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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
Active - retired - survivors and their families of the Armed Forces.
Bursting forth blood
Forms the two lower sides of the cranium
Abnormal condition

2. What are the 5 regions of the spine?
Abnormal condition
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Interior of the nose

3. -scopy
Opening
To view
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

4. How many digits does an ICD-9 Category code have?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
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.
3 (ex 311)
Fat cell

5. -rrhea
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Discharge - Flow
Turning Outward
Slow

6. arth/
Osseous
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.
Tongue
Cartilage

7. What is the National Correct Coding Initiative (NCCI)?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Hardening
A change in the code description since the last edition.
Skin

8. What are the key components of E/M?
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. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Neck Bones
Beside

9. -pathy
Below - deficient
Disease Condition
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.
Bursting forth blood

10. What is a Colles Fracture?
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 break at the distal end of the bone - usually when someone tries to break their fall.
Muscle
Milk

11. What is the False Claims Act (FCA)
Reimbursement is sent directly from payer to the provider.
Slow
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
CMS

12. Collagen
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Structural protein found in skin and connective tissue.
Noninvasive - non-spreading - nonmalignant.
Fibrous bands of ligaments

13. -pathy
Disease Condition
Mass
Sacrum
5. (ex 311.56)

14. Coccygeal
Milk
Free moving joints that are surrounded by joint capsules.
In front of the temporal bones
Coccyx (Tailbone)

15. What are the insides of bones comprised of?
To cut into
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.
Hematopoietic tissue
Above

16. salping/
Breast
Fallopian tubes
Lower Jawbone
Osseous

17. -scopy
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Between
Visual Examination
Fallopian tubes

18. What is a Colles Fracture?
Removal - Excision - Resection
A break at the distal end of the bone - usually when someone tries to break their fall.
Breast
Abdomen

19. brady
Slow
Gall bladder
Through
Inflammation

20. enter/
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.
CMS-1500
Lower arm bone in line with the thumb
Intestine

21. Posterior/Dorsal
Breast
The bone is broken and pierces an organ.
Back part of the body.
Structural protein found in skin and connective tissue.

22. Hypo
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Turning Outward
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.
Below - deficient

23. How is Medicare's RBRVS calculated?
A pregnant woman who has had at least one pregnancy.
Forms the two lower sides of the cranium
Pain
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

24. Ulna
Lower medial arm bone
Death of tissue due to loss of blood supply
Out - out of
Intestine

25. Palatine Bones
Nose
Upper roof of the mouth
Vertical plane dividing the body to the left and the right sides.
Vagina

26. -ectomy
Before
Above
Removal - Excision - Resection
Karatin

27. Cervical
Neck Bones
Forms the sides of the cranium
Turning Outward
Inflammation

28. lith/
Stone
A pregnant woman who has had at least one pregnancy.
Sacrum
The bone is broken and pierces an organ.

29. Inversion
Surgical Fixation
Slow
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Turning Inward

30. How many digits does an ICD-9 Subclassification code have?
Discharge - Flow
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.
Far from the point of attachment of the trunk.
5. (ex 311.56)

31. dys
Discharge - Flow
Under
Above
Painful - difficult

32. When billing an insurance company - what information must be included?
Osseous
Visual Examination
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Wrist bones

33. Posterior/Dorsal
Cheek Bone
Forms the roof of the nasal cavity
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Back part of the body.

34. mast/
Milk
Bone that forms the wall between the nostrils
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.
Breast

35. -emia
Tongue
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Blood Condition
A break at the distal end of the bone - usually when someone tries to break their fall.

36. What is a Comminuted Fracture?
The bone is crushed or shattered.
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
Horizontal plane dividing the upper and lower parts of the body.
Hematopoietic tissue

37. What are the 3 classifications of Hypertension?
5
Bursting forth blood
Death of tissue due to loss of blood supply
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

38. What is the False Claims Act (FCA)
Upper Arm bone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Horizontal plane dividing the upper and lower parts of the body.
Lower medial arm bone

39. oglio
Little - scanty
Measure
Uteris
Many

40. ante
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
Turning the palm or foot upward
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Before

41. What is hair made of?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Karatin

42. What is the moon like white area at the base of the nail called?
Lunula
MM/DD/YY
Lower Back
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. Vesicle
Small collection of clear fluid; blister
Free moving joints that are surrounded by joint capsules.
Discharge - Flow
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.

44. What is Employee Liability Insurance?
Cheek Bone
Stone
Strong - broad and have large surfaces for muscles to attach to.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

45. Who developed HCPCs codes?
A pregnant woman who has had at least one pregnancy.
CMS
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Shin

46. pan
Bursting forth blood
Epinephrine and Steriods
All
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

47. Medial
Middle of the body.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Nose
Mouth

48. -gram
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Record
Hardening
Side

49. colp/
Vagina
Smaller - lateral leg bone
MM/DD/YY
Without

50. oste/
Bone
Structural protein found in skin and connective tissue.
26
1. Insurance Reform 2. Administrative Simplification