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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. What is in a Medical Record?
Muscle
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Back part of the body.
Sacrum

2. hemi
The bone is broken and pierces an organ.
Small collection of clear fluid; blister
Heart
Half

3. pre
Ankle
Before - in front of
Within
Near the point of attachment to the trunk.

4. cardi/
MM/DD/YY
Heart
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Beside

5. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Moving forward
4. (ex 311.0)

6. -plasty
Surgical Repair
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
No.

7. Inferior nasal conchae
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Bones at the corner of each eye that cradle the tearducts
Interior of the nose

8. How many digits does an ICD-9 Category code have?
Under
1996
3 (ex 311)
Cartilage

9. What is the moon like white area at the base of the nail called?
Lunula
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
To view
Lower Jawbone

10. What is a Comminuted Fracture?
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Moving forward
Fat cell
The bone is crushed or shattered.

11. What is in a Medical Record?
Turning the palm or foot upward
Inflammation
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

12. What is secondary malignancy?
Cancer that has spread to a secondary site.
Through
Upper Jawbone
Vertical plane dividing the body into Anterior and Posterior sections.

13. Alopecia
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Turning Inward
Absence of hair

14. When are V codes used?
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
Lunula
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Skull - Ribcage and Spine.

15. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Upper Jawbone
Many

16. mast/
Breast
Enlargement
A new procedure or service since the previous edition.
4. (ex 311.0)

17. -megaly
Enlargement
Lower medial arm bone
Death of tissue due to loss of blood supply
Lunula

18. -itis
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Cancer that has localized and not spread at all.
Inflammation
Within

19. gloss/
False
Fat cell
Tongue
Front part of the body.

20. tetra
Active - retired - survivors and their families of the Armed Forces.
Four
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Forms the roof of the nasal cavity

21. -meter
Measure
Turning Outward
A working diagnosis that has not yet been established.
The bone is crushed or shattered.

22. How many bones are in the spine?
To view
Office of Inspector General (OIG)
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
26

23. hepato/
Stomach
Liver
Little - scanty
Lower Back

24. -sclerosis
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Smaller - lateral leg bone
Hardening
Before

25. nat/
Upper Arm bone
Birth
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
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

26. anti
Removal - Excision - Resection
Against
All
The fractured area of the bone collapses on itself.

27. What is hair made of?
Small with irregular shapes (ie wrist and ankle)
Karatin
Movement toward the midline
Smaller - lateral leg bone

28. cephal/
Vulva
Forms the sides of the cranium
Head
Under

29. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Fat cell
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Wrist bones

30. Supination
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
Moving forward
Against
Turning the palm or foot upward

31. Maxilla
Hematopoietic tissue
Measure
Upper Jawbone
Absence of hair

32. salping/
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
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
Fallopian tubes
Discolored - flat lesion

33. Sphenoid Bones
In front of the temporal bones
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
The Axial Skeleton and the Appendicular Skeleton
Disease Condition

34. -emia
False
Blood Condition
Record
Pain

35. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Surgical Repair
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.
Front part of the body.

36. hin/
MM/DD/YY
Nose
Removal - Excision - Resection
1996

37. Medial
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Middle of the body.
In the cause of injury - poisoning - accidents or other adverse effects.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

38. How is the Patients DOB entered on the claim form?
1996
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Vagina
MM/DD/YY

39. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
Vertical plane dividing the body into Anterior and Posterior sections.
To cut into
Reimbursement is sent directly from payer to the provider.

40. Gangrene
Neck Bones
Gall bladder
Discolored - flat lesion
Death of tissue due to loss of blood supply

41. What are the 3 layers of skin?
Blood Condition
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Coccyx (Tailbone)
Side

42. What are the key components of E/M?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
The fractured area of the bone collapses on itself.
Out - out of
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

43. How many volumes is the ICD-9 manual divided into?
Breast
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Finger Bones

44. gloss/
Tongue
Bursting forth blood
Upper Arm bone
In the cause of injury - poisoning - accidents or other adverse effects.

45. How are bones categorized?
Bones at the corner of each eye that cradle the tearducts
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
Below - deficient
The Axial Skeleton and the Appendicular Skeleton

46. Vesicle
Small collection of clear fluid; blister
Structural protein found in skin and connective tissue.
CMS-1500
Shin

47. What does a bullet in the CPT code book next to a code mean?
Lower Jawbone
Discharge - Flow
Turning Outward
A new procedure or service since the previous edition.

48. hyster/
CMS-1500
Finger Bones
Treatment
Uteris

49. Gangrene
Death of tissue due to loss of blood supply
Toe Bones
Opening
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.

50. -ectomy
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
All
Removal - Excision - Resection