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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. Sacral
False
Abnormal condition
Sacrum
Beside

2. What is Benign?
Noninvasive - non-spreading - nonmalignant.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Against

3. gastro/
Inflammation
Stomach
Below
Pain

4. Abduction
Finger Bones
Noninvasive - non-spreading - nonmalignant.
Movement away from the midline
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

5. What is CHAMPVA
Stomach
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Middle of the foot bone
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

6. hin/
Stomach
Bone that forms the wall between the nostrils
Nose
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

7. inter
Heart
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
In the cause of injury - poisoning - accidents or other adverse effects.
Between

8. lact/
Milk
Forms the roof of the nasal cavity
Movement toward the midline
Standards of conduct based on moral principals.

9. What are the insides of bones comprised of?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Hematopoietic tissue
Against
To view

10. Thoracic
Upper roof of the mouth
Below - deficient
Shoulder - collar - pelvic - arms and legs.
Upper Back

11. -tomy
Uteris
To cut into
Front part of the body.
Opening

12. What does a Surgical Package (aka Global Surgery) include?
Bone that forms the wall between the nostrils
Without
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
Standards of conduct based on moral principals.

13. Eversion
The bone is broken and pierces an organ.
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
Turning Outward
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

14. pan
Shin
Through
Forms the two lower sides of the cranium
All

15. -rrhea
Discharge - Flow
Four
No.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

16. Who does TRICARE cover?
5. (ex 311.56)
Active - retired - survivors and their families of the Armed Forces.
Stomach
Many

17. How many digits does an ICD-9 Subcategory code have?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
1. Insurance Reform 2. Administrative Simplification
Forms the sides of the cranium
4. (ex 311.0)

18. Malleolus
Side
Side
Finger Bones
Ankle

19. Transverse/Cross Sectional
Gall bladder
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)
Horizontal plane dividing the upper and lower parts of the body.

20. anti
Moving backward
Against
Heart
All

21. What are the two provisions of HIPPA?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. Insurance Reform 2. Administrative Simplification
A new procedure or service since the previous edition.
Lower Back

22. -lysis
Front part of the body.
Separation - Breakdown
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.
No.

23. a - an
Mass
Without
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.
1996

24. sub
Standards of conduct based on moral principals.
Under
Stone
CMS-1500

25. What are synovial joints?
Many
Free moving joints that are surrounded by joint capsules.
Upper roof of the mouth
Lower arm bone in line with the thumb

26. Phalanges
5. (ex 311.56)
Death of tissue due to loss of blood supply
Below
Finger Bones

27. Who investigates and prosecutes Health Care fraud?
Forms the front part of the skull and the forehead.
Horizontal plane dividing the upper and lower parts of the body.
Office of Inspector General (OIG)
Treatment

28. Collagen
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Structural protein found in skin and connective tissue.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Active - retired - survivors and their families of the Armed Forces.

29. derm/
Bursting forth blood
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Neck Bones
Skin

30. What are bursae?
Gall bladder
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Without
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

31. What is primary malignancy?
Lung
Surgical Puncture
Free moving joints that are surrounded by joint capsules.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

32. Inferior nasal conchae
To cut into
Interior of the nose
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Active - retired - survivors and their families of the Armed Forces.

33. -oma
Blood Condition
Vulva
Surgical Repair
Mass

34. What is a compression fracture?
Wrist bones
The fractured area of the bone collapses on itself.
Major skin pigment
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

35. oglio
Front part of the body.
Little - scanty
Moving forward
Nose

36. What is Employee Liability Insurance?
Moving backward
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Painful - difficult

37. ante
Vertical plane dividing the body to the left and the right sides.
Muscle
Record
Before

38. Lateral
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Osseous
Side
Upper Jawbone

39. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Out - out of
The Axial Skeleton and the Appendicular Skeleton
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

40. hepato/
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.
Liver
Upper Jawbone
In the cause of injury - poisoning - accidents or other adverse effects.

41. What is Employee Liability Insurance?
Middle of the foot bone
Under
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Side

42. pneum/
Lung
Discolored - flat lesion
Little - scanty
Surgical Repair

43. What is a Complicated Fracture?
Lunula
Through
Turning the palm or foot upward
The bone is broken and pierces an organ.

44. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Surgical Repair
Osseous
Separation - Breakdown

45. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Forms the front part of the skull and the forehead.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Abnormal condition

46. Flat Bones
Slow
Bacterial inflammatory skin disease with lesions - pustules and vesicles
False
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

47. poly
4. (ex 311.0)
Moving backward
To view
Many

48. What is Benign?
Muscle
Noninvasive - non-spreading - nonmalignant.
Ovary
The fractured area of the bone collapses on itself.

49. What are the two types of edits that the NCCI implements?
Hematopoietic tissue
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.
Below - deficient
The fractured area of the bone collapses on itself.

50. Sphenoid Bones
In front of the temporal bones
Discolored - flat lesion
A working diagnosis that has not yet been established.
Shoulder - collar - pelvic - arms and legs.