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mbc 101
billing and coding
| Question | Answer |
|---|---|
| prefix: | coming 1st in the word ex: peri- |
| combining form: | When you take a word root and add a vowel it becomes a combining form. ex: cardi/o |
| suffix: | starts with a hyphen and is the end of the word. ex: -um |
| body planes coronal: | front and back sections |
| body planes sagittal: | right and left sections |
| body planes transverse: | upper and lower sections |
| anatomical: | straight forward |
| body directions: | away or towards these planes |
| medial: | in |
| lateral: | out |
| posterior: | back |
| anterior: | front |
| cephalad: | towards the head |
| caudad: | towards the toes and tailbone |
| distal: | moving away from the trunk |
| proximal: | moving towards the trunk |
| exterial: | superficial: outer part of the body or organ |
| internal: | deep: inside the body or organ |
| body cavity: | a hollow space surrounded by bone/ muscle to protect the structures |
| 5 main cavities cranial: | head |
| 5 main cavities spinal: | runs down the back |
| 5 main cavities thoracic: | chest |
| 5 main cavities abdominal: | upper abdomen |
| 5 main cavities pelvic: | lower abdomen |
| anatomy: | the study of the structure of the human body |
| physiology: | the study of the function of the anatomy structures |
| disease: | change in the normal structure or function of the body |
| disorder: | disturbance of action or function |
| etiology: | cause of origin of the disease or disorder |
| symptom: | any deviation from health that is experienced or felt by the patient |
| sign: | a symptom that can be seen or detected by others |
| symptoms and signs 3 categories acute: | sudden in nature and severe in intensity |
| symptoms and signs 3 categories subacute: | less severe in intensity |
| symptoms and signs 3 categories chronic: | continues for 3 months or longer |
| exacerbation: | sudden worsening of a diseases symptoms or signs |
| remission: | temporary improvement of symptoms or signs of a disease even though it hasn't been cured |
| relapse/recurrences: | the return of the original symptoms or signs of the disease |
| sequela: | complication that remains after the original disease is resolved |
| symptamology: | clinical picture of all the patients symptoms and signs |
| asymptomatic: | when you have a disease but show no signs or symptoms |
| syndrome: | set of symptoms or signs associated with and characteristic of a particular disease |
| refractory: | a disease that doesn't respond to treatment |
| therapeutic: | symptoms or signs of the disease disappear. diseases that cant be treated with drugs or therapy and may require surgery |
| 3 ends to the course of a disease recuperation: | the patient recovers and returns to a normal state of health |
| 3 ends to the course of a disease residual chronic disease/disability: | recuperation is not complete |
| 3 ends to the course of a disease terminal: | patient cannot recover-ends in death |
| physician/doctor: | leads the team members and directs their activities |
| physicians: | examines the patients, order tests, diagnose diseases, and treat diseases by prescribing drugs or therapy |
| surgeons: | physicians with additional training in surgical techniques. |
| primary care physicians: | (pcp's)specialize in family practice or pediatrics and see most patients in their office |
| attending physicians: | work in hospitals where they admit and discharge patients and direct their care |
| physician extenders: | perform some but not all the duties of a physician. they diagnose and treat patients, prescribe drugs, work under the supervision of an MD or DO |
| allied health professionals: | support and carry out specific services ordered by physicians |
| hospitals: | intended for patients who are acutely ill and require surgical care for longer then 24 hrs. |
| ancillary departments: | provides services such as radiology, physical therapy, and pharmacy services |
| non medical departments: | carry out tasks such as health information management, billing and coding, and housekeeping |
| physicians office: | most frequently used health care setting. typically single physicians run these (seriously ill patients are sent to hospitals) |
| clinics: | provides services for one type of patient or disease |
| 3 types of clinics outpatient: | in a hospital-patients are not admitted |
| 3 types of clinics walk-ins: | immunizations, sports physicals, and treatment of minor injuries |
| 3 types of clinics urgent care: | takes patients with more serious but not life threatening injuries |
| ambulatory: | facility where minor surgery is performed |
| long-term care facility: | for older adults or people with disabilities |
| home health agency: | provides to patients in home |
| hospice: | provides care to patients who have less then 6 months to live |
| 4 techniques for physicals inspection: | visual examination |
| 4 techniques for physicals palpation: | using fingers to feel masses, organs, and detect tenderness and pain |
| 4 techniques for physicals auscultation: | use of a stethoscope to listen to bodily sounds |
| 4 techniques for physicals percussion: | tapping on the body to hear sounds produced |
| medical records: | used to document all care provided to patients. today most hospitals use EHR's |
| EHR: | Electronic health records |
| flouroscopy: | views inside the body and projects onto a tv screen- live images by which a physician can view function and structure of an organ |
| position: | the way the patient is placed |
| projection: | the path that an x-ray beam can travel |
| bilateral: | on the right and left side |
| screening: | planned ahead of time and scheduled |
| diagnostic: | unplanned, sent in and done by doctor immediately |