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MBG150 Chap 13

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