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CMAA
CMAA VOCAB #4
| Question | Answer |
|---|---|
| PO | BY MOUTH |
| NPO | NOTHING BY MOUTH |
| POST OP | AFTER SURGERY |
| BP | BLOOD PRESSURE |
| HR | HEART RATE |
| BM | BOWEL MOVEMENT |
| PRN | AS NEEDED |
| AC | BEFORE MEALS |
| SIS | STATE OF , CONDITION |
| PLEGIA | PARALYSIS |
| CRANI | SKULL |
| PNEO/PNEA | BREATHING |
| THROM | BLOOD CLOT |
| BMI | BODY MASS INDEX |
| DNR | DO NOT RESUSCITATE |
| CPR | CARDIOPULMONARY RESUSCITATION |
| ICU | INTENSIVE CARE UNIT |
| TRICARE | insurance for active duty and retired service personnel and their families |
| CHAMPVA | insurance for veterans with service-related disabilities |
| Worker’s Compensation | provides coverage for employees for job-related illnesses or injuries |
| Sliding Fee Scale | when offices charge fees based on a patient’s financial ability to pay |
| Member/Subscriber/Insured/ Policyholde | the person who owns the insurance policy |
| Beneficiary | individuals who qualify for the program |
| Preferred Provider Organization – (PPO | patient pays an annual premium and often a deductible. Could have a low premium with a high deductible or vice versa. May see an outof- network doctor without a referral or preauthorization, but the deductible may be higher. ➢ |
| Health Maintenance Organization – (HMO | s licensed by the state and has stringent guidelines and a narrow choice of providers. Typically need authorization before a procedure will be covered. Members are assigned primary care physicians (PCP) and must use network providers to be covered, except |
| Treatment, Payment, and Health Care Operations – TPO - | Under the HIPAA privacy rule, providers do not need specific authorization to release a patient's private health information for treatment, payment, and health care operations. ➢ |
| Point of Service (POS) Plan | – is a combination of an HMO and a PPO. |
| PMPM | Per member per month |
| Schedule of Benefits | medical services covered under the insured’s policy |
| Assignment of Benefits: | Reimbursement is sent directly from the payer to the provider |
| Co-Payment | cost- sharing requirement for the insured to pay at the time of service. This amount is usually a specific dollar amount. ➢ |
| Deductible: | A cumulative out –of –pocket amount that must be paid annually by the policyholder before benefits will be paid by the insurance company. ➢ |
| Remittance Advice | an electronic or paper-based report of payment sent by the payer to the provider. |
| SDS MANUEL (MSDS SHEETS) | The material safety data sheet (MSDS) is a document outlining harmful substances and providing safety information on handling hazardous materials |
| When are ICD-10 codes updated? | annually |
| Medical Fraud | Altering patients charts to increase amount |
| First step to treating chemical burn | flush area with water |
| When scheduling patient wha should you consider first? | Provider and type of appointment |
Created by:
barwigann
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