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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. -meter
Measure
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.
Gall bladder
Sacrum

2. anti
Small with irregular shapes (ie wrist and ankle)
Against
Visual Examination
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

3. What is Fiscal Intermediary?
Smaller - lateral leg bone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Liver
No.

4. -ectomy
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Removal - Excision - Resection
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.
Cheek Bone

5. Proximal
Horizontal plane dividing the upper and lower parts of the body.
Surgical Repair
Smaller - lateral leg bone
Near the point of attachment to the trunk.

6. oophor
Cartilage
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Nose
Ovary

7. -pathy
Disease Condition
Middle of the foot bone
Small with irregular shapes (ie wrist and ankle)
Stone

8. What is the Civil Monetary Penalties Law (CMPL)?
Without
Above
False
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

9. What does a Surgical Package (aka Global Surgery) include?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Stone
Bacterial inflammatory skin disease with lesions - pustules and vesicles
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

10. Adduction
Movement toward the midline
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Interior of the nose
4. (ex 311.0)

11. What are the 2 types of sweat glands?
Fibrous bands of ligaments
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Active - retired - survivors and their families of the Armed Forces.
Between

12. hyster/
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Separation - Breakdown
Uteris
Mass

13. Who developed HCPCs codes?
Hematopoietic tissue
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Lower medial arm bone
CMS

14. Short Bones
A pregnant woman who has had at least one pregnancy.
Against
Front part of the body.
Small with irregular shapes (ie wrist and ankle)

15. Vesicle
Treatment
Bones the palm of the hand
Small collection of clear fluid; blister
Against

16. supra
Above
Fibrous bands of ligaments
Slow
Stone

17. What is a Qualified Diagnosis
Horizontal plane dividing the upper and lower parts of the body.
A working diagnosis that has not yet been established.
Many
Lunula

18. tetra
Cheek Bone
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Muscle
Four

19. brady
To view
Osseous
Lung
Slow

20. oste/
Bone
Wrist bones
Above
Cartilage

21. gloss/
Treatment
Small collection of clear fluid; blister
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Tongue

22. What are the insides of bones comprised of?
Surgical Repair
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Hematopoietic tissue
Small collection of clear fluid; blister

23. colp/
Many
Upper Back
Within
Vagina

24. Who does TRICARE cover?
A change in the code description since the last edition.
Shin
Active - retired - survivors and their families of the Armed Forces.
Skull - Ribcage and Spine.

25. What is a Colles Fracture?
Death of tissue due to loss of blood supply
A break at the distal end of the bone - usually when someone tries to break their fall.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Record

26. Palatine Bones
Bones at the corner of each eye that cradle the tearducts
Lower arm bone in line with the thumb
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Upper roof of the mouth

27. Tibia
Small collection of clear fluid; blister
A break at the distal end of the bone - usually when someone tries to break their fall.
Little - scanty
Shin

28. What is Carcinoma in situ?
Far from the point of attachment of the trunk.
Cancer that has localized and not spread at all.
Beside
Forms the roof of the nasal cavity

29. Fibula
Back part of the body.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Smaller - lateral leg bone
Many

30. Humerus
Upper Arm bone
In the cause of injury - poisoning - accidents or other adverse effects.
Gall bladder
5

31. Anterior/Ventral
Major skin pigment
All
Discolored - flat lesion
Front part of the body.

32. -rrhaphy
CMS-1500
Suture
Free moving joints that are surrounded by joint capsules.
Fallopian tubes

33. -osis
Abnormal condition
Under
Abdomen
Karatin

34. inter
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
Between
Wrist bones
Shoulder - collar - pelvic - arms and legs.

35. nat/
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Middle of the body.
Movement away from the midline
Birth

36. What are bones connected together with?
Vagina
Fallopian tubes
Fibrous bands of ligaments
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

37. Inversion
Turning Inward
Lower Back
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Ovary

38. Cervical
A pregnant woman who has had at least one pregnancy.
Moving forward
Cheek Bone
Neck Bones

39. supra
Below
Above
Free moving joints that are surrounded by joint capsules.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

40. stomat/
Lower Back
Below
Absence of hair
Mouth

41. -megaly
Visual Examination
Enlargement
Upper roof of the mouth
Above

42. oophor
Movement toward the midline
Painful - difficult
Ovary
Opening

43. cholecyst/
Structural protein found in skin and connective tissue.
Gall bladder
1. Insurance Reform 2. Administrative Simplification
A break at the distal end of the bone - usually when someone tries to break their fall.

44. When was the Health Information and Accountability Act (HIPAA) created?
Karatin
1996
Through
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

45. -gram
Forms the sides of the cranium
Record
Birth
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.

46. How is Medicare's RBRVS calculated?
Movement away from the midline
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
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Forms the front part of the skull and the forehead.

47. -ectomy
Enlargement
Hardening
Surgical Repair
Removal - Excision - Resection

48. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Under
Smaller - lateral leg bone
Inflammation

49. Distal
1. Insurance Reform 2. Administrative Simplification
Moving forward
Far from the point of attachment of the trunk.
Enlargement

50. Sesamoid Bones
Beside
Standards of conduct based on moral principals.
The Axial Skeleton and the Appendicular Skeleton
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)