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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 in a Medical Record?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Below
Coccyx (Tailbone)
Osseous

2. What is a Complicated Fracture?
Treatment
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
The bone is crushed or shattered.
The bone is broken and pierces an organ.

3. arth/
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Cartilage
Sacrum
Bursting forth blood

4. How many bones are in the spine?
Bones at the corner of each eye that cradle the tearducts
26
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
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.

5. What is secondary malignancy?
Turning the palm or foot upward
Slow
Painful - difficult
Cancer that has spread to a secondary site.

6. pan
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
Middle of the foot bone
All
Fallopian tubes

7. Retraction
Moving backward
Upper Jawbone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Ankle

8. What are the key components of E/M?
Half
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
26
A new procedure or service since the previous edition.

9. Flat Bones
Beside
Separation - Breakdown
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
3 (ex 311)

10. -scopy
Reimbursement is sent directly from payer to the provider.
CMS-1500
Slow
Visual Examination

11. -rrhea
Discharge - Flow
Below - deficient
Coccyx (Tailbone)
Epinephrine and Steriods

12. What are the 5 regions of the spine?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Intestine
Blood Condition
Above

13. Can you have TRICARE and CHAMPVA at the same time?
Before
No.
Forms the sides of the cranium
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

14. What is the Civil Monetary Penalties Law (CMPL)?
Far from the point of attachment of the trunk.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
To cut into
Cartilage

15. oglio
Wrist bones
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Little - scanty
Far from the point of attachment of the trunk.

16. Carpals
Hardening
Wrist bones
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.
Strong - broad and have large surfaces for muscles to attach to.

17. What is a Complicated Fracture?
Bone that forms the wall between the nostrils
Turning Outward
Karatin
The bone is broken and pierces an organ.

18. Sesamoid Bones
Lower Jawbone
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Suture
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.

19. What is in a Medical Record?
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.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Hematopoietic tissue
Vertical plane dividing the body into Anterior and Posterior sections.

20. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Office of Inspector General (OIG)
Hardening

21. Vesicle
5. (ex 311.56)
Upper Jawbone
Small collection of clear fluid; blister
Smaller - lateral leg bone

22. cardi/
Epinephrine and Steriods
CMS
Heart
Osseous

23. Lipocyte
A break at the distal end of the bone - usually when someone tries to break their fall.
Fat cell
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Stone

24. Tarsal
Movement away from the midline
To view
No.
Hind foot bone

25. Collagen
Before
Structural protein found in skin and connective tissue.
Back part of the body.
5. (ex 311.56)

26. oophor
Four
Vertical plane dividing the body to the left and the right sides.
Reimbursement is sent directly from payer to the provider.
Ovary

27. When are V codes used?
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
Vertical plane dividing the body to the left and the right sides.
The fractured area of the bone collapses on itself.
Measure

28. What is Employer Liability?

29. Alopecia
Lunula
Moving forward
Absence of hair
Hematopoietic tissue

30. Temporal Bones
Turning Inward
Head
Forms the two lower sides of the cranium
Skull - Ribcage and Spine.

31. Supination
Head
Turning the palm or foot upward
Karatin
Ankle

32. How is Medicare's RBRVS calculated?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
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.
Finger Bones
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

33. Metatarsal
Middle of the foot bone
Stomach
Cancer that has spread to a secondary site.
Absence of hair

34. Radius
5. (ex 311.56)
Lower arm bone in line with the thumb
Stomach
Before

35. Coccygeal
Interior of the nose
Free moving joints that are surrounded by joint capsules.
Disease Condition
Coccyx (Tailbone)

36. Eversion
Lower arm bone in line with the thumb
Bursting forth blood
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
Turning Outward

37. Eversion
Ankle
Suture
Turning Outward
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

38. Short Bones
Small with irregular shapes (ie wrist and ankle)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Lunula
Pain

39. Lumbar
Lower Back
Surgical Fixation
Blood Condition
Slow

40. Mandible
Nose
Side
Lower Jawbone
Upper Arm bone

41. -plasty
Opening
Surgical Repair
Active - retired - survivors and their families of the Armed Forces.
Moving backward

42. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Strong - broad and have large surfaces for muscles to attach to.
A break at the distal end of the bone - usually when someone tries to break their fall.
Through

43. Proximal
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
Near the point of attachment to the trunk.
Bone

44. Frontal Bone
Tongue
Fibrous bands of ligaments
Forms the front part of the skull and the forehead.
Vagina

45. Lateral
Liver
The Axial Skeleton and the Appendicular Skeleton
Below
Side

46. endo
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Within
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Without

47. colp/
Vagina
CMS-1500
Absence of hair
Front part of the body.

48. Infra
Removal - Excision - Resection
Below
False
Hardening

49. salping/
Before
Fallopian tubes
Bones at the corner of each eye that cradle the tearducts
Record

50. What is Fiscal Intermediary?
Upper Back
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Measure
To view