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MID-TERM REVIEW

JULY 9TH 2014

TermDefinition
-a no, not, without
-algia pain
-ase enzyme
*atrophy shrink
-carcinoma cancer
de- lack of
dys difficulty
-emia blood
-genesis to form, make or beginging
hemo-, hema- blood
hyper- high or above
hypo- below or low
-itis inflammation or infection
-lysis breakdown
macro- large
-malacia soft
-megaly enlargement
micro- small
-oma tumor
-osis -iasis abnormal condition
poly- many
-sis state of condition
-sthenia strenght
*-trophy nourishment or development
-logy study of
rrhea- discharge
-plasty repair
-otomy to cut; making an incision
-ostomy surgical or artificial opening
-ectomy excision or remove
-rrhaphy to sew or suture
-pexy to fix
-centesis to puncture
-ITIS INFLAMMATION OR INFECTION
DERMATITIS SKIN
ENCEPHALITIS BRAIN
MENINGITIS MENNIGES
OSTEOMYELITIS OSTE/O/MYEL BONE/O/BONE MARROW
BURSITIS BURSA SAC
TENDONITIS TENDON
ARTHRITIS JOINTS
PNEUMONITIS LUNGS
OSTEOARTHRITIS OSTE/O/ARTHR BONE/O/JOINT
MYOSITIS MY/O MUSCLE
CONJUNCTIVITIS CONJUNCTIVIA
RETINITITS RETINA
MASTOIDITIS MASTOID PROCESS (EAR)
PHLEBITIS VEIN
ENDOCARDITIS ENDOCARDIUM
PERICARDITIS PERICARDIUM
THYROIDITIS THYROID
LYMPHADENITIS LYMPH NODE
EPIGLOTTITIS EPIGLOTTIS
LARYNGITIS VOICE BOX
NASOPHARYNGITIS NAS/O/PHARYNG/ NOSE AND THROAT
SINUSITIS SINUS
GINGIVITIS GUM (DISEASE)
APPENDICITIS APPENDIX
STOMATITSIS MOUTH
BALANITIS GLAN PENIS (HEAD)
PROSTATITIS PROSTATE
MASTITIS BREAST
VAGINITIS VAGINA
OOPHORITIS OVARIES
CERVICITIS CERVIX
CYSTITIS BLADDER
URETHRITIS URETHRA
PYELONEPHRITIS PYEL/O/NEPHR GALL BLADDER
NEPHRITIS NEPHRON
OTITIS EAR
-ALGIA PAIN
CAUSALGIA BURNING
NEURALGIA NERVE
CEPHALGIA HEAD (ACHE)
MYALGIA MUSCLE
POLYMYALGIA IN MANY MUSCLES
GASTRALGIA GASTRIC/STOMACH
-PLASTY REPAIR
DERMOPLASTY SKIN
ARTHROPLASTY JOINT
TYMPANOPLASTY TYMPAN/O/PLASTY TYMPANIC MEMBRANE
URETEROPLASTY URETER/O/PLASTY URETER
URETHROPLASTY URETHR/O/PLASTY URETHRA
OTOPLASTY OT/O/PLASTY INNER EAR
-OMA TUMOR
LIPOMA FATTY TISSUE
MELANOMA MALIGNANT SKIN
THYMOMA THYMUS GLAND
CARCINOMA CANCEROUS
-RRHEA DISCHARGE
DIARRHEA LOOSE STOOL
RHINORRHEA RHIN/O/RRHEA RUNNY NOSE
SEBORRHEA SEB/O/RRHEA OILY causing DANDRUFF
STEATORRHEA STEAT/O/RRHEA EXCESS FAT IN THE FECES
GONORRHEA GON/O/RRHEA GONAD (SEX GLANDS)
AMENORRHEA A-MEN/O/RRHEA NO MENSES
GALACTORRHEA GALACT/O/RRHEA EXCESS DISCHARGE OF MILK FROM THE BREAST
-GRAM TO RECORD
MYELOGRAM MYEL/O/GRAM MUSCLE
AUDIOGRAM AUDI/O/GRAM HEARING
ANGIOGRAM ANGI/O/GRAM BLOOD VESSEL
ELECTROENCEPHALOGRAM ELECTRO ENCEPHAL/O/GRAM BRAIN WAVE (ELECTRICITY)
ELECTROCARDIOGRAM ELECTRO/O/CARDI/O/GRAM HEART BEAT (ELECTRICAL)
-OTOMY INCISION/CUT
VAGOTOMY VAGUS NERVE #10
KERATOTOMY CORNEA
TRACHEOTOMY TRACHEA/WINDPIPE
EPISIOTOMY EPIDERMIS/VULVA
PHLEBOTOMY BLOOD
-ECTOMY EXCISION,REMOVAL,RESECTION
FASCIECTOMY FASCIA/CONNECTIVE MUSCLE TISSUE
ADENECTOMY GLAND
PANCREATECTOMY PANCREAS
PARATHYROIDECTOMY PARATHYROID
SPLENECTOMY SPLEEN
THYMECTOMY THYMUS GLAND
ADENOIDECTOMY ADENOID GLAND
LOBECTOMY LUNG
TONSILIECTOMY TONSILS
APPENDECTOMY APPENDIX
CHOLECYSTECTOMY GALL BLADDER
ORCHIECTOMY TESTIS
VASECTOMY VAS DEFEREN
HYSTERECTOMY REMOVAL OF FEMALE REPRODUCTIVE ORGANS
MASTECTOMY BREAST
MYOMECTOMY FIBROIDS
SALPINGECTOMY FALLOPIAN/URETREINE TUBES
CYSTECTOMY STONES (ANY TYPE)
-PLEGIA SHRINKAGE
HEMIPLEGIA VERTICAL SIDE
PARAPLEGIA TWO (2) EXTREMITIES
QUADRIPLEGIA FOUR(4) EXTREMITIES
-PNEA TO BREATHE
A- NO, NOT, WITHOUT
DYS- DIFFICULT
-OPIA VISION
DIPLOPIA DOUBLE
NYCTALOPIA NIGHT
HYPEROPIA FARSIGHTEDNESS
MYOPIA NEARSIGHTEDNESS
-SCLEROSIS FAT DEPOSITS, HARDENING
ARTHROSCLEROSIS ARTHR/O/SCLEROSIS FATTY DEPOSITS IN THE JOINT
ARTHEROSCLEROSIS ARTHER/O/SCLEROSIS FATTY DEPOSITS IN THE ARTERIES
OTOSCLEROSIS OT/O/SCLEROSIS HARDENED FAT DEPOSITS IN THE EARS
-MEGALY ENLARGEMENT
CARDIOMEGALY CARDI/O/MEGALY ENLARGED HEART
SPLENOMEGALY SPLEN/O/MEGALY ENLARGED SPLEEN
HEPATOMEGALY HEPAT/O/MEGALY ENLARGED LIVER
-SCOPY VISUAL EXAM WITH AN INSTRUMENT
OTOSCOPY OT/O/SCOPY EAR WITH OTOSCOPE
COLONOSCOPY COLON/O/SCOPY COLON
LAPAROSCOPY LAPAR/O/SCOPY LAPAR, ABDOMEN
SIGMOIDOSCOPY SIGMOID/O/SCOPY SIGMOID
COPLOSCOPY COPL/O/SCOPY VAGINA
-STOMY OPENING
COLOSTOMY COLON
-URIA FOUND IN URINE
BACTERIURIA BACTERIA
KETONURIA KETONES
OLIGURIA SCANT
PYURIA PUS
HEMATURIA BLOOD
POLYURIA FREQUENTLY
DYSURIA DIFFICULTY
-EMIA IN BLOOD
ANEMIA LOW RED BLOOD CELL COUNT
LEUKEMIA HIGH WHITE BLOOD CELL COUNT
CARDI HEART
BRADYCARDIA SLOW BEATING
TACHYCARDIA FAST BEATING
OSTEO BONE
OSTEOMALACIA SOFT BONE
OSTEOPOROSIS FRAGILE,POROUS BONE
OSTEOGENIC SARCOMA PERTAINING TO MALIGNANT BONE CANCER
OSTEOITIS INFLAMMATION/INFECTION
DYS- DIFFIUCLT
DYSLEXIA LEARNING
DYSPHAGIA EATING
DYSPHONIA HOARSE
DYSPHASIA SPEAKING
HYPER- HIGH/ABOVE
HYPER/CALC/EMIA CALCIUM IN THE BLOOD
HYPER/OPIA
HYPER/CHOLESTEROL/EMIA CHOLESTROL IN BLOOD
HYPERTERNSION BLOOD PRESSURE
HYPER/GLYC/EMIA SUGAR IN BLOOD
HYPERSPLENISM SPLEN/O/MEGALY ENLARGED SPLEEN
HYPERTHYROIDISM THYROID
PY/O- PUS
PYODERMA IN THE SKIN
PYOTHORAX IN THE CHEST/THORAX
HYPO- LOW
HYPOCALCEMIA HYPO/CALC/EMIA LOW CALCIUM IN BLOOD
HYPOKALEMIA HYPO/KAL/EMIA LOW POTASSIUM IN BLOOD
RHINO NOSE
HEMAT BLOOD
LAPAR STOMACH
ANGIO BLOOD VESSEL
PHLEBO VEIN
OTO EAR
MYO EYE MUSCLE
NEO NEW
HEPAT LIVER
CHOLE GALL
ATHRO JOINT
MAMMO OR MASTO BREAST
NEUR NERVE
MYELO SPINAL CORD AND BRAIN
NEPHR KIDNEY
DERM SKIN
KERATO CORNEA
MYRINGO EARDRUM
STOMAT MOUTH
OOPHORO UTERUS
BENEFICIARY THE PERSON RECIEVING THE BENEFITS OF AN INSURANCE POLICY.
COB - CORORDINATION OF BENEFITS THE PROVISION IN AN INSRUANCE CONTRACT THAT LIMITS BENEFITS TO 100% OF THE COST.
CAPITATION WHEN A DOCTOR AGREES TO GET A CERTAIN AMOUNT OF MONEY EACH MONTH FOR A PATIENT EVEN IF THEY ARE NOT SEEN.
SUBSCRIBER A PERSON NAMED AS PRINCIPAL IN AN INSURANCE CONTRACT.
PREMIUM THE PERIODIC PAYMENT REQUIRED TO KEEP A POLICY IN FORCE.
CLAIM A DEMAND TO THE INSURER BY THE INSURED PERSON FOR THE PAYMENT OF BENEFITS UNDER A POLICY.
DEDUCTIBLE A STATEMENT IN AN INSURANCE POLICY THAT THE INSURING COMPANY WILL PAY THE EXPENSES INCURRED AFTER THE INSURED PERSON HAS PAID A SPECIFIED AMOUNT.
SSI - SOCIAL SECURITY INSURANCE PROGRAM OF INCOME SUPPORT FOR LOW INCOME, AGED, BLIND, AND DISABLED PERSONS, ESTABLISHED BY THE TITLE XVI OF THE SOCIAL SECURITY ACT.
CMS - CENTERS FOR MEDICARE AND MEDICAID SERVICES AKA HEALTH CARE FINANCE ADMINISTRATION (HCFA) AN AGENCY WITHIN THE US DEPARTMENT OF HEALTH & HUMAN SERVICES (HHS) RESPONSIBLE FOR ADMINISTRATION OF SEVERAL KEY FEDERAL HEALTH CARE PROGRAMS.
SUPERBILL A PRIVATE INSURANCE CARRIER SOMETIMES SENDS ITS OWN FORM TO THE PATIENT, RATHER THAN COMPLETING THIS FORM, THE OFFICE THAT USES THE SUPERBILL CAN SIMPLY ATTACH A COPY TO THE INSURANCE FORM OR GIVE AN EXTRA COPY TO THE PATIENT IF HE/SHE IS TO SUBMIT IT.
WORKER'S COMPENSATION STATE LAWS TO PROTECT WAGE EARNERS AGAINST THE LOSS OF WAGES AND THE COST OF MEDICAL CARE RESULTING FROM OCCUPATIONAL ACCIDENT OR DISEASE.
AMA - AMERICAN MEDICAL ASSOCIATION THE STATED MISSION IS TO PROMOTE THE ART & SCIENCE OF MEDICINE FOR THE BETTERMENT OF THE PUBLIC HEALTH, TO ADVANCE THE INTERESTS OF PHYSICIANS & THEIR PATIENTS, TO PROMOTE PUBLIC HEALTH, TO LOBBY FOR LEGISLATION FAVORABLE TO PHYSICIANS AND THEIR PATIENTS.
FIVE REASONS FOR CLAIM REJECTION 1. WRONG DATE 2. WRONG PATIENT 3. WRONG PROCEDURE 4. WRONG INSURANCE 5. WRONG TIME.
HMO - HEALTH MAINTENANCE ORGANIZATION WHERE EACH PATIENT HAS A PREDETERMINED AMOUNT, WHICH IS USUALLY NEGOTIATED THROUGH A GROUP CONTRACT, AND IN ADDITION MAY CHARGE A SMALL CO-PAYMENT FOR EACH VISIT.
SOF - SIGNATURE ON FILE
CROSSOVER CLAIM A CLAIM FOR BENEFITS UNDER MEDICARE AND MEDICAID.
TWO (2) COMMON TYPES OF MED ICAL CODING 1. DIAGNOSTIC CODES - ICD-9-CM 2. PROCEDURAL CODES - CPT-4
CPT-4: {PHYSICIANS} CURRENT PROCEDURAL TERMINOLOGY 4TH ED. A CODE SYSTEM USED FOR SERVICES, TREATMENTS OR PROCEDURES.
ICD-9-CM: INTERNATIONAL CLASSIFICATION OF DISEASES - 9TH REVISION CLINICAL MODIFICATION. A CODE SYSTEM FOR CLASSIFYING DISEASES AND OPERATIONS TO FACILITATE COLLECTION OF UNIFORM AND COMPARABLE HEALTH INFORMATION.
MEDICARE A LAW UNDER SOCIAL SECURITY FOR PT'S >65, STARTED JULY 1, 1966. IN 1973 IT ADDED DISABLED PERSONS <65 WHO RECEIVED SSI OR RAILROAD RETIREMENT CHECKS FOR >2 YRS. THIS INCLUDES DISABLED WORKERS, PERSONS INCAPACITATED <22, DISABLED DEPENDENT SPOUSES
MEDICAID UNDER THE SOCIAL SECURTIY AMENDMENTS OF 1965, PROVIDED FOR AGREEMENT WITH STATES FOR ASSISTANCE FROM THE FEDERAL GOVERNMENT IN PROVIDING HEALTH CARE FOR THE MEDICALLY INDIGENT.
CHAMPVA - CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE VETERANS ADMINISTRATION THIS COVERS SURVIVING SPOUSES AND DEPENDENTS OF CHILDREN OF VETERANS WHO DIES AS A RESULT OF A SERVICE CONNECTED DIASBILITY.
TRICARE AKA (CHAMPUS) CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED SERVICES IN 1956, GOVERMENT BECAME A MAJOR INSURER WITH PASSAGE OF LAW 569, WHICH AUTHORIZED DEPENDEANTS OF MILITARY PERSONNEL TO RECEIVE TREATMENT BY CIVILIAN PHYSICIANS AT THE EXPENSE OF THE GOVERNMENT.
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Created by: Successfull