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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. What are bones made of?
Cancer that has spread to a secondary site.
Record
Osseous
Forms the sides of the cranium

2. Temporal Bones
Forms the two lower sides of the cranium
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Removal - Excision - Resection
Office of Inspector General (OIG)

3. Phalanges
1996
Finger Bones
Head
The Axial Skeleton and the Appendicular Skeleton

4. sub
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Interior of the nose
3 (ex 311)
Under

5. Carpals
Uteris
Wrist bones
Enlargement
In front of the temporal bones

6. Sagittal
A pregnant woman who has had at least one pregnancy.
Interior of the nose
Vertical plane dividing the body to the left and the right sides.
Visual Examination

7. What is a Comminuted Fracture?
Through
The Axial Skeleton and the Appendicular Skeleton
The bone is crushed or shattered.
Far from the point of attachment of the trunk.

8. What are the two provisions of HIPPA?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
4. (ex 311.0)
1. Insurance Reform 2. Administrative Simplification
Vagina

9. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
Surgical Puncture
Standards of conduct based on moral principals.
Moving forward

10. lapar/
Birth
Liver
Abdomen
Below - deficient

11. What is Employee Liability Insurance?
Above
Beside
Turning the palm or foot upward
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

12. What is secondary malignancy?
Record
Free moving joints that are surrounded by joint capsules.
Cancer that has spread to a secondary site.
Within

13. hemi
The bone is crushed or shattered.
Major skin pigment
Half
Tongue

14. What is Employee Liability Insurance?
Standards of conduct based on moral principals.
Active - retired - survivors and their families of the Armed Forces.
Hind foot bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

15. -rrhea
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.
Discharge - Flow
A pregnant woman who has had at least one pregnancy.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

16. derm/
Skin
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Nose
Mass

17. -sclerosis
Breast
All
Hardening
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

18. Thoracic
Upper Back
Head
Discolored - flat lesion
Intestine

19. Who developed HCPCs codes?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Forms the back of the skull
CMS
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

20. Eversion
Turning Outward
Forms the back of the skull
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Removal - Excision - Resection

21. Short Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Small with irregular shapes (ie wrist and ankle)
Head
Visual Examination

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

23. pan
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
All

24. ex
Out - out of
Epinephrine and Steriods
Front part of the body.
Bursting forth blood

25. -pathy
Lower medial arm bone
Toe Bones
A working diagnosis that has not yet been established.
Disease Condition

26. How many digits does an ICD-9 Category code have?
A working diagnosis that has not yet been established.
3 (ex 311)
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

27. Medial
Middle of the body.
Upper Jawbone
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.
A change in the code description since the last edition.

28. Occipital Bone
Vagina
Forms the back of the skull
Shin
Horizontal plane dividing the upper and lower parts of the body.

29. inter
Milk
Between
Reimbursement is sent directly from payer to the provider.
Bones at the corner of each eye that cradle the tearducts

30. lith/
Death of tissue due to loss of blood supply
1. Insurance Reform 2. Administrative Simplification
Stone
Middle of the foot bone

31. Retraction
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.
Moving backward
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
A working diagnosis that has not yet been established.

32. Tarsal
Absence of hair
Hind foot bone
Upper roof of the mouth
New

33. What are the two types of edits that the NCCI implements?
Side
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
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.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

34. Sphenoid Bones
Muscle
Below - deficient
In front of the temporal bones
No.

35. Frontal - Coronal
Vulva
Vertical plane dividing the body into Anterior and Posterior sections.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
CMS

36. -pathy
Disease Condition
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
The Axial Skeleton and the Appendicular Skeleton
Reimbursement is sent directly from payer to the provider.

37. Melanin
A new procedure or service since the previous edition.
Bones at the corner of each eye that cradle the tearducts
Turning Inward
Major skin pigment

38. How many digits does an ICD-9 Subcategory code have?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bone
Osseous
4. (ex 311.0)

39. Posterior/Dorsal
Between
Back part of the body.
Coccyx (Tailbone)
Vertical plane dividing the body into Anterior and Posterior sections.

40. How many volumes is the ICD-9 manual divided into?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
No.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

41. Alopecia
Disease Condition
Absence of hair
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Free moving joints that are surrounded by joint capsules.

42. Sacral
A break at the distal end of the bone - usually when someone tries to break their fall.
Sacrum
Disease Condition
Beside

43. -megaly
Upper Arm bone
Enlargement
1. Insurance Reform 2. Administrative Simplification
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

44. Retraction
Visual Examination
Moving backward
Smaller - lateral leg bone
Forms the roof of the nasal cavity

45. What is Benign?
Opening
Heart
Small with irregular shapes (ie wrist and ankle)
Noninvasive - non-spreading - nonmalignant.

46. Metatarsal
Middle of the foot bone
Skull - Ribcage and Spine.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Interior of the nose

47. What is hair made of?
Back part of the body.
Upper roof of the mouth
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
Karatin

48. What does a bullet in the CPT code book next to a code mean?
Middle of the foot bone
A new procedure or service since the previous edition.
5
Slow

49. Posterior/Dorsal
Surgical Fixation
Epinephrine and Steriods
Back part of the body.
Beside

50. Tibia
Under
Through
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.
Shin