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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. -lysis
Lunula
Separation - Breakdown
Before
Hematopoietic tissue

2. tetra
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Four
Below - deficient
Removal - Excision - Resection

3. inter
Between
Office of Inspector General (OIG)
Abnormal condition
A pregnant woman who has had at least one pregnancy.

4. oophor
Vertical plane dividing the body into Anterior and Posterior sections.
Moving forward
Ovary
Moving backward

5. When billing an insurance company - what information must be included?
Forms the front part of the skull and the forehead.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Above
Below

6. hyster/
Movement away from the midline
Uteris
To view
Liver

7. What are the two types of edits that the NCCI implements?
Disease Condition
Upper Jawbone
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.
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

8. What are the 2 types of glands on the skin?
Turning Outward
CMS
5. (ex 311.56)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

9. Lumbar
Turning Inward
Lower Back
Cartilage
Bursting forth blood

10. What is Employer Liability?

11. When are E codes used?
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.
Between
Measure
In the cause of injury - poisoning - accidents or other adverse effects.

12. Adduction
Movement toward the midline
Major skin pigment
Blood Condition
Inflammation

13. ex
Out - out of
To cut into
Toe Bones
Ovary

14. Long Bones
Turning Inward
Strong - broad and have large surfaces for muscles to attach to.
Side
Small with irregular shapes (ie wrist and ankle)

15. -rrhea
Separation - Breakdown
A break at the distal end of the bone - usually when someone tries to break their fall.
Discharge - Flow
CMS

16. Vesicle
Painful - difficult
Small collection of clear fluid; blister
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
Pain

17. lith/
Toe Bones
No.
Upper roof of the mouth
Stone

18. Vesicle
Toe Bones
Small collection of clear fluid; blister
Forms the roof of the nasal cavity
Front part of the body.

19. Cervical
Reimbursement is sent directly from payer to the provider.
Between
Neck Bones
Front part of the body.

20. What are bones made of?
Osseous
Inflammation
The Axial Skeleton and the Appendicular Skeleton
Fallopian tubes

21. Impetigo
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Lower arm bone in line with the thumb
1996
Stomach

22. What is Employer Liability?

23. Medial
Bones at the corner of each eye that cradle the tearducts
Middle of the body.
Lower Back
Surgical Repair

24. What are the two provisions of HIPPA?
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
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
Forms the front part of the skull and the forehead.
1. Insurance Reform 2. Administrative Simplification

25. What is a Qualified Diagnosis
Lunula
A working diagnosis that has not yet been established.
Above
Fat cell

26. What is Employee Liability Insurance?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
In front of the temporal bones
Muscle
Lunula

27. Tibia
Shin
Mouth
Vulva
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

28. Distal
Far from the point of attachment of the trunk.
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.
Inflammation
No.

29. -osis
Abnormal condition
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Major skin pigment
To cut into

30. cardi/
Heart
A change in the code description since the last edition.
Cartilage
Vulva

31. dys
Out - out of
Above
Painful - difficult
Turning Outward

32. Medial
Middle of the body.
Back part of the body.
New
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

33. pneum/
Liver
Lung
Stomach
Upper roof of the mouth

34. When billing an insurance company - what information must be included?
Surgical Fixation
Half
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
A pregnant woman who has had at least one pregnancy.

35. Occipital Bone
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Forms the back of the skull
Inflammation
Reimbursement is sent directly from payer to the provider.

36. Posterior/Dorsal
Hematopoietic tissue
Back part of the body.
Lung
Surgical Puncture

37. Proximal
Strong - broad and have large surfaces for muscles to attach to.
Treatment
Near the point of attachment to the trunk.
Neck Bones

38. Supination
Many
Turning the palm or foot upward
Stone
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

39. -scopy
To view
Movement toward the midline
Middle of the foot bone
Lung

40. arth/
Cheek Bone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Absence of hair
Cartilage

41. -centisis
Discolored - flat lesion
All
Surgical Puncture
New

42. Infra
Near the point of attachment to the trunk.
Lower medial arm bone
Below
Before - in front of

43. Coccygeal
Before - in front of
Coccyx (Tailbone)
Against
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

44. Proximal
Little - scanty
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.
Near the point of attachment to the trunk.
Between

45. What are the two types of edits that the NCCI implements?
Gall bladder
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.
26
Horizontal plane dividing the upper and lower parts of the body.

46. How is Medicare's RBRVS calculated?
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
Between
Side
Through

47. What is Benign?
Noninvasive - non-spreading - nonmalignant.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Intestine
No.

48. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
Movement toward the midline
Above
Skull - Ribcage and Spine.

49. gloss/
Cancer that has spread to a secondary site.
Forms the front part of the skull and the forehead.
Movement away from the midline
Tongue

50. cardi/
Liver
Turning Outward
Forms the roof of the nasal cavity
Heart