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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 |