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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. a - an
Forms the back of the skull
Abdomen
Without
Wrist bones

2. Carpals
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Wrist bones
Half
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

3. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
Cartilage
Many
Forms the back of the skull

4. When billing an insurance company - what information must be included?
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.
Beside
Cheek Bone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

5. -tomy
To cut into
Vertical plane dividing the body into Anterior and Posterior sections.
A break at the distal end of the bone - usually when someone tries to break their fall.
Mass

6. myo/
Active - retired - survivors and their families of the Armed Forces.
Muscle
Ankle
Pain

7. What is a Comminuted Fracture?
Stone
The bone is crushed or shattered.
1996
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

8. -oma
Stone
Mass
Small with irregular shapes (ie wrist and ankle)
CMS-1500

9. -gram
A working diagnosis that has not yet been established.
Within
Record
Bacterial inflammatory skin disease with lesions - pustules and vesicles

10. per
Through
In the cause of injury - poisoning - accidents or other adverse effects.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Lunula

11. Who does TRICARE cover?
Within
Epinephrine and Steriods
Active - retired - survivors and their families of the Armed Forces.
The bone is broken and pierces an organ.

12. What are the 3 classifications of Hypertension?
Forms the sides of the cranium
Bursting forth blood
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Milk

13. Abduction
Hardening
Movement away from the midline
Osseous
New

14. arth/
Cartilage
Finger Bones
No.
Horizontal plane dividing the upper and lower parts of the body.

15. Who investigates and prosecutes Health Care fraud?
Four
Office of Inspector General (OIG)
Ovary
Ankle

16. What are bursae?
Vertical plane dividing the body to the left and the right sides.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
A working diagnosis that has not yet been established.
Active - retired - survivors and their families of the Armed Forces.

17. pneum/
Lung
Bone that forms the wall between the nostrils
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

18. Tibia
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Upper Arm bone
Shin
Horizontal plane dividing the upper and lower parts of the body.

19. dys
Painful - difficult
Far from the point of attachment of the trunk.
Free moving joints that are surrounded by joint capsules.
Strong - broad and have large surfaces for muscles to attach to.

20. Adduction
Shoulder - collar - pelvic - arms and legs.
Movement toward the midline
Vagina
Inflammation

21. How is Usual - Customary and Reasonable pricing calculated?

22. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
Upper Jawbone
False
Beside

23. How many volumes is the ICD-9 manual divided into?
Hematopoietic tissue
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Middle of the foot bone
The Axial Skeleton and the Appendicular Skeleton

24. inter
Finger Bones
CMS-1500
Between
Uteris

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

26. hyster/
Between
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Cancer that has localized and not spread at all.
Uteris

27. What does a Surgical Package (aka Global Surgery) include?
Death of tissue due to loss of blood supply
Blood Condition
Hardening
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

28. Distal
Far from the point of attachment of the trunk.
Front part of the body.
Moving backward
Within

29. -pexy
Surgical Fixation
False
A working diagnosis that has not yet been established.
Surgical Repair

30. nat/
Birth
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Many
The bone is crushed or shattered.

31. Posterior/Dorsal
Tongue
Back part of the body.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Fibrous bands of ligaments

32. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
Cheek Bone
Turning the palm or foot upward
False

33. epi
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Middle of the body.
Above
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

34. What are synovial joints?
Below
Free moving joints that are surrounded by joint capsules.
The Axial Skeleton and the Appendicular Skeleton
Smaller - lateral leg bone

35. How many digits does an ICD-9 Category code have?
Cartilage
Turning Outward
Lower Back
3 (ex 311)

36. cardi/
Surgical Puncture
Heart
Slow
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

37. para
Upper Back
Cartilage
Stone
Beside

38. Thoracic
Front part of the body.
Smaller - lateral leg bone
Upper Jawbone
Upper Back

39. Proximal
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.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
5. (ex 311.56)
Near the point of attachment to the trunk.

40. pre
Skull - Ribcage and Spine.
5
Against
Before - in front of

41. mast/
Breast
CMS
Nose
Upper Jawbone

42. How is Medicare's RBRVS calculated?
Lung
Half
All
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

43. gloss/
CMS
Tongue
Vertical plane dividing the body to the left and the right sides.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

44. Lacrimal Bones
Little - scanty
Forms the front part of the skull and the forehead.
Forms the back of the skull
Bones at the corner of each eye that cradle the tearducts

45. What is Fiscal Intermediary?
To cut into
Small with irregular shapes (ie wrist and ankle)
The Axial Skeleton and the Appendicular Skeleton
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

46. Lacrimal Bones
Within
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Bones at the corner of each eye that cradle the tearducts
Cartilage

47. gloss/
Tongue
Free moving joints that are surrounded by joint capsules.
Shoulder - collar - pelvic - arms and legs.
Shoulder - collar - pelvic - arms and legs.

48. -oma
Breast
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Mass
Head

49. enter/
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Intestine
A pregnant woman who has had at least one pregnancy.
Cartilage

50. Vomer
The Axial Skeleton and the Appendicular Skeleton
Muscle
A change in the code description since the last edition.
Bone that forms the wall between the nostrils