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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. Vesicle
Bone
Small collection of clear fluid; blister
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Absence of hair

2. -osis
Active - retired - survivors and their families of the Armed Forces.
Before - in front of
Abnormal condition
Opening

3. What are the insides of bones comprised of?
26
Finger Bones
Hematopoietic tissue
Separation - Breakdown

4. neo
New
Below - deficient
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

5. episi/
Slow
Middle of the foot bone
Vulva
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

6. What is the Axial Skeleton comprised of?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Epinephrine and Steriods
A break at the distal end of the bone - usually when someone tries to break their fall.
Skull - Ribcage and Spine.

7. Gangrene
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.
Death of tissue due to loss of blood supply
Pain
Discharge - Flow

8. Abduction
Cancer that has localized and not spread at all.
Movement away from the midline
To view
Small with irregular shapes (ie wrist and ankle)

9. poly
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.
Middle of the foot 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.
Many

10. pre
Major skin pigment
Before - in front of
Between
Moving forward

11. Who developed HCPCs codes?
Lower arm bone in line with the thumb
Sacrum
Shoulder - collar - pelvic - arms and legs.
CMS

12. cardi/
In the cause of injury - poisoning - accidents or other adverse effects.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Tongue
Heart

13. Phalanx
Intestine
Toe Bones
Interior of the nose
Lunula

14. What are the two provisions of HIPPA?
Cartilage
Painful - difficult
1. Insurance Reform 2. Administrative Simplification
Tongue

15. stomat/
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Smaller - lateral leg bone
Mouth
Visual Examination

16. How is the Patients DOB entered on the claim form?
A pregnant woman who has had at least one pregnancy.
Nose
Bone
MM/DD/YY

17. What is Fiscal Intermediary?
The Axial Skeleton and the Appendicular Skeleton
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Painful - difficult
Fat cell

18. What is CHAMPVA
Bursting forth blood
Middle of the body.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

19. Phalanges
Finger Bones
Record
Gall bladder
Back part of the body.

20. -gram
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
All
1. Insurance Reform 2. Administrative Simplification
Record

21. Metacarpals
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Gall bladder
Bones the palm of the hand
Shoulder - collar - pelvic - arms and legs.

22. pseudo
Shin
False
CMS-1500
Shin

23. pneum/
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.
Cancer that has spread to a secondary site.
Cartilage
Lung

24. Lipocyte
Middle of the foot bone
Mass
Fat cell
Forms the sides of the cranium

25. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Bone
Wrist bones
Treatment

26. How is the Patients DOB entered on the claim form?
MM/DD/YY
Forms the front part of the skull and the forehead.
Vagina
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

27. -algia
To cut into
26
Pain
Heart

28. Parietal Bones
Forms the sides of the cranium
A pregnant woman who has had at least one pregnancy.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Measure

29. What is secondary malignancy?
Hardening
Cancer that has spread to a secondary site.
Below
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.

30. What is a Colles Fracture?
Stone
Vertical plane dividing the body to the left and the right sides.
Head
A break at the distal end of the bone - usually when someone tries to break their fall.

31. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Opening
Beside
Neck Bones

32. Supination
Above
Coccyx (Tailbone)
Sacrum
Turning the palm or foot upward

33. -megaly
3 (ex 311)
Coccyx (Tailbone)
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.
Enlargement

34. Inferior nasal conchae
Surgical Fixation
Interior of the nose
Bursting forth blood
Wrist bones

35. Tibia
Moving forward
To cut into
Shin
Vertical plane dividing the body into Anterior and Posterior sections.

36. Metatarsal
Many
Back part of the body.
No.
Middle of the foot bone

37. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
Before
Half
Through

38. How many bones are in the spine?
Interior of the nose
Without
26
Back part of the body.

39. hin/
Movement away from the midline
Nose
Active - retired - survivors and their families of the Armed Forces.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

40. nat/
Moving forward
Birth
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Cartilage

41. lith/
Gall bladder
Sacrum
Stone
Movement away from the midline

42. brady
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Mass
Slow
Lung

43. Metatarsal
Above
Little - scanty
Middle of the foot bone
A break at the distal end of the bone - usually when someone tries to break their fall.

44. When billing an insurance company - what information must be included?
Intestine
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Standards of conduct based on moral principals.
Turning the palm or foot upward

45. Zygoma
Bones the palm of the hand
Cheek Bone
To view
Out - out of

46. Coccygeal
Forms the two lower sides of the cranium
Lower Jawbone
Coccyx (Tailbone)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

47. myo/
Hematopoietic tissue
Muscle
Lower arm bone in line with the thumb
Back part of the body.

48. What is in a Medical Record?
Reimbursement is sent directly from payer to the provider.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Above

49. -gram
Bursting forth blood
Turning Outward
Record
Painful - difficult

50. What is Carcinoma in situ?
Moving forward
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Office of Inspector General (OIG)
Cancer that has localized and not spread at all.