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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. Abduction
Uteris
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Movement away from the midline
Heart

2. Ulna
New
Coccyx (Tailbone)
Lower medial arm bone
Bursting forth blood

3. Tibia
Small with irregular shapes (ie wrist and ankle)
Enlargement
Shin
Major skin pigment

4. episi/
Bone that forms the wall between the nostrils
Before - in front of
Vulva
Shin

5. Vesicle
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Small collection of clear fluid; blister
Side

6. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
Within
Lunula
Little - scanty

7. How is the Patients DOB entered on the claim form?
MM/DD/YY
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Standards of conduct based on moral principals.
Movement away from the midline

8. lact/
Bone
Milk
Skin
Standards of conduct based on moral principals.

9. Alopecia
Absence of hair
Horizontal plane dividing the upper and lower parts of the body.
Through
Heart

10. Alopecia
Absence of hair
Forms the roof of the nasal cavity
Without
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

11. When are V codes used?
Bone that forms the wall between the nostrils
Within
Under
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

12. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
A break at the distal end of the bone - usually when someone tries to break their fall.
Within
Epinephrine and Steriods

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

14. mast/
Suture
Separation - Breakdown
Ankle
Breast

15. anti
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Against
Cancer that has spread to a secondary site.
Between

16. -rrhea
Lunula
Gall bladder
Cartilage
Discharge - Flow

17. arth/
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Movement away from the midline
Forms the front part of the skull and the forehead.
Cartilage

18. -megaly
Nose
Enlargement
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Free moving joints that are surrounded by joint capsules.

19. ante
Before
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Forms the sides of the cranium
Half

20. -meter
Muscle
Forms the two lower sides of the cranium
Karatin
Measure

21. lapar/
All
Abdomen
The Axial Skeleton and the Appendicular Skeleton
Removal - Excision - Resection

22. poly
Muscle
Treatment
Cancer that has spread to a secondary site.
Many

23. lapar/
Abdomen
Toe Bones
Abnormal condition
Free moving joints that are surrounded by joint capsules.

24. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Visual Examination
Milk
Lunula

25. hemi
Half
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Vagina
Vulva

26. What is a compression fracture?
The fractured area of the bone collapses on itself.
Bone that forms the wall between the nostrils
False
Active - retired - survivors and their families of the Armed Forces.

27. Tarsal
Strong - broad and have large surfaces for muscles to attach to.
Hind foot bone
Moving forward
Heart

28. Phalanx
Absence of hair
Vertical plane dividing the body into Anterior and Posterior sections.
Skin
Toe Bones

29. hyster/
Record
Fibrous bands of ligaments
Many
Uteris

30. lact/
Milk
Office of Inspector General (OIG)
4. (ex 311.0)
Mass

31. Lumbar
Head
Blood Condition
Lower Back
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.

32. chondro/
Side
Cartilage
Enlargement
Shoulder - collar - pelvic - arms and legs.

33. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Bones the palm of the hand
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

34. What is the False Claims Act (FCA)
Lower Jawbone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bones at the corner of each eye that cradle the tearducts
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

35. What are the two types of edits that the NCCI implements?
Above
Hardening
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.
No.

36. What is Employer Liability?

37. a - an
Moving forward
Without
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Stone

38. pre
Movement away from the midline
Forms the sides of the cranium
Before - in front of
5. (ex 311.56)

39. Proximal
Near the point of attachment to the trunk.
The bone is broken and pierces an organ.
Before
26

40. ante
Shin
Before
Muscle
Intestine

41. tetra
Four
To cut into
Osseous
Treatment

42. oglio
Uteris
Strong - broad and have large surfaces for muscles to attach to.
Little - scanty
4. (ex 311.0)

43. -oma
Out - out of
5
Mass
Breast

44. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Lung
Reimbursement is sent directly from payer to the provider.
Out - out of

45. Parietal Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Finger Bones
Forms the sides of the cranium
Removal - Excision - Resection

46. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
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 at the corner of each eye that cradle the tearducts
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

47. Posterior/Dorsal
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Back part of the body.
CMS
Abdomen

48. neo
Ankle
Blood Condition
Muscle
New

49. How many digits does an ICD-9 Subcategory code have?
Intestine
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Standards of conduct based on moral principals.
4. (ex 311.0)

50. -therapy
Vulva
Treatment
Reimbursement is sent directly from payer to the provider.
Forms the roof of the nasal cavity