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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. Tarsal
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Horizontal plane dividing the upper and lower parts of the body.
Hind foot bone
Turning Outward

2. Posterior/Dorsal
Without
Forms the two lower sides of the cranium
Back part of the body.
Enlargement

3. mast/
Horizontal plane dividing the upper and lower parts of the body.
Breast
To view
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

4. lith/
Coccyx (Tailbone)
Upper Arm bone
Stone
Absence of hair

5. Melanin
Front part of the body.
Major skin pigment
Cartilage
Head

6. per
Noninvasive - non-spreading - nonmalignant.
Through
Smaller - lateral leg bone
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

7. -scopy
Forms the two lower sides of the cranium
Stone
Visual Examination
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

8. myo/
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.
Muscle
Horizontal plane dividing the upper and lower parts of the body.
CMS

9. Sphenoid Bones
Visual Examination
Bone that forms the wall between the nostrils
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
In front of the temporal bones

10. gastro/
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Abdomen
Forms the two lower sides of the cranium
Stomach

11. -emia
Bone that forms the wall between the nostrils
Blood Condition
Absence of hair
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

12. Inferior nasal conchae
Ovary
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
Through
Interior of the nose

13. What is the Civil Monetary Penalties Law (CMPL)?
CMS-1500
Enlargement
Against
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

14. What are bones connected together with?
A change in the code description since the last edition.
Moving backward
Fibrous bands of ligaments
Finger Bones

15. What is a compression fracture?
Surgical Fixation
Hind foot bone
Ankle
The fractured area of the bone collapses on itself.

16. Sesamoid Bones
Bones at the corner of each eye that cradle the tearducts
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Mouth
Milk

17. neo
Skull - Ribcage and Spine.
New
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
Hind foot bone

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

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19. nat/
Birth
Four
Surgical Fixation
Stomach

20. para
Beside
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Inflammation
Epinephrine and Steriods

21. Lateral
Nose
A break at the distal end of the bone - usually when someone tries to break their fall.
Side
Vertical plane dividing the body to the left and the right sides.

22. enter/
Near the point of attachment to the trunk.
Intestine
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
In the cause of injury - poisoning - accidents or other adverse effects.

23. lapar/
Bone
Abdomen
Birth
Front part of the body.

24. Cervical
Shin
Neck Bones
Moving forward
Bones at the corner of each eye that cradle the tearducts

25. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
Many
Before
4. (ex 311.0)

26. Eversion
Turning Outward
Wrist bones
Within
Near the point of attachment to the trunk.

27. Mandible
Sacrum
Small with irregular shapes (ie wrist and ankle)
Movement away from the midline
Lower Jawbone

28. cholecyst/
Fallopian tubes
Gall bladder
Back part of the body.
Bone that forms the wall between the nostrils

29. Thoracic
Upper Back
To cut into
Liver
Death of tissue due to loss of blood supply

30. inter
The bone is broken and pierces an organ.
Opening
Between
Above

31. -centisis
Below
Discolored - flat lesion
Enlargement
Surgical Puncture

32. Anterior/Ventral
Below
Front part of the body.
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.
Major skin pigment

33. Posterior/Dorsal
Back part of the body.
Cartilage
Painful - difficult
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

34. Fibula
Blood Condition
Hardening
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Smaller - lateral leg bone

35. hin/
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Nose
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Liver

36. dys
Osseous
Treatment
Painful - difficult
The bone is crushed or shattered.

37. -centisis
Surgical Puncture
No.
Below
Blood Condition

38. ex
Out - out of
Reimbursement is sent directly from payer to the provider.
Upper Back
All

39. Ethmoid Bone
Front part of the body.
Liver
Forms the roof of the nasal cavity
Upper Arm bone

40. What are the 3 layers of skin?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Heart
Stone

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

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42. tetra
Abnormal condition
Hematopoietic tissue
Hind foot bone
Four

43. Phalanges
Skull - Ribcage and Spine.
False
Finger Bones
Mass

44. Infra
Separation - Breakdown
Small collection of clear fluid; blister
Below
Epinephrine and Steriods

45. Carpals
Head
Office of Inspector General (OIG)
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.
Wrist bones

46. -stomy
Hardening
Osseous
Painful - difficult
Opening

47. arth/
Cartilage
Forms the back of the skull
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
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.

48. What is Benign?
Visual Examination
Noninvasive - non-spreading - nonmalignant.
Within
Forms the sides of the cranium

49. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
Epinephrine and Steriods
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.
Separation - Breakdown

50. -algia
Pain
Below
Cancer that has localized and not spread at all.
A change in the code description since the last edition.