40+ Mad Street Den Interview Questions and Answers

Acute conditions are sudden and severe, while chronic conditions are long-lasting and persistent.

• Acute conditions: heart attack, stroke, asthma attack, appendicitis, broken bone

• Chronic conditions: diabetes, arthritis, hypertension, COPD, cancer

The functional unit of the kidney is the nephron.

• Nephrons filter blood and produce urine.

• Each kidney contains about one million nephrons.

• Nephrons consist of a glomerulus, tubules, and collecting ducts.

• The glomerulus filters blood and the tubules reabsorb and secrete substances.

• The collecting ducts transport urine to the renal pelvis.

Medical coding is essential for translating medical services and procedures into universal codes for billing and insurance purposes.

• Medical coding ensures accurate and efficient billing for healthcare services

• It helps healthcare providers receive proper reimbursement from insurance companies

• Medical coding also aids in data analysis and research in the healthcare industry

The small intestine is divided into three parts: duodenum, jejunum, and ileum.

• The duodenum is the first part of the small intestine and is responsible for receiving partially digested food from the stomach.

• The jejunum is the middle part of the small intestine and is responsible for absorbing nutrients from the food.

• The ileum is the final part of the small intestine and is responsible for absorbing vitamin B12 and bile salts.

• The small intestine is approximately 20 feet long an...read more

The combination code for dm and ckd is E11.22.

• E11.22 is the ICD-10 code for diabetes mellitus with diabetic chronic kidney disease

• This code is used when a patient has both diabetes and chronic kidney disease

• It is important to use the correct combination code for accurate billing and tracking of patient conditions

The various systems of the human body include the nervous system, cardiovascular system, respiratory system, digestive system, and more.

• Nervous system: controls the body's responses to internal and external stimuli

• Cardiovascular system: responsible for circulating blood and nutrients throughout the body

• Respiratory system: facilitates the exchange of oxygen and carbon dioxide in the body

• Digestive system: breaks down food and absorbs nutrients for energy

• Muscular system: enables...read more

The longform of ICD 10 is International Statistical Classification of Diseases and Related Health Problems, 10th Revision.

• ICD 10 stands for International Statistical Classification of Diseases and Related Health Problems, 10th Revision.

• It is a medical classification system used for coding diagnoses, symptoms, and procedures.

• ICD 10 provides a standardized way to classify and code diseases and medical conditions.

• It is used by healthcare professionals for medical billing, resear...read more

There are 11 major systems in the human body.

• There are 11 major systems in the human body: circulatory, respiratory, digestive, excretory, nervous, endocrine, immune, integumentary, skeletal, muscular, and reproductive.

• Each system has specific functions and organs that work together to maintain homeostasis.

• For example, the circulatory system includes the heart, blood vessels, and blood, while the respiratory system includes the lungs and airways.

A status code is a two-digit code used in medical billing to indicate the status of a claim or service.

• Status codes are used to indicate whether a claim has been accepted, rejected, or is pending.

• They can also indicate the reason for a denial or rejection.

• Examples of status codes include 22 (processed, no payment), 29 (denied, unable to locate), and 30 (payment adjusted).

Medical coding offers a challenging and rewarding career in the healthcare industry.

• Opportunity to work in the healthcare industry

• High demand for skilled medical coders

• Challenging and intellectually stimulating work

• Potential for career advancement and specialization

• Contribute to accurate patient records and billing

• Remote work options available

• Competitive salary and benefits

Myocardial infarction is a medical term for a heart attack, which occurs when blood flow to a part of the heart is blocked.

• Caused by a blockage in the coronary arteries

• Symptoms include chest pain, shortness of breath, and nausea

• Diagnosis is typically confirmed through ECG and blood tests

• Treatment may include medications, angioplasty, or bypass surgery

Medical coding is the process of converting healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes.

• Medical coding helps in accurately documenting patient information for billing and insurance purposes.

• Coders use code sets such as ICD-10, CPT, and HCPCS to assign specific codes to medical procedures and diagnoses.

• Accurate medical coding ensures proper reimbursement for healthcare services provided.

• Examples of medical coding ...read more

Medical coding is the process of assigning standardized codes to medical diagnoses, procedures, and services.

• Medical coding ensures accurate documentation and billing in healthcare.

• It involves translating medical information into alphanumeric codes.

• The main body parts in medical coding are categorized by anatomical systems.

• Examples of main body parts include the cardiovascular system, respiratory system, musculoskeletal system, etc.

Bile juice is a digestive fluid produced by the liver and stored in the gallbladder, which helps in the digestion and absorption of fats.

• Bile juice is composed of water, electrolytes, bile acids, cholesterol, bilirubin, and phospholipids.

• It emulsifies fats in the small intestine, aiding in their digestion and absorption.

• Bile also helps in the elimination of waste products from the body, such as bilirubin.

• Bile is released into the small intestine when fatty foods are consumed,...read more

There are 206 bones in the human skeleton system.

• The skeleton system is divided into two parts: axial and appendicular.

• The axial skeleton includes the skull, vertebral column, and ribcage.

• The appendicular skeleton includes the bones of the arms, legs, pelvis, and shoulder girdle.

• Bones in the skeleton system have various functions, including support, protection, and movement.

• Examples of bones in the skeleton system include the femur, humerus, and clavicle.

Implementing flexible work arrangements, enhancing communication and support, providing professional development opportunities, and recognizing and rewarding employees.

• Implement flexible work arrangements such as remote work or flexible hours to accommodate employees' needs and preferences.

• Enhance communication and support by regularly checking in with employees, providing clear and transparent information about the company's situation, and offering resources for mental healt...read more

DVT is a blood clot in a deep vein, while PE is a blood clot that travels to the lungs.

• DVT occurs in a deep vein, usually in the leg, and can cause pain, swelling, and redness.

• PE occurs when a blood clot breaks off from a DVT and travels to the lungs, causing shortness of breath, chest pain, and coughing.

• Both DVT and PE are serious conditions that require medical attention and treatment.

• Risk factors for DVT and PE include immobility, surgery, cancer, and certain medications.

The recent update in ICD-10 includes new codes, revisions to existing codes, and guideline changes.

• New codes have been added to reflect advancements in medical technology and treatments.

• Existing codes have been revised to provide more specific and accurate descriptions of diagnoses and procedures.

• Guideline changes have been made to ensure consistency and accuracy in coding practices.

• For example, in the 2022 update, there are new codes for COVID-19 related conditions and revis...read more

Human anatomy is the study of the structure of the human body and its various systems.

• Human anatomy involves studying the organs, tissues, muscles, and bones of the body.

• It also includes understanding how these components work together to support bodily functions.

• Examples of organs in the human body include the heart, lungs, liver, and brain.

• The skeletal system consists of bones like the femur, ribs, and skull.

• Muscles such as the biceps, quadriceps, and deltoids are part of t...read more

The pineal gland is a small endocrine gland in the brain that produces melatonin, a hormone that regulates sleep-wake cycles.

• Located near the center of the brain

• Regulates sleep-wake cycles

• Produces melatonin

• Also known as the 'third eye'

The question covers various body parts and organs including stomach, large intestine, brain, kidney, bones, pancreas, liver, lungs, heart, gallbladder, and respiratory system.

• Stomach has four parts: cardia, fundus, body, and pylorus.

• Large intestine is divided into cecum, colon, rectum, and anal canal.

• The brain has three main parts: cerebrum, cerebellum, and brainstem.

• Kidney, ureter, and pelvis are part of the urinary system.

• There are 206 bones in the human body, including the...read more

Four bones are the femur, humerus, tibia, and radius.

• Femur is the thigh bone and the longest bone in the body.

• Humerus is the bone of the upper arm.

• Tibia is the shin bone located in the lower leg.

• Radius is one of the two bones in the forearm, located on the thumb side.

Coding is the process of assigning specific codes to medical diagnoses, procedures, and services.

• Coding helps in accurately documenting and categorizing medical information.

• It ensures uniformity and standardization in medical records.

• Coding facilitates efficient billing and reimbursement processes.

• It aids in research, analysis, and reporting of healthcare data.

• Examples of coding systems include ICD-10-CM, CPT, and HCPCS.

One example of a system name is the International Classification of Diseases (ICD)

• ICD is a standardized system used for coding diagnoses and procedures in healthcare settings

• It is published by the World Health Organization (WHO)

• ICD codes are used for billing, research, and public health purposes

Undiagnosed new problem with uncertain prognosis

• Further diagnostic tests may be required

• Consultation with specialists may be necessary

• Patient education and support is important

• Treatment plan should focus on managing symptoms and improving quality of life

Shin is a medical term referring to the front part of the leg below the knee.

• Shin is also known as the tibia, one of the two bones in the lower leg.

• Shin splints are a common condition that causes pain along the shin bone.

• Injuries to the shin can result in symptoms like swelling, tenderness, and difficulty walking.

ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems, used for medical coding and billing.

• ICD-10 codes are alphanumeric codes used by healthcare providers to classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care.

• It allows for better tracking of diseases and health conditions, as well as improved data collection and analysis.

• For example, ICD-10 code Z23.9 is used for e...read more

There are four main types of tissues in the human body: epithelial, connective, muscle, and nervous.

• Epithelial tissue covers the body's surface and lines internal organs.

• Connective tissue supports and connects different body parts.

• Muscle tissue allows for movement and contraction.

• Nervous tissue transmits signals throughout the body.

• Examples include skin (epithelial), bone (connective), heart (muscle), and brain (nervous).

The medical term for kidney is 'renal'.

• The kidneys are vital organs responsible for filtering waste and excess fluids from the blood.

• Common kidney conditions include kidney stones, kidney failure, and urinary tract infections.

• Medical procedures related to the kidneys include dialysis and kidney transplants.

Echocardiogram is a common diagnostic tool for heart failure.

• Echocardiogram uses sound waves to create images of the heart's structure and function.

• It can show the size of the heart chambers, how well the heart is pumping, and if there are any abnormalities.

• Other diagnostic tools for heart failure include MRI, CT scan, and blood tests.

• Examples: Echocardiogram, MRI, CT scan

There are 206 bones in the adult human body.

• Adult human body has 206 bones

• Babies are born with around 270 bones, which fuse together as they grow

• The smallest bone in the human body is the stapes bone in the ear

• The largest bone in the human body is the femur

Diabetes mellitus guidelines provide recommendations for the management and treatment of diabetes.

• Diabetes guidelines focus on monitoring blood sugar levels regularly

• Diet and exercise play a crucial role in managing diabetes

• Medications such as insulin or oral hypoglycemic agents may be prescribed based on individual needs

• Regular check-ups with healthcare providers are important for monitoring progress and adjusting treatment plans

• Guidelines also emphasize the importance of pa...read more

CT scan and MRI are common diagnostic tools for CVA.

• CT scan can show bleeding or blockages in the brain

• MRI can provide detailed images of the brain to detect ischemic strokes

• Angiography can help identify blood vessel abnormalities

CVA stands for cerebrovascular accident, commonly known as a stroke. Myocardial infarction is the medical term for a heart attack.

• CVA is a sudden loss of blood flow to the brain, leading to brain cell damage.

• Myocardial infarction occurs when there is a blockage in the blood flow to the heart, causing damage to the heart muscle.

• Both conditions require immediate medical attention to prevent further complications.

• Symptoms of CVA include sudden weakness or numbness on one side of...read more

The heart is a muscular organ that pumps blood throughout the body.

• Located in the chest cavity

• Responsible for circulating oxygen and nutrients to the body's tissues

• Consists of four chambers: two atria and two ventricles

• Protected by the rib cage

Authorization is the process of obtaining permission to access or use a resource.

• Authorization involves verifying the identity of a user and determining what actions they are allowed to perform.

• Examples of authorization include logging into a website with a username and password, or granting specific permissions to a user in a system.

• Authorization is often used in security systems to control access to sensitive information or resources.

Denials with codes like CO 96, 97, 50

• CO 96 - Non-covered charge(s)

• CO 97 - Payment denied because the benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated

• CO 50 - These are non-covered services because this is not deemed a 'medical necessity' by the payer

CLIA number is a unique identifier assigned to clinical laboratories in the United States.

• CLIA stands for Clinical Laboratory Improvement Amendments

• The CLIA number is required for labs to bill Medicare and Medicaid for services

• It helps ensure quality standards are met in clinical testing

• Example: CLIA number 12D4567890

Global period refers to the time frame during which follow-up care for a procedure is included in the initial payment.

• Global period typically ranges from 0 to 90 days post-procedure.

• During global period, any related follow-up care or complications are covered by the initial payment.

• Providers need to bill separately for any services provided outside of the global period.

• Examples: A surgery with a 30-day global period means that any follow-up care within 30 days is included in ...read more

Acute illnesses with systemic symptoms are conditions that affect the whole body and have a sudden onset.

• Common examples include influenza, sepsis, and meningitis.

• Symptoms may include fever, chills, fatigue, and body aches.

• Treatment may involve supportive care, such as rest and fluids, and medication to manage symptoms.

• Prompt medical attention is important to prevent complications and improve outcomes.

Out of pocket refers to expenses paid by an individual that are not reimbursed by insurance or other sources.

• Out of pocket expenses are costs that are paid directly by the individual, without reimbursement.

• These expenses can include deductibles, copayments, and coinsurance for medical services.

• Out of pocket costs can also include expenses for services or products not covered by insurance.

• Individuals may have to pay out of pocket for certain medical treatments, prescription me...read more

Not a medical necessity refers to a treatment or service that is not required for the patient's health or well-being.

• Not a medical necessity means the treatment or service is not essential for the patient's health.

• Insurance companies may not cover treatments that are not considered medically necessary.

• Examples include cosmetic procedures, elective surgeries, and experimental treatments.

An offset is a deduction or credit applied to an account to balance out a debt or obligation.

• An offset is used to reduce or eliminate a debt owed by applying a credit from another source.

• Offsets are commonly used in accounts receivable to reconcile payments and outstanding balances.

• For example, if a customer returns a product and receives a credit, that credit can be used as an offset against their outstanding balance.

• Offsets can also be used in tax situations to reduce the a...read more

Capitation is a payment arrangement in the healthcare industry where a provider is paid a fixed amount per patient regardless of the services provided.

• Capitation involves a fixed payment per patient per period of time, such as monthly or annually.

• Providers are responsible for delivering all necessary healthcare services to the patient within the fixed payment amount.

• It incentivizes providers to deliver cost-effective care and manage resources efficiently.

• Examples include heal...read more

The number of problems addressed depends on the patient's condition and treatment plan.

• The number of problems addressed varies from patient to patient

• It depends on the severity of the patient's condition

• The treatment plan also plays a role in the number of problems addressed

• For example, a patient with diabetes may have multiple problems addressed such as blood sugar control, foot care, and eye exams

The 2021 E/M updates aim to simplify documentation and coding for office visits.

• The updates reduce the emphasis on history and physical exam documentation.

• Instead, providers can choose to document based on medical decision making or time spent with the patient.

• The updates also introduce new codes for prolonged services and clarify guidelines for code selection.

• These changes are intended to reduce administrative burden and improve patient care.

• Providers should familiarize them...read more