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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. Temporal Bones
Upper Back
Forms the two lower sides of the cranium
Surgical Repair
Major skin pigment

2. hin/
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
No.
Nose
Record

3. What is secondary malignancy?
Without
Cancer that has spread to a secondary site.
Opening
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

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

5. derm/
Cheek Bone
Skin
5. (ex 311.56)
Standards of conduct based on moral principals.

6. Sphenoid Bones
Fallopian tubes
Epinephrine and Steriods
Free moving joints that are surrounded by joint capsules.
In front of the temporal bones

7. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
Surgical Puncture
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Enlargement

8. 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
False
Skull - Ribcage and Spine.
Interior of the nose

9. poly
1. Insurance Reform 2. Administrative Simplification
Many
Liver
The Axial Skeleton and the Appendicular Skeleton

10. -ectomy
Fat cell
Within
Removal - Excision - Resection
Forms the roof of the nasal cavity

11. Parietal Bones
Lower Jawbone
Bursting forth blood
Fallopian tubes
Forms the sides of the cranium

12. Who investigates and prosecutes Health Care fraud?
Measure
Under
Office of Inspector General (OIG)
Hardening

13. Tibia
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
Shin
Toe Bones
26

14. tetra
Four
Movement toward the midline
Separation - Breakdown
Moving forward

15. myo/
Below - deficient
Muscle
A break at the distal end of the bone - usually when someone tries to break their fall.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

16. What is Benign?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Major skin pigment
Noninvasive - non-spreading - nonmalignant.
Abnormal condition

17. Adduction
Milk
Movement toward the midline
Many
Wrist bones

18. How many digits does an ICD-9 Category code have?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Upper Jawbone
Discharge - Flow
3 (ex 311)

19. -rrhagia
Vagina
Below
Bursting forth blood
Intestine

20. chondro/
Before
Through
Cartilage
Pain

21. Inferior nasal conchae
Bursting forth blood
Interior of the nose
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Coccyx (Tailbone)

22. gloss/
Tongue
The Axial Skeleton and the Appendicular Skeleton
Pain
The bone is broken and pierces an organ.

23. Impetigo
Forms the sides of the cranium
To cut into
Bacterial inflammatory skin disease with lesions - pustules and vesicles
3 (ex 311)

24. ante
Discharge - Flow
Hardening
Before
Slow

25. mast/
Breast
Upper Arm bone
Vertical plane dividing the body into Anterior and Posterior sections.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

26. Vesicle
Pain
Head
Small collection of clear fluid; blister
Vagina

27. Ulna
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Bone that forms the wall between the nostrils
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.
Lower medial arm bone

28. Tarsal
Moving backward
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Hind foot bone
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

29. What is a Qualified Diagnosis
Vertical plane dividing the body to the left and the right sides.
Toe Bones
Fallopian tubes
A working diagnosis that has not yet been established.

30. lapar/
Noninvasive - non-spreading - nonmalignant.
Discharge - Flow
Abdomen
A working diagnosis that has not yet been established.

31. -gram
Vertical plane dividing the body into Anterior and Posterior sections.
Below
Discolored - flat lesion
Record

32. Distal
Movement toward the midline
Milk
Far from the point of attachment of the trunk.
Skull - Ribcage and Spine.

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

34. Abduction
Removal - Excision - Resection
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Intestine
Movement away from the midline

35. How is the Patients DOB entered on the claim form?
Mouth
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
MM/DD/YY
Many

36. Sesamoid Bones
Moving forward
Forms the roof of the nasal cavity
Forms the two lower sides of the cranium
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

37. lith/
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Stone
Birth
Fat cell

38. What is secondary malignancy?
Cancer that has spread to a secondary site.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Finger Bones
Before

39. Metacarpals
The bone is broken and pierces an organ.
Structural protein found in skin and connective tissue.
Mass
Bones the palm of the hand

40. What are the two types of edits that the NCCI implements?
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. 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.
Beside
Inflammation

41. -sclerosis
New
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Hardening
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

42. myo/
CMS
False
Muscle
Middle of the body.

43. gastro/
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Stomach
Movement away from the midline
Small with irregular shapes (ie wrist and ankle)

44. Sacral
A change in the code description since the last edition.
Sacrum
Below - deficient
Moving forward

45. Inferior nasal conchae
Interior of the nose
Slow
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Small with irregular shapes (ie wrist and ankle)

46. -tomy
Stomach
Movement toward the midline
To cut into
Small collection of clear fluid; blister

47. Multigravida
Visual Examination
A pregnant woman who has had at least one pregnancy.
Moving forward
A new procedure or service since the previous edition.

48. Transverse/Cross Sectional
Standards of conduct based on moral principals.
Horizontal plane dividing the upper and lower parts of the body.
Skin
Far from the point of attachment of the trunk.

49. What is the name of the claim form that is standard for submitting claims?
CMS-1500
New
Ovary
Death of tissue due to loss of blood supply

50. colp/
Vagina
Death of tissue due to loss of blood supply
Interior of the nose
Absence of hair