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Medical Coding Basics

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. How is the Patients DOB entered on the claim form?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
MM/DD/YY
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Front part of the body.

2. Lipocyte
Office of Inspector General (OIG)
Bone that forms the wall between the nostrils
Fat cell
Bone

3. Parietal Bones
Upper roof of the mouth
Tongue
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Forms the sides of the cranium

4. -osis
Small with irregular shapes (ie wrist and ankle)
Abnormal condition
Beside
The bone is crushed or shattered.

5. Impetigo
Coccyx (Tailbone)
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Strong - broad and have large surfaces for muscles to attach to.
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

6. What is hair made of?
Turning Outward
Karatin
Surgical Puncture
Mouth

7. neo
Coccyx (Tailbone)
Movement toward the midline
New
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

8. Occipital Bone
Cancer that has spread to a secondary site.
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.
Upper roof of the mouth
Forms the back of the skull

9. What is Employer Liability?

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10. Transverse/Cross Sectional
Within
Side
Smaller - lateral leg bone
Horizontal plane dividing the upper and lower parts of the body.

11. How many digits does an ICD-9 Category code have?
3 (ex 311)
Under
Small with irregular shapes (ie wrist and ankle)
Liver

12. Lipocyte
Turning Outward
Fat cell
The fractured area of the bone collapses on itself.
CMS-1500

13. Distal
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.
Far from the point of attachment of the trunk.
Vertical plane dividing the body into Anterior and Posterior sections.
Disease Condition

14. What is primary malignancy?
Under
Separation - Breakdown
Disease Condition
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

15. Lacrimal Bones
Inflammation
Lower Back
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Bones at the corner of each eye that cradle the tearducts

16. -pathy
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Disease Condition
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.
Turning Inward

17. What are the 3 layers of skin?
Bone that forms the wall between the nostrils
Turning Outward
Milk
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

18. Inferior nasal conchae
Treatment
Horizontal plane dividing the upper and lower parts of the body.
A new procedure or service since the previous edition.
Interior of the nose

19. hepato/
The bone is crushed or shattered.
Hind foot bone
A working diagnosis that has not yet been established.
Liver

20. What are the insides of bones comprised of?
Upper Jawbone
Milk
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Hematopoietic tissue

21. salping/
Fallopian tubes
Near the point of attachment to the trunk.
Liver
Many

22. supra
Above
1996
Upper roof of the mouth
Painful - difficult

23. endo
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Within
Turning the palm or foot upward
Hind foot bone

24. Short Bones
Above
4. (ex 311.0)
Half
Small with irregular shapes (ie wrist and ankle)

25. What is the National Correct Coding Initiative (NCCI)?
Cheek Bone
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Stone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

26. What is the Appendicular Skeleton comprised of?
Far from the point of attachment of the trunk.
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
Shoulder - collar - pelvic - arms and legs.
Cartilage

27. What is a compression fracture?
Abdomen
Standards of conduct based on moral principals.
Little - scanty
The fractured area of the bone collapses on itself.

28. -sclerosis
Tongue
Hardening
Below - deficient
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

29. What is a Colles Fracture?
Back part of the body.
A break at the distal end of the bone - usually when someone tries to break their fall.
Below - deficient
Fibrous bands of ligaments

30. What is Benign?
Upper Back
Back part of the body.
Noninvasive - non-spreading - nonmalignant.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

31. salping/
Above
CMS
A pregnant woman who has had at least one pregnancy.
Fallopian tubes

32. How many regions is the spinal/vertebral column divided into?
Upper roof of the mouth
5
Sacrum
3 (ex 311)

33. pneum/
Half
Lung
Head
Fallopian tubes

34. Fibula
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Little - scanty
Smaller - lateral leg bone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

35. oglio
A working diagnosis that has not yet been established.
Turning the palm or foot upward
A pregnant woman who has had at least one pregnancy.
Little - scanty

36. Macule
Discolored - flat lesion
Upper roof of the mouth
The Axial Skeleton and the Appendicular Skeleton
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

37. Macule
CMS
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Discolored - flat lesion
Hematopoietic tissue

38. Occipital Bone
Forms the back of the skull
To cut into
Sacrum
A new procedure or service since the previous edition.

39. cephal/
Slow
Blood Condition
Head
Forms the two lower sides of the cranium

40. poly
The bone is broken and pierces an organ.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Many
Vagina

41. lact/
Stomach
Milk
Cartilage
Vulva

42. Tibia
Horizontal plane dividing the upper and lower parts of the body.
Forms the front part of the skull and the forehead.
Toe Bones
Shin

43. How many digits does an ICD-9 Category code have?
3 (ex 311)
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Lung
Above

44. Palatine Bones
Upper roof of the mouth
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
The bone is crushed or shattered.
The bone is broken and pierces an organ.

45. Parietal Bones
Forms the sides of the cranium
26
Lung
Neck Bones

46. Malleolus
Moving backward
Lung
Slow
Ankle

47. dys
All
To view
Vulva
Painful - difficult

48. When was the Health Information and Accountability Act (HIPAA) created?
1996
Upper Back
Middle of the foot bone
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

49. -emia
Removal - Excision - Resection
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. 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.
Blood Condition

50. When can a provider share PHI without specific permission from the patient?

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Medical Coding Basics

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