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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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. How many volumes is the ICD-9 manual divided into?
Stone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Within
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

2. hepato/
Turning Inward
Liver
Discolored - flat lesion
Hardening

3. per
Forms the front part of the skull and the forehead.
Abnormal condition
Through
A pregnant woman who has had at least one pregnancy.

4. What are the insides of bones comprised of?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Lower Jawbone
Hematopoietic tissue
Structural protein found in skin and connective tissue.

5. Protraction
Moving forward
Vertical plane dividing the body to the left and the right sides.
In the cause of injury - poisoning - accidents or other adverse effects.
Half

6. Collagen
Surgical Puncture
Discolored - flat lesion
Structural protein found in skin and connective tissue.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

7. Sacral
5
Sacrum
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Nose

8. brady
Hardening
Above
Turning Outward
Slow

9. lith/
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Blood Condition
Hardening
Stone

10. What is Assignment of Benefits?
Toe Bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Reimbursement is sent directly from payer to the provider.
Bone that forms the wall between the nostrils

11. Sacral
Removal - Excision - Resection
Sacrum
Breast
Cartilage

12. arth/
Shin
Separation - Breakdown
Cartilage
A new procedure or service since the previous edition.

13. Medial
Discharge - Flow
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Ovary
Middle of the body.

14. dys
Painful - difficult
4. (ex 311.0)
Bone that forms the wall between the nostrils
A change in the code description since the last edition.

15. inter
Movement away from the midline
Painful - difficult
Inflammation
Between

16. Frontal Bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Birth
Forms the front part of the skull and the forehead.

17. oste/
Bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Structural protein found in skin and connective tissue.
Muscle

18. salping/
Osseous
New
Fallopian tubes
Bone that forms the wall between the nostrils

19. -therapy
Cancer that has localized and not spread at all.
Skin
Treatment
Removal - Excision - Resection

20. Radius
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
5. (ex 311.56)
Lower arm bone in line with the thumb
Head

21. sub
Stone
Inflammation
Under
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

22. When was the Health Information and Accountability Act (HIPAA) created?
1996
Middle of the foot bone
MM/DD/YY
Turning Outward

23. -rrhea
Turning Outward
5. (ex 311.56)
Discharge - Flow
Surgical Fixation

24. Medial
Forms the roof of the nasal cavity
Movement toward the midline
In the cause of injury - poisoning - accidents or other adverse effects.
Middle of the body.

25. How is Medicare's RBRVS calculated?
CMS-1500
Far from the point of attachment of the trunk.
Structural protein found in skin and connective tissue.
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

26. Zygoma
5
Cheek Bone
Mouth
Four

27. -scopy
Middle of the body.
Pain
Bursting forth blood
Visual Examination

28. lith/
Stone
Surgical Puncture
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
Lower Back

29. What are bones connected together with?
Fibrous bands of ligaments
Death of tissue due to loss of blood supply
The bone is broken and pierces an organ.
Abdomen

30. chondro/
New
Horizontal plane dividing the upper and lower parts of the body.
Cartilage
Wrist bones

31. Metatarsal
Cartilage
Middle of the foot bone
A break at the distal end of the bone - usually when someone tries to break their fall.
Below

32. sub
3 (ex 311)
A break at the distal end of the bone - usually when someone tries to break their fall.
Intestine
Under

33. -osis
Middle of the body.
1996
Lower arm bone in line with the thumb
Abnormal condition

34. What is in a Medical Record?
To cut into
Enlargement
Upper Arm bone
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

35. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
Forms the two lower sides of the cranium
1. Insurance Reform 2. Administrative Simplification
Vagina

36. Distal
Far from the point of attachment of the trunk.
Fibrous bands of ligaments
Beside
Record

37. What are the two provisions of HIPPA?
Half
1. Insurance Reform 2. Administrative Simplification
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.
Wrist bones

38. What is a Comminuted Fracture?
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.
Office of Inspector General (OIG)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
The bone is crushed or shattered.

39. Palatine Bones
Bone that forms the wall between the nostrils
Upper roof of the mouth
Shin
Toe Bones

40. Proximal
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Above
Middle of the foot bone
Near the point of attachment to the trunk.

41. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Horizontal plane dividing the upper and lower parts of the body.
Epinephrine and Steriods
5

42. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Vagina
Slow
Upper roof of the mouth

43. para
Wrist bones
Beside
Surgical Repair
Upper Back

44. neo
Cancer that has localized and not spread at all.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
New
All

45. How many digits does an ICD-9 Subcategory code have?
Four
4. (ex 311.0)
Hardening
Shoulder - collar - pelvic - arms and legs.

46. -scopy
To view
MM/DD/YY
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.
Abdomen

47. inter
1996
Below
Between
Bones the palm of the hand

48. pan
All
Middle of the body.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Muscle

49. When are V codes used?
Vulva
Small with irregular shapes (ie wrist and ankle)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
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

50. What is a Colles Fracture?
Neck Bones
A break at the distal end of the bone - usually when someone tries to break their fall.
Smaller - lateral leg bone
Near the point of attachment to the trunk.