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MBG150 Chap 13
| Question | Answer |
|---|---|
| Centers for Medicare and Medicaid Services | agency responsible for administering the Medicare and Medicaid programs |
| Chief complaint | the reason why the patient is seeing the physician |
| Concurrent Care | when a patient receives similar services by more than one healthcare provider on the same day |
| Consultation | when the primary care provider sends a patient to another provider, usually a specialist, for the purpose of the consulting physician rendering their expert opinion regarding the patient’s condition |
| Critical Care | the constant attention by a medical physician in a medical crisis |
| Emergency Care | care given in a hospital emergency department |
| Established Patient | a patient that has been previously treated by the provider or at the facility within the last three years |
| Evaluation and Management | codes that represent the services provided directly to the patient during an encounter without an actual procedure |
| Face to face time | time that the provider spends in direct contact with a patient during an office visit |
| HCPCS codes | descriptive terms with letters or numbers or both used to report medical services and procedures for reimbursement |
| Health Care Financing Administration | agency that used to be responsible for administering Medicare and Medicaid |
| History of Present Illness | elements of a physical exam that include location, quality, severity, timing, context, modifying factors, and associated signs and symptoms of a patient’s current illness or injury |
| Inpatient | patient who has been formally admitted to a hospital |
| Level I codes | CPT, five digit numeric codes. Procedures and services |
| Level II codes | Medicare National Codes. Five digit alphanumeric codes. Supplies, drugs, and temporary codes |
| Level III codes | codes developed by local Medicare contractors. Currently being phased out |
| Modifiers | two digit numeric, alphanumeric , or alphabetic codes that represent modifications or alterations to the description of the procedure or service |
| Neonates | newborns 30 days or younger |
| New Patient | a patient that has never been seen or has not been seen in the last 3 years by the provider or at the facility. |
| Observation | classification for patient’s that are not sick enough to be formally admitted, but need to remain in the hospital for monitoring. |
| Outpatient | patient is released on the same day that the procedure or service is performed |
| Past, Family, and Social History | elements of a physical exam that represent the patient’s medical history, the patient’s family’s medical history, and social information that can effect the way the patient is treated |
| Review of systems | examination of body parts and systems that are involved in the chief complaint |
| Stand-Alone code | full description of a procedure or service that does not require additional information |
| Subheading | one of the classifications/divisions of the tabular section;usually based on anatomic site |
| Subjective information | biased or personal information. Used to describe the patients’ description of an illness or injury |
| Subsection | classification of the CPT manual. Usually based on body system |
| Unit/Floor time | time the physician spends on bedside care of the patient, reviewing the health record, and writing orders |
Created by:
Alyshia
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