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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. -ectomy
The fractured area of the bone collapses on itself.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Strong - broad and have large surfaces for muscles to attach to.
Removal - Excision - Resection

2. What are bones made of?
Osseous
Within
The bone is broken and pierces an organ.
Lower arm bone in line with the thumb

3. Ulna
Moving forward
Lower medial arm bone
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Lower Jawbone

4. neo
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Sacrum
Birth
New

5. When billing an insurance company - what information must be included?
Noninvasive - non-spreading - nonmalignant.
Far from the point of attachment of the trunk.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Forms the sides of the cranium

6. Wheal
A new procedure or service since the previous edition.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Vertical plane dividing the body to the left and the right sides.
Forms the back of the skull

7. -stomy
Opening
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Inflammation
1996

8. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Major skin pigment
Under

9. ante
Vertical plane dividing the body into Anterior and Posterior sections.
Before
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Beside

10. What is a Colles Fracture?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Hind foot bone
A break at the distal end of the bone - usually when someone tries to break their fall.
Upper Arm bone

11. -itis
Before - in front of
Moving backward
Inflammation
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

12. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
3 (ex 311)
Mass
Beside

13. poly
Before
Cartilage
The bone is broken and pierces an organ.
Many

14. -lysis
Separation - Breakdown
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
Small collection of clear fluid; blister
All

15. Proximal
Forms the sides of the cranium
5. (ex 311.56)
To cut into
Near the point of attachment to the trunk.

16. -therapy
Discolored - flat lesion
Lower Back
Gall bladder
Treatment

17. Sacral
Movement toward the midline
Sacrum
Cartilage
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

18. What are the two types of edits that the NCCI implements?
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.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Removal - Excision - Resection
Active - retired - survivors and their families of the Armed Forces.

19. How is Usual - Customary and Reasonable pricing calculated?

20. mast/
False
Intestine
Breast
Turning Inward

21. cephal/
Interior of the nose
Head
Strong - broad and have large surfaces for muscles to attach to.
Bursting forth blood

22. Gangrene
Movement toward the midline
Death of tissue due to loss of blood supply
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
Toe Bones

23. Thoracic
Slow
Forms the sides of the cranium
Upper Back
Lower Back

24. -therapy
No.
Treatment
Shin
Lower arm bone in line with the thumb

25. Temporal Bones
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
In front of the temporal bones
Painful - difficult
Forms the two lower sides of the cranium

26. What is secondary malignancy?
Cancer that has spread to a secondary site.
Head
Bone
Abdomen

27. Anterior/Ventral
Front part of the body.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Birth
Hind foot bone

28. Frontal - Coronal
3 (ex 311)
Before
New
Vertical plane dividing the body into Anterior and Posterior sections.

29. episi/
The Axial Skeleton and the Appendicular Skeleton
Vulva
Vertical plane dividing the body to the left and the right sides.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

30. Occipital Bone
Tongue
Fallopian tubes
CMS-1500
Forms the back of the skull

31. myo/
Muscle
Before
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Gall bladder

32. What is a Qualified Diagnosis
Structural protein found in skin and connective tissue.
Tongue
Hardening
A working diagnosis that has not yet been established.

33. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
Bone
Mouth
Moving forward

34. a - an
Half
Smaller - lateral leg bone
Without
Osseous

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

36. Ethmoid Bone
Surgical Repair
Side
Opening
Forms the roof of the nasal cavity

37. Supination
Opening
Bones at the corner of each eye that cradle the tearducts
Below - deficient
Turning the palm or foot upward

38. What are bursae?
Structural protein found in skin and connective tissue.
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 that forms the wall between the nostrils
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

39. What is CHAMPVA
Forms the front part of the skull and the forehead.
Nose
Turning the palm or foot upward
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

40. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
Enlargement
Breast
Mouth

41. Posterior/Dorsal
Discharge - Flow
Fallopian tubes
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.
Back part of the body.

42. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Office of Inspector General (OIG)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
The bone is crushed or shattered.

43. Retraction
Above
Moving backward
Blood Condition
Muscle

44. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Abnormal condition
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
Forms the two lower sides of the cranium

45. -pathy
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
The Axial Skeleton and the Appendicular Skeleton
Disease Condition
Far from the point of attachment of the trunk.

46. Macule
Separation - Breakdown
Skull - Ribcage and Spine.
Discolored - flat lesion
Lower arm bone in line with the thumb

47. Fibula
Separation - Breakdown
Noninvasive - non-spreading - nonmalignant.
Smaller - lateral leg bone
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

48. Parietal Bones
Treatment
Under
Forms the sides of the cranium
Middle of the foot bone

49. oglio
Turning Outward
Wrist bones
Little - scanty
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

50. What is a Complicated Fracture?
Tongue
Bone that forms the wall between the nostrils
The bone is broken and pierces an organ.
Heart