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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. sub
Vertical plane dividing the body into Anterior and Posterior sections.
Finger Bones
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.
Under

2. Who developed HCPCs codes?
Wrist bones
CMS
Measure
Turning the palm or foot upward

3. Proximal
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Ovary
Forms the two lower sides of the cranium
Near the point of attachment to the trunk.

4. What are bursae?
Vagina
Side
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Tongue

5. Anterior/Ventral
Front part of the body.
Movement away from the midline
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

6. neo
Measure
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
New
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

7. para
Beside
Suture
Standards of conduct based on moral principals.
Smaller - lateral leg bone

8. Sagittal
Lower arm bone in line with the thumb
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Vertical plane dividing the body to the left and the right sides.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

9. lith/
Stone
Fallopian tubes
Interior of the nose
Bone that forms the wall between the nostrils

10. lapar/
Lower arm bone in line with the thumb
Lower Back
Abdomen
To cut into

11. ante
A change in the code description since the last edition.
Many
Before
Between

12. Adduction
Abnormal condition
Breast
Movement toward the midline
CMS-1500

13. episi/
Uteris
Abnormal condition
Lower arm bone in line with the thumb
Vulva

14. -megaly
Enlargement
Forms the two lower sides of the cranium
Uteris
Front part of the body.

15. Ethmoid Bone
Discharge - Flow
Lung
Forms the roof of the nasal cavity
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

16. What is the Civil Monetary Penalties Law (CMPL)?
Tongue
Beside
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

17. -algia
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
False
Muscle
Pain

18. Palatine Bones
Gall bladder
Moving forward
Finger Bones
Upper roof of the mouth

19. hemi
CMS-1500
Half
Far from the point of attachment of the trunk.
Treatment

20. -ectomy
Removal - Excision - Resection
Little - scanty
3 (ex 311)
Breast

21. Long Bones
In front of the temporal bones
Neck Bones
Strong - broad and have large surfaces for muscles to attach to.
Breast

22. -sclerosis
Intestine
Hardening
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
False

23. 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
Turning Outward
Enlargement
Half

24. gastro/
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Stomach
Hind foot bone

25. pan
Ovary
Nose
Forms the sides of the cranium
All

26. What is Assignment of Benefits?
CMS-1500
Reimbursement is sent directly from payer to the provider.
Shin
Bone

27. What are the 3 classifications of Hypertension?
Shin
Forms the back of the skull
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
False

28. colp/
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Vagina
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Enlargement

29. tetra
Skull - Ribcage and Spine.
Liver
Four
Middle of the foot bone

30. Retraction
Treatment
Moving backward
Head
Near the point of attachment to the trunk.

31. -lysis
5. (ex 311.56)
Hind foot bone
Standards of conduct based on moral principals.
Separation - Breakdown

32. Metatarsal
All
5
Middle of the foot bone
Movement away from the midline

33. anti
Vertical plane dividing the body into Anterior and Posterior sections.
Against
Surgical Fixation
Many

34. arth/
Cartilage
Forms the roof of the nasal cavity
Birth
Turning the palm or foot upward

35. Infra
Without
Reimbursement is sent directly from payer to the provider.
Below
Moving backward

36. Inversion
Hardening
Stomach
Moving forward
Turning Inward

37. Cervical
Vagina
Reimbursement is sent directly from payer to the provider.
Nose
Neck Bones

38. oglio
Small with irregular shapes (ie wrist and ankle)
Enlargement
Little - scanty
Major skin pigment

39. -oma
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Middle of the body.
Below - deficient
Mass

40. Malleolus
Painful - difficult
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
Bones at the corner of each eye that cradle the tearducts
Ankle

41. mast/
5. (ex 311.56)
Toe Bones
Breast
The bone is broken and pierces an organ.

42. Sesamoid Bones
Hematopoietic tissue
Movement toward the midline
A pregnant woman who has had at least one pregnancy.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

43. ex
Vertical plane dividing the body to the left and the right sides.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Removal - Excision - Resection
Out - out of

44. -centisis
Fibrous bands of ligaments
Osseous
Surgical Puncture
Mass

45. Frontal - Coronal
Active - retired - survivors and their families of the Armed Forces.
All
Vertical plane dividing the body into Anterior and Posterior sections.
Many

46. What is the Civil Monetary Penalties Law (CMPL)?
Cartilage
Bone that forms the wall between the nostrils
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Vertical plane dividing the body into Anterior and Posterior sections.

47. What are the insides of bones comprised of?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Free moving joints that are surrounded by joint capsules.
A change in the code description since the last edition.
Hematopoietic tissue

48. What is hair made of?
Slow
Removal - Excision - Resection
No.
Karatin

49. Transverse/Cross Sectional
Cancer that has spread to a secondary site.
Karatin
Above
Horizontal plane dividing the upper and lower parts of the body.

50. Can you have TRICARE and CHAMPVA at the same time?
Turning the palm or foot upward
Small with irregular shapes (ie wrist and ankle)
No.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)