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Interview Question for Fresher

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The interviewer knows that the candidate is beginner in the medical coding and they had just got certification. So they will ask basic question that is included in medical coding certification exam.

They can also ask questions from life science and from CPC exam content like ICD-10 CM,CPT and Compliance. The interview start with your basic HR question first. See HR question​​​​​​​​

See Also :  Interview question for Surgery
               Interview question for ED
               Interview question for E&M

​​Important topic must be covered for fresher to get selected in interview for medical coder​

  1. Basic Question

  2. Anatomy 

  3. Disease

  4. ICD 10 Guideline

  5. Medical Abbreviation/Suffix/ Prefix

  6. Compliance

  7. Modifier

1.Basic Question for Medical Coding

Que1.What is medical coding ?

Medical coding is the process of converting diagnoses, procedures, medical services, and equipment into codes, such as ICD codes for diagnoses, CPT codes for procedures, and HCPCS codes for equipment. These codes help insurance companies process payments more easily. 

Que2.What is RCM (Revenue Cycle Management) ?

Revenue Cycle Management (RCM) is the process of managing the financial aspects of a healthcare organization, from the initial point of patient contact to the final payment for services rendered.

The goal of RCM is to ensure that healthcare providers are reimbursed accurately and in a timely manner for the services they provide. 

Que3.What are the stages of revenue cycle managment (RCM) ?

  • Pre-visit (Patient Registration): This includes gathering patient information, verifying insurance coverage, and determining eligibility.

  • Charge Capture: Recording the services provided, including diagnoses, treatments, procedures, and any equipment used. This step ensures all services are billed appropriately.

  • Medical Coding: Accurate coding of diagnoses (ICD codes), procedures (CPT codes), and equipment (HCPCS codes) based on the documentation.

  • Billing and Claims Submission: Submitting claims to insurance companies or other payers for reimbursement, making sure the codes match the services rendered.

  • Payment Posting: Once the claim is processed, payments are posted to the patient's account.

  • Denial Management: Handling any rejected or denied claims by identifying the issue and resubmitting claims or appealing denials.

  • Account receivable: In healthcare Revenue Cycle Management (RCM), accounts receivable (AR) refers to the money a provider is due for services already provided but not yet paid for, including payments still pending from patients and insurance companies.

Que4.What is Denial Coding ?

Denial coding is the way to find the reason behind the denial of the payment to the provider by insurance and take the corrective step to get paid as per the policy of insurance.

Que5.What is CPT ?

CPT stands for Current Procedure terminology. CPT are the alphanumberic 5 letter codes that are used to denote the procedure that is performed by physician, service given or equipment applied.

Que6.What is upcoding and downcoding ?

Upcoding occurs when a higher level of service is reported than what was actually provided. This practice misrepresents the level of care given, usually in an attempt to increase reimbursement from insurance companies or government programs like Medicare.

Downcoding occurs when a lower level of service is reported than what was actually provided, leading to under-reimbursement for the services rendered."

Learn more about Medical coding Career

2.Anatomy Question for Medical Coding

Que1.How many body system in the human body ? Explain any one in brief

(Medycoding Tips: This is the most popular question that interview asked from fresher )

  1. Integumentary System: This system includes the skin, hair, nails, and glands. It protects the body from external damage, regulates temperature, and helps with sensation.

  2. Skeletal System: Comprised of bones, cartilage, and joints, the skeletal system provides structure and support, protects internal organs, stores minerals, and allows movement through the joints.

  3. Muscular System: Made up of muscles, tendons, and ligaments, this system is responsible for movement, posture, and generating body heat.

  4. Nervous System: Consisting of the brain, spinal cord, and nerves, the nervous system controls and coordinates body activities, processes sensory information, and enables communication within the body.

  5. Endocrine System: This system includes glands such as the thyroid, pituitary, and adrenal glands, which secrete hormones. It helps regulate metabolism, growth, reproduction, and mood.

  6. Circulatory System: Comprising the heart and blood vessels, this system circulates blood, delivering oxygen and nutrients to tissues and removing waste products.

  7. Lymphatic System: Includes lymph nodes, lymph vessels, and lymph, it helps with immune response and removes waste from the body. It also helps absorb fats from the digestive system.

  8. Respiratory System: This system includes the lungs and airways, such as the trachea and bronchi. It allows for the exchange of oxygen and carbon dioxide between the body and the environment.

  9. Digestive System: Made up of the mouth, stomach, intestines, and other organs, it processes food, absorbs nutrients, and eliminates waste.

  10. Urinary System: Comprised of the kidneys, bladder, ureters, and urethra, this system filters waste from the blood, regulates fluid balance, and produces urine for elimination.

  11. Reproductive System: Involved in producing offspring, it includes organs such as the ovaries and testes. It controls sexual functions and reproduction in males and females.

Que2. Explain reproductive sytem of Human ?

The human reproductive system is responsible for producing offspring. It involves specialized organs and processes that enable humans to reproduce. The system differs between males and females, each with distinct functions, but both work together for fertilization, pregnancy, and childbirth.

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Male reproductive Organ

Scrotum: The scrotum is a sac of skin that holds and regulates the temperature of the testes.

Testes (Testicles) : Located in the scrotum, the testes produce sperm and secrete the hormone testosterone, which is essential for male sexual development and sperm production.

Vas deferens : The vas deferens are muscular tubes that carry sperm from the epididymis to the urethra.

Seminal Vesicles : These glands produce a sugary fluid (fructose) that provides energy for sperm. The fluid also helps sperm move through the female reproductive tract.

Prostate Gland : The prostate produces a fluid that nourishes and protects sperm. It also helps to neutralize the acidity of the female reproductive tract, which can harm sperm.

Urethra: The urethra is a tube that carries both urine and semen out of the male body. During ejaculation, sperm travel through the urethra and exit the body through the penis.

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Female reproductive Organ

Ovaries: The ovaries are the female gonads that produce eggs (ova) and the hormones estrogen and progesterone, which regulate the menstrual cycle and pregnancy.

Fallopian Tubes (Oviducts) : These are the tubes that transport eggs from the ovaries to the uterus. Fertilization usually occurs in the fallopian tubes when sperm meets the egg. After fertilization, the newly formed zygote travels down the tube to the uterus for implantation.

Uterus :The uterus is a hollow, muscular organ where a fertilized egg implants and grows during pregnancy. It has three layers:

  • Endometrium: The innermost lining, where the embryo implants if fertilization occurs.

  • Myometrium: The muscular layer responsible for contractions during childbirth.

  • Perimetrium: The outer layer of the uterus.

Cervix :The cervix is the lower part of the uterus that connects to the vagina.

Vagina :The vagina is the muscular canal that connects the cervix to the outside of the body. It serves as the passage for menstrual blood to exit, and it’s where sexual intercourse occurs.

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Hormones Involved in Reproduction:

  • Testosterone: In males, testosterone controls the production of sperm and the development of male secondary sexual characteristics like body hair and a deeper voice.

  • Estrogen and Progesterone: In females, estrogen regulates the menstrual cycle, and progesterone prepares the uterus for pregnancy and supports the early stages of pregnancy.

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What is fertilization ?

Fertilization is the process in which a male's sperm cell and a female's egg cell combine to form a single cell called a zygote. This marks the beginning of pregnancy and the development of a new individual.

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Que3. Explain Circulatory sytem of Human ?

The human circulatory system (also known as the cardiovascular system) is responsible for transporting blood, nutrients, gases, hormones, and waste products throughout the body.

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Important organ involve in circulatory sytem

1.Heart: The heart is a muscular organ that acts as a pump to circulate blood throughout the body. It is situated in the thoracic cavity, in between the two lungs, slightly tilted to the left.It is protected by a double walled membranous bag, pericardium, enclosing the pericardial fluid.

Our heart has four chambers, two relatively small upper chambers called atria and two larger lower chambers called ventricles. A thin, muscular wall called the interatrial septum separates the right and the left atria, whereas a thick-walled, the inter-ventricular septum, separates the left and the right ventricles . The atrium and the ventricle of the same side are also separated by a thick fibrous tissue called the atrio-ventricular septum.

2.Blood Vessels:

  • Arteries: These blood vessels carry oxygenated blood away from the heart to the body (except for the pulmonary artery, which carries deoxygenated blood to the lungs).

  • Veins: Veins carry deoxygenated blood back toward the heart (except for the pulmonary veins, which carry oxygenated blood from the lungs to the heart).

  • Capillaries: These are tiny, thin-walled vessels where the exchange of gases (oxygen and carbon dioxide), nutrients, and waste products takes place between blood and tissues.

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Circulation of blood in human

De-oxygenated blood comes from the body to the upper chamber on the right, the right atrium, as it relaxes. As the right atrium contracts, the corresponding lower chamber, the right ventricle, dilates. This transfers blood to the right ventricle, which in turn pumps it to the lungs for oxygenation. Since ventricles have to pump blood into various organs, they have thicker muscular walls than the atria do. Valves ensure that blood does not flow backwards when the atria or ventricles contract

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​Oxygen-rich blood from the lungs comes to the thin-walled upper chamber of the heart on the left, the left atrium. The left atrium relaxes when it is collecting this blood. It then contracts, while the next chamber, the left ventricle, relaxes, so that the blood is transferred to it. When the muscular left ventricle contracts in its turn, the blood is pumped out to the body.

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Que4. How many valve are there in human heart?

The human heart has four valves.The four valves are:​

  • Tricuspid Valve:

    • Located between the right atrium and right ventricle. It has three flaps (or cusps) that prevent blood from flowing backward into the atrium when the ventricle contracts.

  • Pulmonary Valve:

    • Located between the right ventricle and the pulmonary artery. It controls blood flow from the heart to the lungs, preventing backflow into the right ventricle after blood is pumped to the lungs.

  • Mitral Valve (also called the Bicuspid Valve):

    • Located between the left atrium and the left ventricle. It has two flaps (or cusps) and ensures that oxygenated blood flows in one direction from the left atrium to the left ventricle.

  • Aortic Valve:

    • Located between the left ventricle and the aorta. It prevents blood from flowing back into the left ventricle after it is pumped into the aorta and distributed to the rest of the body.

 

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Que5. Explain Urinary system of Human ?

The human urinary system (also called the renal system) is responsible for filtering blood, removing waste products, and regulating water, electrolyte balance, and blood pressure. Its main function is to produce, store, and eliminate urine, a liquid waste product.

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Important organ involve in circulatory sytem

1.Kidney:

  • The kidneys are two bean-shaped organs located on either side of the spine, just below the rib cage. They play a critical role in filtering blood to remove waste products, excess substances (like water and salts), and toxins, which are then excreted as urine.

  • Each kidney contains millions of tiny filtering units called nephrons, which filter blood, reabsorb necessary substances, and secrete waste into the urine.

2.Ureter: The ureters are two long, muscular tubes that transport urine from the kidneys to the bladder. They use rhythmic contractions called peristalsis to move urine downwards.

3.Bladder: The bladder is a hollow, muscular organ that stores urine.​​​

4.Urethra:The urethra is the tube that carries urine from the bladder to the outside of the body during urination.

​

Process of Urine Formation:

  1. Filtration:

    • Blood enters the kidneys through the renal arteries and is filtered in the glomerulus (a network of tiny capillaries) within the nephron. The filtrate that is produced contains water, electrolytes, glucose, urea, and other small molecules.

  2. Reabsorption:

    • The filtrate moves through the renal tubules (proximal convoluted tubule, loop of Henle, distal convoluted tubule), where essential substances like glucose, amino acids, and most of the water are reabsorbed into the bloodstream.

  3. Secretion:

    • Additional waste products and excess substances, like hydrogen ions and potassium, are actively secreted into the filtrate from the blood.

  4. Excretion:

    • The remaining waste products, along with water, form urine, which flows into the renal pelvis, through the ureters, and is stored in the bladder until it is ready to be excreted from the body.

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Que 6. Explain Digestive system of Human ?

Below are the process of Digestion:​

  • Ingestion:

    • Food enters the mouth, where it is mechanically broken down by chewing and mixed with saliva for chemical digestion.

  • Digestion:

    • The food moves down the esophagus into the stomach, where it is mixed with stomach acid and enzymes for further digestion.

    • In the small intestine, bile and pancreatic enzymes continue breaking down the food, while nutrients are absorbed into the bloodstream.

  • Absorption:

    • Nutrients, such as amino acids, sugars, fatty acids, vitamins, and minerals, are absorbed through the walls of the small intestine into the bloodstream or lymphatic system.

    • The majority of absorption happens in the small intestine, particularly in the jejunum and ileum.

  • Excretion:

    • After nutrients are absorbed, the remaining indigestible material passes into the large intestine, where water and electrolytes are reabsorbed.

    • The remaining waste is formed into feces, which is stored in the rectum until it is excreted from the body through the anus.

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Que 7. Explain Nervous system of Human ?

The human nervous system is a complex network of cells and organs responsible for transmitting signals between different parts of the body.​

The nervous system can be broadly divided into two major parts: the central nervous system (CNS) and the peripheral nervous system (PNS).

1.Central Nervous System (CNS):

  • Brain: The brain is the control center of the body, responsible for processing information, thinking, interpreting sensory input, and making decisions. It controls voluntary activities (like movement) and involuntary functions (like breathing and heart rate).

    • The brain is divided into different regions with specialized functions:

      • Cerebrum: The largest part, responsible for higher functions like thinking, memory, problem-solving, and voluntary movement.

      • Cerebellum: Located at the back of the brain, responsible for coordinating voluntary movements, balance, and motor control.

      • Brainstem: Includes the midbrain, pons, and medulla oblongata. It controls basic life functions such as heartbeat, breathing, and swallowing.

  • Spinal Cord: The spinal cord is a long, tube-like structure that runs from the brainstem down the back. It serves as the pathway for signals between the brain and the rest of the body. It is also responsible for reflex actions (automatic, quick responses to stimuli).

​2.​Peripheral Nervous System (PNS):

  • The PNS consists of all the nerves outside the brain and spinal cord. It connects the CNS to limbs and organs.

    • Somatic Nervous System: Controls voluntary movements by sending signals from the brain to skeletal muscles. It also transmits sensory information (such as touch and temperature) from the body to the brain.

    • Autonomic Nervous System (ANS): Regulates involuntary functions like heartbeat, digestion, and breathing.

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Que 8. Explain respiratory system  of Human ?

  1. Nose and Nasal Cavity:

    • Nose: Air enters the respiratory system through the nose or mouth. The nose serves as the primary entry point for air, where it is filtered, humidified, and warmed.

    • Nasal Cavity: Inside the nose, the nasal cavity contains tiny hair-like structures called cilia and mucus-producing cells. The cilia and mucus help trap dust, pathogens, and other foreign particles from entering the lungs. The nasal cavity also has olfactory receptors for the sense of smell.

  2. Pharynx (Throat):

    • The pharynx is a muscular tube that connects the nasal cavity and mouth to the larynx. It serves as a passage for both air and food.

    • The pharynx is divided into three parts: the nasopharynx (upper part), oropharynx (middle part), and laryngopharynx (lower part).

  3. Larynx (Voice Box):

    • The larynx is located at the top of the trachea (windpipe) and houses the vocal cords. It plays a key role in protecting the airway (by preventing food and liquids from entering the trachea) and in voice production.

    • The epiglottis, a flap of cartilage, covers the trachea during swallowing to prevent food from entering the airways.

  4. Trachea (Windpipe):

    • The trachea is a tube-like structure that extends from the larynx and divides into two main bronchi. It is lined with mucus and cilia to trap and expel foreign particles.

    • The trachea remains open due to cartilage rings, which ensure air passage remains unobstructed.

  5. Bronchi and Bronchioles:

    • The trachea divides into two bronchi (left and right), each leading to one lung. Inside the lungs, the bronchi branch into smaller airways called bronchioles.

    • The bronchi and bronchioles are lined with smooth muscle and mucus, and they help distribute air throughout the lungs.

  6. Lungs:

    • The lungs are the primary organs of the respiratory system and are responsible for gas exchange. They are located in the chest cavity, protected by the rib cage.

    • The lungs are divided into lobes—three lobes on the right side and two on the left side. The lungs contain tiny air sacs called alveoli, where gas exchange occurs.

  7. Alveoli:

    • The alveoli are tiny, balloon-like structures at the ends of the bronchioles. They are surrounded by a network of capillaries (small blood vessels).

    • Gas exchange happens across the thin walls of the alveoli. Oxygen from the inhaled air diffuses through the alveolar walls into the blood, while carbon dioxide from the blood diffuses into the alveoli to be exhaled.

  8. Diaphragm:

    • The diaphragm is a large, dome-shaped muscle located beneath the lungs. It plays a key role in the process of breathing.

    • During inhalation, the diaphragm contracts and moves downward, increasing the space in the chest cavity and allowing the lungs to expand. During exhalation, the diaphragm relaxes and moves upward, helping to push air out of the lungs.

    • ​

Process of Breathing (Ventilation):

  1. Inhalation (Inspiration):

    • During inhalation, the diaphragm contracts and moves downward, while the intercostal muscles (between the ribs) contract to expand the rib cage.

    • This creates a negative pressure in the chest cavity, causing air to flow into the lungs through the nose or mouth, down the trachea, and into the bronchi and bronchioles, eventually reaching the alveoli.

    • Oxygen from the air in the alveoli diffuses into the blood in the capillaries, where it binds to hemoglobin in red blood cells and is transported to body tissues.

  2. Exhalation (Expiration):

    • During exhalation, the diaphragm relaxes and moves upward, while the intercostal muscles relax, causing the rib cage to contract.

    • This decreases the space in the chest cavity, and the pressure inside the lungs increases, forcing air (containing carbon dioxide) out of the lungs, through the bronchi, trachea, and out through the nose or mouth.

    • Carbon dioxide, which is produced by cells during metabolism, is transported from the blood to the alveoli to be exhaled.

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Que 9. Explain Skeletal system of Human ?

The human skeletal system is a complex structure made up of bones, cartilage, ligaments, and tendons that provides the body with structure, protection, and mobility.​

Key Components of the Skeletal System:

  • Bones:

    • Bones are rigid organs that form the skeleton. They are composed of mineralized tissue and are primarily made up of calcium phosphate, which gives bones their strength and density.

    • There are 206 bones in the adult human body, and they vary in size and shape, ranging from the small bones in the fingers to the large femur (thigh bone).

  • Cartilage:

    • Cartilage is a flexible, rubbery tissue that covers and protects the ends of bones at the joints. It helps reduce friction and acts as a shock absorber.

    • Hyaline cartilage is the most common type, found in areas such as the nose, ribs, and the ends of long bones.

  • Ligaments:

    • Ligaments are strong, fibrous tissues that connect bones to other bones at the joints, providing stability and limiting excessive movement that could cause injury.

  • Tendons:

    • Tendons are fibrous tissues that attach muscles to bones. They allow muscles to move bones when they contract.

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Que 10. Explain Integumentary system of Human ?

The integumentary system is the body's outermost layer of defense and protection. It includes the skin, hair, nails, sweat glands, and sebaceous (oil) glands.​

  • Skin:

    • The skin is the largest organ in the body and is made up of several layers that provide a barrier against physical damage, pathogens, and water loss. The skin is made up of three main layers:

      • Epidermis (Outer Layer):

        • The outermost layer of the skin, primarily composed of keratinocytes (cells that produce keratin, a protective protein).

        • It also contains melanocytes, which produce melanin, the pigment responsible for skin color. Melanin also helps protect the skin from the harmful effects of ultraviolet (UV) radiation.

        • The epidermis is continuously renewed as old skin cells are shed and new cells are produced.

      • Dermis (Middle Layer):

        • The dermis is thicker than the epidermis and contains blood vessels, hair follicles, sweat glands, sebaceous glands, and nerve endings.

        • It is also rich in collagen and elastin fibers, which give the skin strength, elasticity, and flexibility.

        • The dermis is responsible for the sensation of touch, pain, and temperature and is where most skin functions occur.

      • Hypodermis (Subcutaneous Layer):

        • The hypodermis, also known as the subcutaneous layer, lies beneath the dermis and is composed of adipose tissue (fat).

        • This layer provides insulation, cushioning, and acts as an energy reservoir.

        • The hypodermis connects the skin to underlying structures such as muscles and bones.

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Que 11. Explain endocrine system of Human ?

The endocrine system is a network of glands and organs that produce, store, and secrete hormones, which are chemical messengers that regulate various bodily functions.​

  • Hypothalamus:

    • The hypothalamus is located in the brain and is considered the "master" regulator of the endocrine system. It links the nervous system to the endocrine system via the pituitary gland.

    • The hypothalamus produces hormones that control the release of other hormones from the pituitary gland, and it regulates essential functions such as temperature, hunger, thirst, sleep, and mood.

  • Pituitary Gland:

    • Often called the "master gland," the pituitary gland is located at the base of the brain. It controls other endocrine glands by releasing hormones that regulate their activity.

    • The pituitary gland has two main parts: the anterior pituitary (front portion) and the posterior pituitary (back portion).

    • It produces a variety of hormones, including:

      • Growth hormone (GH): Stimulates growth and cell reproduction.

      • Thyroid-stimulating hormone (TSH): Stimulates the thyroid gland to produce thyroid hormones.

      • Adrenocorticotropic hormone (ACTH): Stimulates the adrenal glands to produce cortisol.

      • Luteinizing hormone (LH) and Follicle-stimulating hormone (FSH): Regulate reproductive processes like ovulation and sperm production.

      • Prolactin (PRL): Stimulates milk production in females.

  • Thyroid Gland:

    • The thyroid gland is located in the neck and produces thyroid hormones, primarily thyroxine (T4) and triiodothyronine (T3).

    • These hormones regulate metabolism, energy production, and the body's overall growth and development. They affect how cells convert oxygen and calories into energy.

    • The thyroid also produces calcitonin, which helps regulate calcium levels in the blood.

  • Parathyroid Glands:

    • The parathyroid glands are four small glands located on the back of the thyroid gland. They produce parathyroid hormone (PTH), which plays a critical role in regulating the body's calcium and phosphate levels.

    • PTH raises blood calcium levels by promoting the release of calcium from bones, increasing calcium absorption from food, and decreasing calcium excretion through the kidneys.

  • Adrenal Glands:

    • The adrenal glands are located on top of each kidney. Each adrenal gland consists of two main parts: the adrenal cortex (outer layer) and the adrenal medulla (inner part).

    • The adrenal cortex produces hormones such as cortisol, which helps regulate metabolism, reduce inflammation, and control the body’s response to stress. It also produces aldosterone, which helps regulate sodium and potassium levels, and androgens, which are sex hormones.

    • The adrenal medulla produces hormones like adrenaline (epinephrine) and noradrenaline (norepinephrine), which are responsible for the "fight or flight" response, increasing heart rate, blood pressure, and blood flow to muscles during stress or danger.

  • Pancreas:

    • The pancreas is located behind the stomach and has both endocrine and exocrine functions. As an endocrine organ, the pancreas produces the hormones insulin and glucagon.

    • Insulin helps lower blood sugar levels by promoting the uptake of glucose into cells.

    • Glucagon raises blood sugar levels by signaling the liver to release stored glucose into the bloodstream.

    • The pancreas is critical in regulating blood sugar (glucose) levels and maintaining energy balance.

  • Gonads (Ovaries and Testes):

    • The gonads (ovaries in females and testes in males) are responsible for producing sex hormones that regulate reproductive processes.

    • In females, the ovaries produce estrogen and progesterone, which regulate the menstrual cycle, pregnancy, and secondary sexual characteristics.

    • In males, the testes produce testosterone, which regulates sperm production, sexual function, and male secondary sexual characteristics like muscle mass and body hair.

  • Pineal Gland:

    • The pineal gland is a small gland located in the brain. It produces the hormone melatonin, which helps regulate sleep-wake cycles and seasonal biological rhythms.

    • Melatonin production is influenced by light exposure and helps promote restful sleep.

  • Thymus Gland:

    • The thymus is located in the chest, behind the sternum, and plays a role in the immune system. It produces thymosin, which is important for the development and maturation of T-lymphocytes (a type of white blood cell) that help the body fight infections.

How many type of vertebrae?

There are 33 vertebrae in the human spine, divided into 5 regions: cervical, thoracic, lumbar, sacral, and coccygeal:​

  • Cervical : 7 Vertebrae

  • Thoracic : 12 Vertebrae

  • Lumbar : 5 Vertebrae

  • Sacral : 5 Fused Vertebrae

  • Coccygeal : 4 Fused Vertebrae

 

What are the longest and shortest bone of the human body ?

  • The femur is the longest bone in the human body, located in the thigh.

  • The stapes is the smallest bone in the human body, located in the middle ear.]

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How many lobes in lungs ?

There are five lobes in the lungs, three in the right lung and two in the left lung.

  • The right lung has three lobes: upper, middle, and lower lobes.

  • The left lung has two lobes: upper and lower lobes.

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Which is the largest seasmoid bone ?

Patella

​

Difference between systolic and diastolic pressure of heart ?

Systolic blood pressure is the highest blood pressure during ventricular contraction. Diastolic blood pressure is the lowest blood pressure recorded just before the end of contraction. Blood pressure is defined as systolic based on diastolic pressure (eg 120/80 mmHg).

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How many layers are present in the human heart ?

There are three layers are present in the heart

  1. Epicardium

  2. Myocardium

  3. Endocardium

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How many part in which small intestine and Large instestine is divided ?

Small intestine is divided into

  1. Duodenum

  2. Jejujum 

  3. Ilelu

Large Instestine is divided into

  1. Cecum

  2. Ascending colon

  3. Transverse colon

  4. Descending colon

  5. Sigmoid colon

  6. Rectum

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Name the largest and smallest endocrine gland ?

Thyroid gland is the largest gland and pineal gland is the smallest gland.

​

Name the largest and smallest endocrine gland ?

The largest exocrine gland in the human body is the liver, and the smallest exocrine gland is the sweat gland.

​

How many part in which human brain is divided ?

  1. Forebrain

  2. Midbrain

  3. Hindbrain

3.Disease/Condition

Explain Diabetes Type 1 and Diabetes Type 2 ?

Type 1 Diabetes: Type 1 diabetes is an autoimmune condition in which the body's immune system mistakenly attacks and destroys the insulin-producing cells in the pancreas, known as beta cells. This results in little to no insulin being produced by the body.​

​Type 2 Diabetes:In Type 2 diabetes, the body either becomes resistant to the effects of insulin (insulin resistance) or doesn't produce enough insulin to maintain normal blood sugar levels. As a result, glucose builds up in the blood.

 

What is myocardial infarction ?

​​Myocardial infarction (MI), commonly known as a heart attack, occurs when there is a blockage in the coronary arteries that supply blood to the heart muscle (myocardium). This blockage reduces or completely stops blood flow to a part of the heart, leading to damage or death of the heart muscle due to lack of oxygen.

​

What is Lymphadenopathy?

Lymphadenopathy is the enlargement of the lymph node.

 

What is Osteoarthritis?

Osteoarthritis (OA) is a degenerative joint disease that occurs when the cartilage (the protective cushion between bones) breaks down over time.

​

What is Cholelithiasis ?

Cholelitiasis is the presence of gall stone in the gallbladder.

​

What is Neoplasm ?

Neoplasm is the abnormal growth of the cell.It is also known as tumor.​

4.ICD-1O CM

What is Exclude 1 and Exclude 2 ?

Exclude 1: A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note.

Exclude 2: A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate..

 

What is  "code also" in ICD 10 CM ?

A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction. The sequencing depends on the circumstances of the encounter.

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How to code acute and chronic condition?

If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, code both and sequence the acute (subacute) code first.

 

What is Etiology and Manifestation?

Etiology refers to the cause or origin of a disease or condition.

Manifestation is the condition that occurs due to etiology condition.

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What is Sequela ?

A sequela is the residual effect (condition produced) after the acute phase of an illness or injury has terminated. There is no time limit on when a sequela code can be used. The residual may be apparent early, such as in cerebral infarction, or it may occur months or years later, such as that due to a previous injury. Examples of sequela include: scar formation resulting from a burn, deviated septum due to a nasal fracture, and infertility due to tubal occlusion from old tuberculosis. Coding of sequela generally requires two codes sequenced in the following order: the condition or nature of the sequela is sequenced first. The sequela code is sequenced second.

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What is Placeolder character ?

The ICD-10-CM utilizes a placeholder character “X”. The “X” is used as a placeholder at certain codes to allow for future expansion.

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5.Medical Abbreviation

What is Hysterectomy ?

Hyster- Uterus

Ectomy- Removal

Hysterectomy is the removal of uterus.

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What is Cystitis?

Cyst- Bladder

Itis- Inflammation

Cystitis is the inflammation of bladder.

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What is TURP ?​​

TURP stand for Transurethral resection of prostate. It is the technique of resection of prostate via urethral using cystourethroscopy.

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What is ORIF ?

ORIF stand for open reduction internal fixation. It the way of treatment of fracture by open incisions and reduction.

Learn more medical abbreviation

Learn more medical Terminology

6.Compliance

What is HIPAA?

HIPAA stand for Health insurance portability and accountability act. Passed in 1996 HIPAA is a federal law that sets a national standard to protect medical records and other personal health information (PHI).

 

What is "MUE" ?

MUE stand for Medically Unlikely Edits.

 

​What do NCD and LCD stand for?

National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs).

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What is the abbreviation for CMS?

Centre for medicare and medicaid services.

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What is the abbreviation for ICD 10 CM?

International classification of diseases 10th Clinical Modification.

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What  is NCCI Edit?

National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits prevent inappropriate payment of services that should not be reported together. Each edit has a Column One and Column Two HCPCS/CPT code. If a provider reports the two codes of an edit pair for the same beneficiary on the same date of service, the Column One code is eligible for payment, but the Column Two code is denied unless a clinically appropriate NCCI PTP-associated modifier is also reported.

 

What is Advance Beneficiary Notice of Noncoverage (ABN)?

An ABN is a written notice that must be given to the beneficiary that lists “fee-for-service” before items or services are provided. It states that the services are usually covered but are not guaranteed, allowing the beneficiary to make an informed decision about whether to accept financial responsibility if Medicare doesn’t pay.

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7.Modifiers

What  is Modifier?

A modifier provides the means to report or indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code.

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What  is Modifier 22?

Increased Procedural Services: When the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. Documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient’s condition, physical and mental effort required). Note: This modifier should not be appended to an E/M service.

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What  is Modifier 25?

It may be necessary to indicate that on the day a procedure or service identified by a CPT code was performed, the patient’s condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed

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What  is Modifier 51?

Multiple Procedures: When multiple procedures, other than E/M services, Physical Medicine and Rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed.

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What  is Modifier 52?

Reduced Services: Under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. Under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced.

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What  is Modifier 53?

Discontinued Procedure: Under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. Due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. This circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure.

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What  is Modifier 57?

Decision for Surgery: An evaluation and management service that resulted in the initial decision to perform the surgery may be identified by adding modifier 57 to the appropriate level of E/M service.

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What  is Modifier 59?

Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. Documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. However, when another already established modifier is appropriate it should be used rather than modifier 59. Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used.

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What  is Modifier 62?

Two Surgeons: When 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons.

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What is Modifier 76 ?

Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional: It may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. This circumstance may be reported by adding modifier 76 to the repeated procedure or service.

Learn more important Modifier

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