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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. hyster/
Surgical Puncture
In the cause of injury - poisoning - accidents or other adverse effects.
Office of Inspector General (OIG)
Uteris

2. Distal
Muscle
Stomach
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Far from the point of attachment of the trunk.

3. -emia
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Blood Condition
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Epinephrine and Steriods

4. How is Medicare's RBRVS calculated?
Inflammation
Pain
Back 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

5. What is Benign?
Stomach
Near the point of attachment to the trunk.
Noninvasive - non-spreading - nonmalignant.
Above

6. Protraction
To view
Moving forward
Turning Outward
Smaller - lateral leg bone

7. -osis
Above
Blood Condition
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Abnormal condition

8. Lateral
Side
Inflammation
Interior of the nose
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

9. Phalanges
Above
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
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.
Finger Bones

10. lith/
Hematopoietic tissue
Removal - Excision - Resection
Stone
Upper Jawbone

11. -osis
Head
Above
Forms the two lower sides of the cranium
Abnormal condition

12. -lysis
Sacrum
Abdomen
Separation - Breakdown
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

13. What is a Comminuted Fracture?
Turning the palm or foot upward
The bone is crushed or shattered.
Breast
Abdomen

14. -centisis
Painful - difficult
A break at the distal end of the bone - usually when someone tries to break their fall.
Surgical Puncture
Stomach

15. -itis
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Inflammation
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
Bones the palm of the hand

16. -pexy
Surgical Fixation
Forms the sides of the cranium
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.
Inflammation

17. How many digits does an ICD-9 Category code have?
Horizontal plane dividing the upper and lower parts of the body.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
3 (ex 311)
Half

18. What is a compression fracture?
The fractured area of the bone collapses on itself.
Abdomen
Before - in front of
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

19. arth/
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Back part of the body.
Cartilage
A pregnant woman who has had at least one pregnancy.

20. Proximal
Surgical Fixation
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Near the point of attachment to the trunk.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

21. How is the Patients DOB entered on the claim form?
Removal - Excision - Resection
MM/DD/YY
Horizontal plane dividing the upper and lower parts of the body.
Before

22. ante
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Turning Inward
Before
Liver

23. pneum/
Lower arm bone in line with the thumb
New
CMS
Lung

24. pan
Lunula
Pain
Gall bladder
All

25. -plasty
Between
Surgical Repair
To view
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

26. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Separation - Breakdown
Stomach
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

27. Humerus
Upper Arm bone
1. Insurance Reform 2. Administrative Simplification
Standards of conduct based on moral principals.
Below - deficient

28. -pathy
Disease Condition
Through
All
All

29. Who does TRICARE cover?
Absence of hair
Wrist bones
Side
Active - retired - survivors and their families of the Armed Forces.

30. What are the 3 classifications of Hypertension?
Far from the point of attachment of the trunk.
Forms the front part of the skull and the forehead.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Bursting forth blood

31. Who investigates and prosecutes Health Care fraud?
The fractured area of the bone collapses on itself.
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.
Office of Inspector General (OIG)
Cheek Bone

32. Metacarpals
Bones the palm of the hand
4. (ex 311.0)
Nose
Near the point of attachment to the trunk.

33. Impetigo
Small collection of clear fluid; blister
Surgical Repair
Osseous
Bacterial inflammatory skin disease with lesions - pustules and vesicles

34. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
Hematopoietic tissue
Far from the point of attachment of the trunk.
All

35. Gangrene
5
Movement away from the midline
Intestine
Death of tissue due to loss of blood supply

36. How many digits does an ICD-9 Subcategory code have?
Measure
4. (ex 311.0)
Before
Painful - difficult

37. -lysis
Separation - Breakdown
The bone is crushed or shattered.
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
Active - retired - survivors and their families of the Armed Forces.

38. -scopy
1996
Muscle
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
To view

39. supra
Vagina
Mass
Above
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

40. enter/
Moving forward
Intestine
Skull - Ribcage and Spine.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

41. Malleolus
Shin
Ankle
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
5

42. epi
Uteris
Above
Free moving joints that are surrounded by joint capsules.
Lower arm bone in line with the thumb

43. What does a Surgical Package (aka Global Surgery) include?
Birth
Below
Strong - broad and have large surfaces for muscles to attach to.
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

44. Inversion
Under
Half
Turning Inward
Birth

45. -megaly
Strong - broad and have large surfaces for muscles to attach to.
Reimbursement is sent directly from payer to the provider.
Enlargement
Stone

46. Tarsal
Little - scanty
Office of Inspector General (OIG)
Hind foot bone
Fibrous bands of ligaments

47. pseudo
Absence of hair
False
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Record

48. -therapy
Treatment
Before - in front of
Intestine
Finger Bones

49. What does a bullet in the CPT code book next to a code mean?
Discharge - Flow
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
A new procedure or service since the previous edition.
Four

50. How long should Medical Records be retained?
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Fallopian tubes
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Mouth