Claims Process
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| A & P | anterior and posterior
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| A | before
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| ANT | anterior
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| A/O | alert and oriented
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| ASAP | as soon as possible
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| bid | twice a day
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| BIL | bilateral
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| BP | blood pressure
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| BS | bowel sounds, breathing sounds
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| c/o | complains of
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| C1-7 | cervical vertebrae
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| CAD | coronary artery disease
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| CC | cheif complaint
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| CHD | congenital heart disease
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| CHF | congestive heart failure
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| CNT | could not test
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| CON | congested
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| COPD | chronic obstructive pulmonary disease
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| CP | chest pain
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| CV | cardiovascular
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| CVA | cerebrovascular accident
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| D/C | discontinue
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| DDD | degenerative disk disease
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| DIST | distal
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| DJD | degenerative joint disease
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| DM | diabetes mellitus
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| DOB | date of birth
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| DOE | dyspnea on exertion
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| DOI | date of injury
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| DVT | deep vein thrombosis
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| Dx | diagnosis
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| ed | edema
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| EENT | eye, ear, nose, and throat
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| Eval | evaluate
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| ext | extremity
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| EXT | external, extension
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| ext. rot. | external rotation
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| FH | family history
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| FLEX | flexion
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| FROM | full range of motion
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| ft | foot
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| Fx | fracture
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| GERD | gastroesophageal reflux disease
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| GI | gastriointestinal
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| GYN | gynecologic, gynecological
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| HA | head ache
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| HBP | high blood pressure
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| HPI | history of present illness
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| hs | at bedtime
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| HTR | hypertrophy
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| Hx | history
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| IHD | ischemic heart disease
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| IM | intramuscular
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| INFLAM | inflammation
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| INT | internal
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| int. rot. | internal rotation
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| IV | intravenous
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| jt | joint
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| KUB | kidneys, ureter, bladder
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| L | left
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| L1-5 | lumbar vertebrae
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| Lat | lateral, left anterior thigh
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| Lats | latissimus dorsi
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| LB | low back
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| LBP | low back pain
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| LE | lower extremities
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| LLQ | left lower quadrant (abdomen)
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| M | murmur
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| mas | massage
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| SOB | shortness of breath
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| SOBOE | shortness of breath on exertion
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| SP | spasm
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| spr | sprain
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| SQ or SC | subcutaneous
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| S&S or S/S | signs and symptoms
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| stat | immediately
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| STI | soft tissue injury
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| str | strain
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| SUP | superior, supination
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| Sx | symptoms
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| T1-12 | thoracic vertebrae
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| TIA | tansient ischemia attack
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| tid | three times a day
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| TMJ | temporal mandibular joint
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| TMJD | temporal mandibular joint dysfunction
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| TP | trigger point
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| TPR | temperature, pulse, respiration
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| Tx | treatment, therapy
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| UE | upper extremity
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| UTI | urinary tract infection
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| VV | vericose vein
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| WNL | within normal limits
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| x | times
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| y/o | years old
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| capitation | rate paid to participating physicians on a per person bases, based on age and sex whether the patient utilizes services or not
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| rule for waiving copayments | illegal (write on test)
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| disallowed amount | difference between billed amount and the allowed amount
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| oldest type of prepaid health plan | HMO
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| professional review organization | determines and assures the quality and operation of health care
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| utilization review | controls costs
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| carve outs | medical services that are not included in the capitation list
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| churning | when a physician sees a patient more than is medically necessary
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| PPO | organization gives members freedom of choice
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| another name for PCP | gatekeeper
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| preauthorization | seeking approval of services before seeing a specialist or obtaining radiology services
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| withholding | certain % of monthly capitation payment is held out of payment to pay for operating an IPA
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| Managed Care Organization | MCO
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| can a person who is eligible for Medicare still have an HMO or prepaid health plan | yes
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| staff model HMO | physician hired directly by the health plan that pays their salary
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Created by:
maxphia32
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