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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. lith/
A break at the distal end of the bone - usually when someone tries to break their fall.
Far from the point of attachment of the trunk.
Stone
Turning Outward

2. What is the National Correct Coding Initiative (NCCI)?
Surgical Puncture
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
The fractured area of the bone collapses on itself.
Vulva

3. Temporal Bones
Forms the two lower sides of the cranium
Office of Inspector General (OIG)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Intestine

4. Lipocyte
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Below - deficient
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Fat cell

5. What are the 5 regions of the spine?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
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.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

6. What are the 2 types of glands on the skin?
In the cause of injury - poisoning - accidents or other adverse effects.
Abdomen
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

7. -pathy
Within
Coccyx (Tailbone)
Disease Condition
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. Flat Bones
Far from the point of attachment of the trunk.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Forms the sides of the cranium
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

9. Phalanges
Forms the back of the skull
Finger 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.
Opening

10. What is Carcinoma in situ?
Discolored - flat lesion
Upper Arm bone
Visual Examination
Cancer that has localized and not spread at all.

11. What are the 2 types of sweat glands?
Abdomen
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Turning Outward
Between

12. Coccygeal
Lung
Under
Small collection of clear fluid; blister
Coccyx (Tailbone)

13. What is hair made of?
Reimbursement is sent directly from payer to the provider.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Karatin
1996

14. Zygoma
Moving forward
Head
Forms the back of the skull
Cheek Bone

15. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Little - scanty
Middle of the foot bone

16. -ectomy
A new procedure or service since the previous edition.
Abnormal condition
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Removal - Excision - Resection

17. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Fibrous bands of ligaments
Fat cell
Strong - broad and have large surfaces for muscles to attach to.

18. What are Medical Ethics?
Milk
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
In the cause of injury - poisoning - accidents or other adverse effects.
Standards of conduct based on moral principals.

19. pre
Before - in front of
Lunula
Discharge - Flow
To cut into

20. What are Medical Ethics?
New
Removal - Excision - Resection
Standards of conduct based on moral principals.
Bone that forms the wall between the nostrils

21. lact/
Record
Forms the front part of the skull and the forehead.
Milk
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.

22. Inversion
Hardening
Strong - broad and have large surfaces for muscles to attach to.
Turning Inward
Cartilage

23. sub
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
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
A pregnant woman who has had at least one pregnancy.

24. cardi/
Heart
Hind foot bone
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Discharge - Flow

25. Temporal Bones
Fallopian tubes
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Forms the two lower sides of the cranium
Strong - broad and have large surfaces for muscles to attach to.

26. hemi
Half
Fallopian tubes
A break at the distal end of the bone - usually when someone tries to break their fall.
Reimbursement is sent directly from payer to the provider.

27. What are the two types of edits that the NCCI implements?
All
Fallopian tubes
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.
Death of tissue due to loss of blood supply

28. -tomy
To cut into
Karatin
New
Bacterial inflammatory skin disease with lesions - pustules and vesicles

29. Posterior/Dorsal
Measure
Absence of hair
Back part of the body.
Ankle

30. neo
Shoulder - collar - pelvic - arms and legs.
Smaller - lateral leg bone
New
Lung

31. pneum/
Above
Lung
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
CMS-1500

32. How many regions is the spinal/vertebral column divided into?
Forms the roof of the nasal cavity
Without
5
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

33. Macule
Little - scanty
Discolored - flat lesion
Skull - Ribcage and Spine.
Stomach

34. -sclerosis
Hardening
Below - deficient
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Opening

35. -gram
Bones the palm of the hand
Breast
26
Record

36. What are the two types of edits that the NCCI implements?
Under
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.
Movement away from the midline
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.

37. Sacral
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
4. (ex 311.0)
Near the point of attachment to the trunk.
Sacrum

38. mast/
Breast
Four
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Between

39. What is CHAMPVA
Absence of hair
1996
1. Insurance Reform 2. Administrative Simplification
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

40. cholecyst/
Gall bladder
Noninvasive - non-spreading - nonmalignant.
Front part of the body.
Muscle

41. How many digits does an ICD-9 Subclassification code have?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
5. (ex 311.56)
Before - in front of
Ankle

42. -rrhagia
Turning Inward
Bursting forth blood
Milk
5

43. -itis
Reimbursement is sent directly from payer to the provider.
Inflammation
Fallopian tubes
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

44. What is the moon like white area at the base of the nail called?
Lunula
Lower Jawbone
Strong - broad and have large surfaces for muscles to attach to.
Hind foot bone

45. What is primary malignancy?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Between
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
A new procedure or service since the previous edition.

46. Adduction
Epinephrine and Steriods
4. (ex 311.0)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Movement toward the midline

47. sub
Fat cell
Visual Examination
Under
Heart

48. Occipital Bone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Forms the back of the skull
Through
Hind foot bone

49. Transverse/Cross Sectional
Little - scanty
Horizontal plane dividing the upper and lower parts of the body.
Wrist bones
Enlargement

50. Infra
Office of Inspector General (OIG)
Below
Small with irregular shapes (ie wrist and ankle)
Shoulder - collar - pelvic - arms and legs.