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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. -megaly
Turning Outward
Enlargement
Forms the front part of the skull and the forehead.
Office of Inspector General (OIG)

2. How many digits does an ICD-9 Category code have?
A break at the distal end of the bone - usually when someone tries to break their fall.
Vertical plane dividing the body to the left and the right sides.
3 (ex 311)
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

3. pan
All
Below - deficient
Slow
Side

4. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Absence of hair
Bone
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

5. What are the 5 regions of the spine?
Gall bladder
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Back part of the body.
Coccyx (Tailbone)

6. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Small collection of clear fluid; blister
Hind foot bone
Death of tissue due to loss of blood supply

7. lapar/
Abdomen
Shoulder - collar - pelvic - arms and legs.
Free moving joints that are surrounded by joint capsules.
Many

8. cephal/
Abnormal condition
1996
Coccyx (Tailbone)
Head

9. -gram
Cancer that has spread to a secondary site.
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
Record
Middle of the foot bone

10. a - an
Removal - Excision - Resection
Between
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Without

11. Sagittal
Vertical plane dividing the body to the left and the right sides.
Opening
Skin
5

12. nat/
Death of tissue due to loss of blood supply
New
Record
Birth

13. Protraction
Forms the front part of the skull and the forehead.
CMS
Head
Moving forward

14. stomat/
Mouth
Bones at the corner of each eye that cradle the tearducts
Many
Painful - difficult

15. oglio
Little - scanty
Muscle
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Forms the sides of the cranium

16. Palatine Bones
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Upper roof of the mouth
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

17. Sacral
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Major skin pigment
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Sacrum

18. -lysis
Separation - Breakdown
Above
A pregnant woman who has had at least one pregnancy.
Reimbursement is sent directly from payer to the provider.

19. -oma
Neck Bones
Finger Bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Mass

20. What is Carcinoma in situ?
The bone is crushed or shattered.
Cancer that has localized and not spread at all.
Movement away from the midline
Forms the sides of the cranium

21. neo
Stone
New
Four
Blood Condition

22. What is the moon like white area at the base of the nail called?
Within
Far from the point of attachment of the trunk.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Lunula

23. Retraction
Moving backward
Sacrum
Inflammation
Strong - broad and have large surfaces for muscles to attach to.

24. chondro/
Finger Bones
Gall bladder
Cartilage
Tongue

25. When was the Health Information and Accountability Act (HIPAA) created?
1996
Lower Jawbone
Hardening
Record

26. Sesamoid Bones
Shin
Under
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
26

27. -osis
Finger Bones
Lower medial arm bone
Abnormal condition
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

28. Macule
Side
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
Discolored - flat lesion

29. lith/
Middle of the foot bone
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Stone
No.

30. Frontal Bone
Movement toward the midline
Lower medial arm bone
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Forms the front part of the skull and the forehead.

31. What is a Complicated Fracture?
Surgical Fixation
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
The bone is broken and pierces an organ.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

32. When are E codes used?
Upper Jawbone
Painful - difficult
In the cause of injury - poisoning - accidents or other adverse effects.
Fibrous bands of ligaments

33. What are the 2 types of glands on the skin?
Ankle
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
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.

34. Zygoma
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Cheek Bone
Stomach
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

35. -pathy
All
Disease Condition
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Middle of the body.

36. Fibula
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Back part of the body.
Removal - Excision - Resection
Smaller - lateral leg bone

37. derm/
Vagina
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Skin

38. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Turning Inward
Middle of the foot bone

39. What is Benign?
Noninvasive - non-spreading - nonmalignant.
Upper Jawbone
Record
Bones the palm of the hand

40. Lacrimal Bones
Uteris
Disease Condition
Forms the sides of the cranium
Bones at the corner of each eye that cradle the tearducts

41. Coccygeal
Neck Bones
False
Coccyx (Tailbone)
Discharge - Flow

42. epi
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Above
Mass
Before

43. How long should Medical Records be retained?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Stone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Toe Bones

44. Palatine Bones
Absence of hair
Bones the palm of the hand
Upper roof of the mouth
Nose

45. Multigravida
Removal - Excision - Resection
Epinephrine and Steriods
A pregnant woman who has had at least one pregnancy.
Strong - broad and have large surfaces for muscles to attach to.

46. Metatarsal
Absence of hair
Vulva
Middle of the foot bone
A new procedure or service since the previous edition.

47. oste/
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
False
Epinephrine and Steriods
Bone

48. How is Medicare's RBRVS calculated?
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
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
Pain

49. -scopy
Noninvasive - non-spreading - nonmalignant.
Smaller - lateral leg bone
Blood Condition
To view

50. Metatarsal
Stomach
Middle of the foot bone
Reimbursement is sent directly from payer to the provider.
Below