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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. What is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
Below
Moving backward
To view

2. How many digits does an ICD-9 Category code have?
3 (ex 311)
Painful - difficult
Standards of conduct based on moral principals.
Lunula

3. What is the National Correct Coding Initiative (NCCI)?
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. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Sacrum
Heart

4. -algia
MM/DD/YY
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
Pain
Noninvasive - non-spreading - nonmalignant.

5. Radius
Interior of the nose
Structural protein found in skin and connective tissue.
Suture
Lower arm bone in line with the thumb

6. hemi
Lower Back
Head
Half
All

7. inter
Between
Stomach
Small with irregular shapes (ie wrist and ankle)
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

8. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
Tongue
A pregnant woman who has had at least one pregnancy.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

9. -scopy
Back part of the body.
Active - retired - survivors and their families of the Armed Forces.
Between
To view

10. What is Carcinoma in situ?
Ovary
Back part of the body.
Discharge - Flow
Cancer that has localized and not spread at all.

11. -tomy
To cut into
Wrist bones
Within
Slow

12. Lacrimal Bones
Movement toward the midline
Bones at the corner of each eye that cradle the tearducts
Finger Bones
Between

13. Distal
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
Far from the point of attachment of the trunk.
Upper Back
Record

14. What are the 5 regions of the spine?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Near the point of attachment to the trunk.
Cancer that has spread to a secondary site.
Half

15. -oma
Mass
Bursting forth blood
Near the point of attachment to the trunk.
Vagina

16. myo/
To view
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Muscle
Removal - Excision - Resection

17. Hypo
Below - deficient
Before - in front of
No.
3 (ex 311)

18. -rrhea
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Discharge - Flow
To cut into
Skull - Ribcage and Spine.

19. Gangrene
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Death of tissue due to loss of blood supply
3 (ex 311)
Cheek Bone

20. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Cancer that has localized and not spread at all.
Mouth
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

21. Sagittal
Vertical plane dividing the body to the left and the right sides.
Stone
Moving forward
Liver

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

23. Parietal Bones
Forms the sides of the cranium
Before
Skin
5

24. What is the moon like white area at the base of the nail called?
Side
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Lunula
A pregnant woman who has had at least one pregnancy.

25. dys
Painful - difficult
False
Turning Inward
Above

26. What is the Civil Monetary Penalties Law (CMPL)?
Small with irregular shapes (ie wrist and ankle)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Tongue
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

27. What is the National Correct Coding Initiative (NCCI)?
Discolored - flat lesion
Cartilage
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Before

28. When are E codes used?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
In the cause of injury - poisoning - accidents or other adverse effects.
Vagina
No.

29. What is the Axial Skeleton comprised of?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Skull - Ribcage and Spine.
Lunula
Record

30. per
Movement away from the midline
Separation - Breakdown
Through
Upper roof of the mouth

31. What are bones connected together with?
Fibrous bands of ligaments
Muscle
In front of the temporal bones
Horizontal plane dividing the upper and lower parts of the body.

32. Who developed HCPCs codes?
Forms the sides of the cranium
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
CMS

33. pneum/
Through
Bone
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Lung

34. Collagen
Structural protein found in skin and connective tissue.
Horizontal plane dividing the upper and lower parts of the body.
Lower Back
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

35. Flat Bones
Vulva
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Absence of hair

36. chondro/
Cartilage
Abdomen
Record
Fibrous bands of ligaments

37. Short Bones
Interior of the nose
Small with irregular shapes (ie wrist and ankle)
Below - deficient
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

38. What is the Civil Monetary Penalties Law (CMPL)?
26
Bursting forth blood
Movement away from the midline
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

39. Transverse/Cross Sectional
A break at the distal end of the bone - usually when someone tries to break their fall.
Ovary
Horizontal plane dividing the upper and lower parts of the body.
Vertical plane dividing the body to the left and the right sides.

40. a - an
Before - in front of
Without
Tongue
Horizontal plane dividing the upper and lower parts of the body.

41. Medial
Treatment
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Middle of the body.
The bone is crushed or shattered.

42. hyster/
Treatment
Side
Osseous
Uteris

43. Collagen
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
Structural protein found in skin and connective tissue.
Coccyx (Tailbone)
Four

44. Macule
Moving forward
Discolored - flat lesion
Mass
Gall bladder

45. pseudo
Cancer that has localized and not spread at all.
In front of the temporal bones
Nose
False

46. 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.
Visual Examination
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
CMS

47. How many bones are in the spine?
Coccyx (Tailbone)
Far from the point of attachment of the trunk.
26
Fibrous bands of ligaments

48. Lumbar
Lower Back
Karatin
Without
Bones the palm of the hand

49. endo
Movement toward the midline
26
Within
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

50. Phalanx
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
Reimbursement is sent directly from payer to the provider.
Within
Toe Bones