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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. Tibia
1. Insurance Reform 2. Administrative Simplification
Shin
Bone that forms the wall between the nostrils
Fallopian tubes

2. Ethmoid Bone
CMS
Major skin pigment
False
Forms the roof of the nasal cavity

3. What is a Comminuted Fracture?
Interior of the nose
The bone is crushed or shattered.
Toe Bones
1. Insurance Reform 2. Administrative Simplification

4. What are the 2 types of sweat glands?
1996
Smaller - lateral leg bone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Discharge - Flow

5. Who developed HCPCs codes?
CMS
Karatin
Stone
1. Insurance Reform 2. Administrative Simplification

6. arth/
Abdomen
Nose
Cartilage
Forms the front part of the skull and the forehead.

7. What are the 3 classifications of Hypertension?
Forms the two lower sides of the cranium
Discharge - Flow
Intestine
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

8. Long Bones
Forms the sides of the cranium
Muscle
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Strong - broad and have large surfaces for muscles to attach to.

9. mast/
Under
Middle of the body.
Breast
Cartilage

10. hepato/
False
Record
Bone
Liver

11. How many volumes is the ICD-9 manual divided into?
Lunula
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Removal - Excision - Resection

12. What is the False Claims Act (FCA)
Abdomen
Ovary
Neck Bones
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

13. Infra
In front of the temporal bones
Skull - Ribcage and Spine.
Below
Wrist bones

14. What are bones made of?
Before
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.
Osseous
Breast

15. How is Medicare's RBRVS calculated?
Enlargement
Standards of conduct based on moral principals.
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
Pain

16. What is the name of the claim form that is standard for submitting claims?
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.
CMS-1500
Small with irregular shapes (ie wrist and ankle)
Little - scanty

17. What is the Civil Monetary Penalties Law (CMPL)?
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
Above
1. Insurance Reform 2. Administrative Simplification
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

18. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Little - scanty
Milk
Slow

19. Palatine Bones
A break at the distal end of the bone - usually when someone tries to break their fall.
Treatment
Upper roof of the mouth
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

20. -centisis
Middle of the foot bone
Surgical Puncture
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Active - retired - survivors and their families of the Armed Forces.

21. Sesamoid Bones
Surgical Repair
Forms the back of the skull
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Vulva

22. Maxilla
Cartilage
Upper Jawbone
Forms the two lower sides of the cranium
Ovary

23. Metatarsal
A change in the code description since the last edition.
Smaller - lateral leg bone
The fractured area of the bone collapses on itself.
Middle of the foot bone

24. pan
All
Discharge - Flow
Between
No.

25. What is a Complicated Fracture?
Measure
The bone is broken and pierces an organ.
Karatin
Noninvasive - non-spreading - nonmalignant.

26. Gangrene
Above
False
Death of tissue due to loss of blood supply
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

27. What is a Qualified Diagnosis
Treatment
Beside
A working diagnosis that has not yet been established.
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.

28. stomat/
Moving backward
Disease Condition
Mouth
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

29. Wheal
Forms the front part of the skull and the forehead.
Out - out of
Osseous
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

30. Phalanges
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
To view
Milk
Finger Bones

31. Fibula
CMS
Smaller - lateral leg bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Death of tissue due to loss of blood supply

32. Coccygeal
Coccyx (Tailbone)
Inflammation
Middle of the foot bone
The bone is broken and pierces an organ.

33. supra
Near the point of attachment to the trunk.
Intestine
Enlargement
Above

34. What are the 5 regions of the spine?
Cancer that has spread to a secondary site.
Half
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Bones at the corner of each eye that cradle the tearducts

35. When was the Health Information and Accountability Act (HIPAA) created?
1996
Above
Birth
Lower Jawbone

36. What is the moon like white area at the base of the nail called?
A pregnant woman who has had at least one pregnancy.
CMS-1500
Inflammation
Lunula

37. Retraction
Moving backward
New
4. (ex 311.0)
Record

38. cephal/
A change in the code description since the last edition.
Out - out of
Head
Heart

39. Maxilla
Upper Jawbone
Four
Intestine
Bursting forth blood

40. -pexy
Stomach
Surgical Fixation
Neck Bones
A break at the distal end of the bone - usually when someone tries to break their fall.

41. cholecyst/
Gall bladder
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
CMS-1500
Turning the palm or foot upward

42. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Lower medial arm bone
Karatin
Below

43. Inversion
Small collection of clear fluid; blister
Through
Turning Inward
Noninvasive - non-spreading - nonmalignant.

44. How many digits does an ICD-9 Category code have?
Vertical plane dividing the body to the left and the right sides.
A new procedure or service since the previous edition.
3 (ex 311)
Uteris

45. anti
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Surgical Repair
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
Against

46. -rrhea
MM/DD/YY
Discharge - Flow
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.
Karatin

47. Alopecia
Vertical plane dividing the body into Anterior and Posterior sections.
Finger Bones
Standards of conduct based on moral principals.
Absence of hair

48. Ulna
Vertical plane dividing the body to the left and the right sides.
Against
Lower medial arm bone
Pain

49. What does a Surgical Package (aka Global Surgery) include?
Movement toward 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.
Forms the roof of the nasal cavity
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

50. Vomer
The fractured area of the bone collapses on itself.
Bone that forms the wall between the nostrils
CMS
Head