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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 does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
A working diagnosis that has not yet been established.
Strong - broad and have large surfaces for muscles to attach to.
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.

2. -itis
Abdomen
Inflammation
The Axial Skeleton and the Appendicular Skeleton
Upper Arm bone

3. Palatine Bones
In the cause of injury - poisoning - accidents or other adverse effects.
Upper roof of the mouth
Vertical plane dividing the body into Anterior and Posterior sections.
Discharge - Flow

4. salping/
New
Wrist bones
CMS-1500
Fallopian tubes

5. What is a Colles Fracture?
Suture
A break at the distal end of the bone - usually when someone tries to break their fall.
Absence of hair
Free moving joints that are surrounded by joint capsules.

6. Sesamoid Bones
Breast
Bones at the corner of each eye that cradle the tearducts
4. (ex 311.0)
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

7. ex
Before
Out - out of
Cancer that has localized and not spread at all.
Finger Bones

8. What is a Qualified Diagnosis
A working diagnosis that has not yet been established.
Mouth
Reimbursement is sent directly from payer to the provider.
Many

9. How many regions is the spinal/vertebral column divided into?
5
CMS-1500
Half
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.

10. Supination
Free moving joints that are surrounded by joint capsules.
Turning the palm or foot upward
3 (ex 311)
Bone that forms the wall between the nostrils

11. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Bones the palm of the hand
Office of Inspector General (OIG)
Vulva

12. Carpals
A pregnant woman who has had at least one pregnancy.
Above
Wrist bones
Forms the back of the skull

13. How many digits does an ICD-9 Category code have?
Small with irregular shapes (ie wrist and ankle)
Turning Outward
3 (ex 311)
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

14. Maxilla
In front of the temporal bones
Half
Upper Jawbone
Wrist bones

15. Thoracic
Movement away from the midline
MM/DD/YY
Little - scanty
Upper Back

16. supra
A working diagnosis that has not yet been established.
Above
Before
Against

17. Melanin
Head
Major skin pigment
Hardening
Separation - Breakdown

18. dys
Painful - difficult
Turning Inward
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Bones at the corner of each eye that cradle the tearducts

19. When was the Health Information and Accountability Act (HIPAA) created?
Bone that forms the wall between the nostrils
1996
Epinephrine and Steriods
Breast

20. pan
All
Between
Removal - Excision - Resection
Forms the two lower sides of the cranium

21. What are Medical Ethics?
Lower arm bone in line with the thumb
Opening
Standards of conduct based on moral principals.
Cartilage

22. Frontal - Coronal
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Skin
Vertical plane dividing the body into Anterior and Posterior sections.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

23. enter/
5. (ex 311.56)
Front part of the body.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Intestine

24. What are bones made of?
Osseous
Absence of hair
Hardening
Structural protein found in skin and connective tissue.

25. mast/
Breast
Tongue
Milk
Bursting forth blood

26. -rrhea
Finger Bones
Upper Back
Upper roof of the mouth
Discharge - Flow

27. Lateral
Side
Vagina
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

28. hepato/
Little - scanty
Lower Jawbone
Liver
All

29. Macule
Cheek Bone
Ovary
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Discolored - flat lesion

30. What is the name of the claim form that is standard for submitting claims?
CMS-1500
Discharge - Flow
1. Insurance Reform 2. Administrative Simplification
Pain

31. -plasty
Surgical Repair
Bursting forth blood
Cheek Bone
Through

32. -megaly
Enlargement
To view
Forms the back of the skull
Fibrous bands of ligaments

33. cardi/
Forms the front part of the skull and the forehead.
Out - out of
Heart
Small collection of clear fluid; blister

34. per
Mouth
The bone is broken and pierces an organ.
Wrist bones
Through

35. Temporal Bones
All
Osseous
To cut into
Forms the two lower sides of the cranium

36. Multigravida
26
A pregnant woman who has had at least one pregnancy.
The Axial Skeleton and the Appendicular Skeleton
Tongue

37. Anterior/Ventral
Front part of the body.
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
Middle of the foot bone

38. Gangrene
Forms the two lower sides of the cranium
CMS-1500
Death of tissue due to loss of blood supply
Tongue

39. Macule
Forms the roof of the nasal cavity
Discolored - flat lesion
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
Shoulder - collar - pelvic - arms and legs.

40. oophor
Cancer that has spread to a secondary site.
Upper Arm bone
Ovary
Nose

41. What are bones connected together with?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Suture
Front part of the body.
Fibrous bands of ligaments

42. Metacarpals
Movement away from the midline
Four
Bones the palm of the hand
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

43. How is the Patients DOB entered on the claim form?
Active - retired - survivors and their families of the Armed Forces.
MM/DD/YY
Intestine
Horizontal plane dividing the upper and lower parts of the body.

44. What is the moon like white area at the base of the nail called?
5. (ex 311.56)
Ovary
Far from the point of attachment of the trunk.
Lunula

45. -pathy
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Disease Condition
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Discharge - Flow

46. What is CHAMPVA
Middle of the foot bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Slow
Bursting forth blood

47. Tarsal
Mouth
A new procedure or service since the previous edition.
Hind foot bone
Bacterial inflammatory skin disease with lesions - pustules and vesicles

48. What hormones do the adrenal glands secrete?
Hind foot bone
Pain
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Epinephrine and Steriods

49. Posterior/Dorsal
Hematopoietic tissue
Movement toward the midline
Back part of the body.
Opening

50. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
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.
3 (ex 311)
Major skin pigment