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MBE2101-KeyTerms
Chapter1
| Term | Definition |
|---|---|
| AAPC | Professional association, previously known as the American Academy of Professional Coders, establish to provide a national certification and credentials process, to support the national and local membership by providing educational products and opportunit |
| American Association of Medical Assistants (AAMA) | enables medical assisting professional to enhance and demonstrate the knowledge, skills, and professionalism required by employers and patients; as well as protect medical assistants' right to practice. |
| American Health Information management Association (AHIMA) | founded in 1928 to improve the quality of medical records, and currently advances the health information management (HIM) profession towards and electronic and global environment, including implementation of ICD-10-CM & ICD-10-PCS in 2013 |
| American Medical Billing Association (AMBA) | offers the certified medical reimbursement specialist (CMRS) exam, which recognizes competency of member who have met high standards of proficiency, |
| Bonding Insurance | an insurance agreement that guarantees repayment for financial losses resulting from the act or failure to act of a employee. It protects the financial operations of the employer. |
| Business liability insurance | protects business assets and covers the cost of lawsuits resulting from bodily injury, personal injury, and false advertising. |
| Centers for Medicare and Medicaid Services (CMS) | formerly known as the health Care Financing Administration (HCFA); an administrative agency within the federal Department of Health and Hunan Services (DHHS). |
| Claims Examiner | employed by third-party payers to review health-related claims to determine whether the charges are reasonable and medically necessary based on he patient's diagnosis. |
| Coding | process of reporting diagnoses, procedures, and services as numeric and alphanumeric characters (called codes) on the insurance claim. |
| Current Procedural Terminology (CPT) | published by the American Medical Association; including five-digit numeric codes and descriptions for procedures and services performed by providers (e.g. 99203 identifies a detailed office visit for a new patient). |
| embezzle | |
| errors and omissions insurance | |
| ethics | |
| explanation of benefits (EOB) | |
| HCPCS level II codes | |
| health care provider | |
| health information technician | |
| health insurance claim | |
| health insurance specialist | |
| health common procedures coding systems (HCPCS) | |
| hold harmless clause | |
| independent contractor | |
| international classification of diseases, 10th revision, clinical modification (ICD-10-CM) | |
| international classification of diseases, 10th revision, procedural coding system (ICD-10-PC) | |
| Intership | |
| medical assistant | |
| medical malpractice | |
| medical necessity | |
| national codes | |
| professional liabilities insurance | |
| professionalism | |
| property insurance | |
| reimbursement specialist | |
| remittance advice (remit) | |
| respondeat superior | |
| scope of practice | |
| worker's compensation insurance | |
| Healthcare Common Procedures Coding System |
Created by:
erjasbel
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