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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 the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Movement away from the midline
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Without

2. cephal/
Four
New
Head
Cancer that has localized and not spread at all.

3. Palatine Bones
Upper roof of the mouth
Bursting forth blood
Fat cell
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

4. What is Assignment of Benefits?
Vertical plane dividing the body into Anterior and Posterior sections.
Upper Jawbone
Reimbursement is sent directly from payer to the provider.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

5. hin/
Back part of the body.
Nose
1. Insurance Reform 2. Administrative Simplification
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

6. What are bursae?
To cut into
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Four
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

7. What are the 5 regions of the spine?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Finger Bones
Upper roof of the mouth
Reimbursement is sent directly from payer to the provider.

8. pseudo
Strong - broad and have large surfaces for muscles to attach to.
False
Lower arm bone in line with the thumb
Discolored - flat lesion

9. What is Carcinoma in situ?
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 fractured area of the bone collapses on itself.
Front part of the body.
Cancer that has localized and not spread at all.

10. lapar/
No.
Abdomen
Strong - broad and have large surfaces for muscles to attach to.
Forms the two lower sides of the cranium

11. Multigravida
Between
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
Bone
A pregnant woman who has had at least one pregnancy.

12. Adduction
Movement toward the midline
Treatment
Back part of the body.
Forms the front part of the skull and the forehead.

13. -pexy
Surgical Fixation
Slow
Lower Back
Structural protein found in skin and connective tissue.

14. Metacarpals
Bones the palm of the hand
Upper roof of the mouth
Interior of the nose
Muscle

15. Fibula
Smaller - lateral leg bone
Turning Outward
Near the point of attachment to the trunk.
Active - retired - survivors and their families of the Armed Forces.

16. What is a Complicated Fracture?
CMS
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
The bone is broken and pierces an organ.
Osseous

17. How are bones categorized?
Front part of the body.
Between
Back part of the body.
The Axial Skeleton and the Appendicular Skeleton

18. gloss/
Karatin
Tongue
Removal - Excision - Resection
Vertical plane dividing the body to the left and the right sides.

19. poly
Cancer that has spread to a secondary site.
Head
Standards of conduct based on moral principals.
Many

20. -plasty
Upper roof of the mouth
Surgical Repair
Gall bladder
Out - out of

21. Tarsal
Hind foot bone
1996
A new procedure or service since the previous edition.
Small collection of clear fluid; blister

22. -algia
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Slow
Back part of the body.
Pain

23. Frontal - Coronal
Movement away from the midline
Vertical plane dividing the body into Anterior and Posterior sections.
A break at the distal end of the bone - usually when someone tries to break their fall.
Absence of hair

24. cephal/
Tongue
Enlargement
To cut into
Head

25. What does a Surgical Package (aka Global Surgery) include?
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
Noninvasive - non-spreading - nonmalignant.
Against
All

26. -centisis
Surgical Puncture
Movement away from the midline
The fractured area of the bone collapses on itself.
Fibrous bands of ligaments

27. Lateral
Side
Stone
1996
Middle of the body.

28. How is the Patients DOB entered on the claim form?
MM/DD/YY
5. (ex 311.56)
Front part of the body.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

29. How many bones are in the spine?
Milk
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Heart
26

30. hepato/
In front of the temporal bones
Liver
Heart
MM/DD/YY

31. Ethmoid Bone
Breast
Nose
Forms the roof of the nasal cavity
False

32. What are bones made of?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Ankle
Osseous
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. Palatine 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.
Upper roof of the mouth
Record
A break at the distal end of the bone - usually when someone tries to break their fall.

34. Who investigates and prosecutes Health Care fraud?
Vertical plane dividing the body into Anterior and Posterior sections.
Office of Inspector General (OIG)
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
Removal - Excision - Resection

35. Sagittal
Vertical plane dividing the body to the left and the right sides.
Noninvasive - non-spreading - nonmalignant.
Record
Far from the point of attachment of the trunk.

36. Can you have TRICARE and CHAMPVA at the same time?
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.
No.
Painful - difficult
Epinephrine and Steriods

37. Frontal Bone
1. Insurance Reform 2. Administrative Simplification
Head
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Forms the front part of the skull and the forehead.

38. Alopecia
Lower Jawbone
Absence of hair
Suture
Strong - broad and have large surfaces for muscles to attach to.

39. When was the Health Information and Accountability Act (HIPAA) created?
Moving backward
1996
Upper Back
Turning Inward

40. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Major skin pigment
A break at the distal end of the bone - usually when someone tries to break their fall.
4. (ex 311.0)

41. What is Fiscal Intermediary?
Removal - Excision - Resection
The fractured area of the bone collapses on itself.
Near the point of attachment to the trunk.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

42. supra
Above
1. Insurance Reform 2. Administrative Simplification
Bacterial inflammatory skin disease with lesions - pustules and vesicles
5

43. What is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
1. Insurance Reform 2. Administrative Simplification
Painful - difficult
Wrist bones

44. Flat Bones
Vagina
Bone that forms the wall between the nostrils
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Hardening

45. What does a bullet in the CPT code book next to a code mean?
Discolored - flat lesion
A new procedure or service since the previous edition.
Forms the front part of the skull and the forehead.
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.

46. When are E codes used?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Front part of the body.
Out - out of
In the cause of injury - poisoning - accidents or other adverse effects.

47. Flat Bones
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
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Painful - difficult
Death of tissue due to loss of blood supply

48. nat/
Half
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Birth

49. -lysis
The bone is broken and pierces an organ.
Separation - Breakdown
Pain
5

50. -pexy
Surgical Fixation
Vagina
Osseous
Active - retired - survivors and their families of the Armed Forces.