Medical Terminology & Billing Flashcards
7 cards from real CHAP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medical Terminology & Billing flashcards as text
In ICD-10-CM, what does the placeholder character 'X' serve?
Answer: It fills an empty character position to allow a future character to be placed correctly
The placeholder 'X' is used in ICD-10-CM to hold a position so that a required character (such as the 7th) can be placed in the correct location.
The prefix 'peri-' in 'pericardium' means:
Answer: Around
Peri- means around or surrounding; the pericardium is the membrane surrounding the heart.
Which code set is used for supplies and equipment not covered by CPT codes in outpatient billing?
Answer: HCPCS Level II codes
HCPCS Level II codes (alphanumeric, A–V codes) cover durable medical equipment, supplies, and services not in the CPT code set.
A patient's diagnosis is 'otitis media.' Which body area does this condition affect?
Answer: Middle ear
Ot/o means ear and 'media' means middle; otitis media is inflammation or infection of the middle ear.
In the revenue cycle, what is a 'clean claim'?
Answer: A claim submitted with all required information and no errors that can be processed immediately
A clean claim contains all required data elements and no defects, allowing the payer to process and adjudicate it without additional information.
The medical term 'cholecystitis' refers to inflammation of the:
Answer: Gallbladder
Cholecyst/o means gallbladder and -itis means inflammation; cholecystitis is a common condition often caused by gallstones.
Which of the following best describes 'upcoding' in medical billing?
Answer: Billing for a higher-level service than what was documented or provided
Upcoding is fraudulent billing practice where a higher-paying code is submitted for a service that does not meet the criteria for that code level.
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