MEDICAL CODING KEY TERMS TEST 2
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
main term - ANSWER disease, condition, noun, synonym, or eponym that helps the coder find the
correct code or range of codes in an index.
medical decision making - ANSWER how the physician looks at all the information gathered on examining
and testing the patient and then factors this into a decision for a treatment plan.
medical necessity - ANSWER documentation that verifies a procedure is needed.
modifier - ANSWER means by which the reporting physician can indicate that a service or procedure
performed had been altered by some specific circumstance, but its definition or code has not changed.
morbidity rate - ANSWER rate of disease or illness or proportion of diseased persons in a given
population or location.
mortality - ANSWER death.
new patient - ANSWER person who has not received professional services from the physician, or another
physician of the same practice within the past 3 years.
outpatient - ANSWER person who is being treated in the hospital or medical center and who will be
discharged within 24 hours.
pertinent past, family, and social history (PFSH) - ANSWER pertinent background information about a
patient's family and the patient's social habits. As directly related to the patient's current problem.
presenting problem - ANSWER symptom, disease, or condition that is currently causing a problem and
that is the reason for the patient visiting the health care provider.
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