Mode 4010 wk 1 Word Scramble
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Question | Answer |
Ethics | standards of conduct generally accepted as a moral guide for behavior by which an insurance billing or coding specialist may determine the appropriateness of his or her conduct in a relationship with the patients, the physician, co-workers, the government |
Etiquette | Customs, rules of conduct, courtesy, and manners of the medical profession |
Capitation | a system of payment used by managed care plans in which physicians and hospitals are paid/ fixed per capita amount for each patient enrolled over a stated period of time regardless of the type and number of services provided |
Expressed Contract | A verbal or written agreement |
Respondent Superior | "Let the Master answer" refers to a physician's liability in certain cases for wrongful acts of his assistant(s) or employee(s) |
Accounts Receivable Management | The organization and administration of coding and billing in a medical practice |
Guarantor | An individual who promises to pay the medical by signing a form agreeing to pay or who accepts treatment, which constitutes an expressed promise. |
Implied Contract | Not manifested by direct words but implied or deduced from the circumstances |
Medicaid | A federally aided state operated and administered program that provides medical benefits for certain low income families |
Medicare | A nationwide health insurance program for those who are 65 years old and older |
Medicaid/Medicare(Medi/Medi) | Refers to an individual who has both Medicaid and Medicare benefits |
Principle Diagnosis | A condition established after study that is chiefly responsible for the admission of the patient into the hospital |
Discharge Summary | various services provided that prepare the patient for discharge from the inpatient facility |
Fraud | An intentional misrepresentation of the facts to deceive or mislead another |
Medical Necessity | The performance of services and procedures that are consistent with a diagnosis in accordance with standards of good medical practice performed at the proper level and provided in the most appropriate setting |
DIAG | Diagnosis |
BP | Blood Pressure |
HEENT | head, eyes, ears, nose, throat |
PMH | Past Medical History |
COPD | Chronic Obstructive Pulmonary Disease |
CBC | Complete Blood Count |
HIPAA | Health Insurance Portability and Accountability |
AMA | American Medical Association |
NPP | Notice of privacy Practices |
CAP | Claims Assistance Professional |
PHI | Protected Health Information |
A/R | Accounts Receivable |
POS | Point of Service |
HMO | Health Maintenance Organization |
PPO | Preferred Provider Organization |
Created by:
SSchabow
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