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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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. Malleolus
Skin
Ankle
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Muscle

2. Vomer
MM/DD/YY
Without
Bone that forms the wall between the nostrils
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

3. sub
Moving backward
Front part of the body.
Suture
Under

4. Lacrimal Bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Upper Arm bone
Bones at the corner of each eye that cradle the tearducts
Vertical plane dividing the body into Anterior and Posterior sections.

5. Abduction
Below - deficient
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Fat cell
Movement away from the midline

6. Lateral
All
Side
Forms the front part of the skull and the forehead.
Horizontal plane dividing the upper and lower parts of the body.

7. -scopy
To view
Discolored - flat lesion
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Side

8. per
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.
Through
Upper Jawbone
Moving backward

9. What are Medical Ethics?
Vertical plane dividing the body into Anterior and Posterior sections.
Vulva
Treatment
Standards of conduct based on moral principals.

10. Sesamoid Bones
Turning Inward
Cancer that has spread to a secondary site.
1996
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

11. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Ovary
Surgical Repair
Above

12. What does a bullet in the CPT code book next to a code mean?
Pain
A working diagnosis that has not yet been established.
Separation - Breakdown
A new procedure or service since the previous edition.

13. Alopecia
Before - in front of
Forms the two lower sides of the cranium
A change in the code description since the last edition.
Absence of hair

14. What is Fiscal Intermediary?
Toe Bones
Hind foot bone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Noninvasive - non-spreading - nonmalignant.

15. What are synovial joints?
Separation - Breakdown
Free moving joints that are surrounded by joint capsules.
Hardening
MM/DD/YY

16. -rrhaphy
Mass
Karatin
Milk
Suture

17. Anterior/Ventral
The fractured area of the bone collapses on itself.
Front part of the body.
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
Major skin pigment

18. -osis
Turning the palm or foot upward
Out - out of
Abnormal condition
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

19. -ectomy
Within
Vagina
Removal - Excision - Resection
Mass

20. colp/
Skin
Vagina
Within
Forms the roof of the nasal cavity

21. gloss/
Side
No.
Tongue
5. (ex 311.56)

22. Ulna
Treatment
Enlargement
Between
Lower medial arm bone

23. How long should Medical Records be retained?
The bone is broken and pierces an organ.
Muscle
Cartilage
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

24. salping/
Bones the palm of the hand
Fallopian tubes
Reimbursement is sent directly from payer to the provider.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

25. What are the 3 layers of skin?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Lung
A working diagnosis that has not yet been established.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

26. lapar/
Abdomen
Slow
To view
Hind foot bone

27. Can you have TRICARE and CHAMPVA at the same time?
No.
Half
A working diagnosis that has not yet been established.
A change in the code description since the last edition.

28. Multigravida
The bone is crushed or shattered.
A pregnant woman who has had at least one pregnancy.
Ovary
Vulva

29. -megaly
Enlargement
New
Half
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

30. Frontal Bone
Abnormal condition
Forms the front part of the skull and the forehead.
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.
Visual Examination

31. cephal/
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
Surgical Puncture
Head
Abdomen

32. Radius
Moving backward
Far from the point of attachment of the trunk.
Lower arm bone in line with the thumb
Suture

33. -tomy
To cut into
Movement away from the midline
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

34. How many digits does an ICD-9 Category code have?
3 (ex 311)
Upper Arm bone
A change in the code description since the last edition.
Ankle

35. What is Benign?
Toe Bones
Skull - Ribcage and Spine.
CMS-1500
Noninvasive - non-spreading - nonmalignant.

36. lith/
Stone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Enlargement
The Axial Skeleton and the Appendicular Skeleton

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

38. How is Medicare's RBRVS calculated?
Mass
Cartilage
1. Insurance Reform 2. Administrative Simplification
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

39. pre
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
To cut into
Separation - Breakdown
Before - in front of

40. gloss/
Intestine
Tongue
Karatin
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

41. supra
Surgical Puncture
Hematopoietic tissue
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
Above

42. nat/
All
Birth
A pregnant woman who has had at least one pregnancy.
Front part of the body.

43. What is the name of the claim form that is standard for submitting claims?
Above
CMS-1500
Vertical plane dividing the body to the left and the right sides.
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.

44. -megaly
Tongue
A pregnant woman who has had at least one pregnancy.
Enlargement
Epinephrine and Steriods

45. Collagen
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Structural protein found in skin and connective tissue.
Absence of hair
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

46. Wheal
Surgical Repair
Out - out of
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Small collection of clear fluid; blister

47. mast/
New
Measure
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Breast

48. Eversion
Forms the two lower sides of the cranium
In front of the temporal bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Turning Outward

49. lact/
Milk
To view
Shin
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

50. What is Fiscal Intermediary?
New
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Ovary
Fibrous bands of ligaments