Impetigo
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Nose
The fractured area of the bone collapses on itself.
Abnormal condition

13. pan
Neck Bones
Milk
Major skin pigment
All

14. Alopecia
Vulva
Absence of hair
No.
Forms the front part of the skull and the forehead.

15. Metacarpals
Bones the palm of the hand
Lunula
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.
5. (ex 311.56)

16. -tomy
Heart
To cut into
Standards of conduct based on moral principals.
Lower Back

17. 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.
Mouth
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Vertical plane dividing the body into Anterior and Posterior sections.

18. Fibula
Forms the sides of the cranium
Smaller - lateral leg bone
Surgical Fixation
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

19. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Insurance Reform 2. Administrative Simplification

20. Sacral
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.
Middle of the foot bone
Cartilage
Sacrum

21. hyster/
Hematopoietic tissue
Uteris
Turning Inward
Suture

22. When was the Health Information and Accountability Act (HIPAA) created?
The Axial Skeleton and the Appendicular Skeleton
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.
Head
1996

23. colp/
Enlargement
1. Insurance Reform 2. Administrative Simplification
Sacrum
Vagina

24. episi/
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.
Vulva
Painful - difficult
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

25. Humerus
Upper roof of the mouth
Inflammation
Structural protein found in skin and connective tissue.
Upper Arm bone

26. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
A working diagnosis that has not yet been established.
Opening
A break at the distal end of the bone - usually when someone tries to break their fall.

27. -ectomy
Many
Vertical plane dividing the body to the left and the right sides.
Interior of the nose
Removal - Excision - Resection

28. supra
Above
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Vertical plane dividing the body to the left and the right sides.
Pain

29. mast/
Turning Outward
Lunula
Breast
A pregnant woman who has had at least one pregnancy.

30. -scopy
Through
To view
Head
A new procedure or service since the previous edition.

31. -lysis
Separation - Breakdown
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Visual Examination
Mouth

32. Cervical
A break at the distal end of the bone - usually when someone tries to break their fall.
Neck Bones
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Insurance Reform 2. Administrative Simplification

33. hin/
Turning Outward
Nose
A change in the code description since the last edition.
Reimbursement is sent directly from payer to the provider.

34. -scopy
Side
Ovary
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Visual Examination

35. -ectomy
Mouth
Removal - Excision - Resection
Side
Wrist bones

36. chondro/
Shoulder - collar - pelvic - arms and legs.
Cartilage
A pregnant woman who has had at least one pregnancy.
Major skin pigment

37. -rrhagia
Bursting forth blood
The Axial Skeleton and the Appendicular Skeleton
Muscle
Upper Jawbone

38. Humerus
To cut into
Visual Examination
Enlargement
Upper Arm bone

39. What is the Axial Skeleton comprised of?
In front of the temporal bones
Middle of the body.
Skull - Ribcage and Spine.
Turning Outward

40. gloss/
Tongue
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
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.
The Axial Skeleton and the Appendicular Skeleton

41. Inferior nasal conchae
Interior of the nose
Turning Outward
Vulva
Abnormal condition

42. -osis
Abnormal condition
Epinephrine and Steriods
The bone is broken and pierces an organ.
5. (ex 311.56)

43. pan
Standards of conduct based on moral principals.
Separation - Breakdown
All
Shin

44. How many bones are in the spine?
26
Upper roof of the mouth
4. (ex 311.0)
Hardening

45. What are the 2 types of sweat glands?
CMS-1500
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
CMS-1500
Forms the back of the skull

46. oglio
Little - scanty
Cartilage
Mouth
A change in the code description since the last edition.

47. oglio
Structural protein found in skin and connective tissue.
Birth
Movement toward the midline
Little - scanty

48. Multigravida
Back part of the body.
A pregnant woman who has had at least one pregnancy.
Record
Mass

49. Inversion
Turning Inward
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
In front of the temporal bones
Vertical plane dividing the body into Anterior and Posterior sections.

50. lapar/
Heart
Abdomen
Removal - Excision - Resection
Treatment