click below
click below
Normal Size Small Size show me how
Coding 100
week 1
Term | Definition |
---|---|
CMS-1500 | INSURANCE CLAIMS DR USES |
UB-04 | HOSPITALS AND NURSING FACILITY USES |
CLASSIFICATION SYSTEM | ORGANIZES MEDICAL NOMENCLATURE ACCORDING TO SIMILAR TRAITS SUCH AS CONDITIONS, DISEASES |
MEDICAL NOMENCLATURE | SPECIALIZED LANGUAGE AS IN "MEDICALESE" |
INTEGRATED PT RECORD | ARRANGED IN STRICT ORDER (BY DATE) 1 PG ON TOP OF THE OTHER MOST RECENT ON TOP |
SOR | SOURCE ORIENTED MEDICAL RECORD: SECTOINALIZED PAPER USUALLY |
POR | PROBLEM ORIENTED DATABASE WITH C/C SOCIAL DATA PAST MEDICAL HISTORY |
SUBJECTIVE | PTS STORY |
OBJECTIVE | PROVIDERS MEASURMENTS OBSERVASTIONS |
ASSESSMENT | DIAGNOSIS |
PLAN | RX TREATMENT THERAPY |
EDUCATION | INFORM PATIENTS WITH INSTRUCTIONS |