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CMAA
CMAA VOCAB #5
| Question | Answer |
|---|---|
| Urgent care clinic | Immediate medical attention for a non life threatning condition |
| CMS-1500 | form is used in medical reimbursement for professional services from physicians and suppliers. This form is a uniform document that ensures all providers and insurers use the same format regarding insurance claims. |
| Office meeting to review patients PHI? | peer to peer EOB |
| Birthday Rule | The Birthday Rule determines the primary insurance for dependents, by whose birthday comes first in a calender year |
| HCPCS | coding system used for non-physician based services, ex ambulance |
| which method of insurance claim submittal does Medicare perfer | Electronic |
| First step to locating Diagnostic code | Choose main term within the diagnostic statement |
| Clean Claim | claim is a claim that has no billing or coding errors |
| Dirty Claim | Claim with errors |
| What info is needed to fill out CMS-1500 | diagnostic codes from encounter form |
| Where to store Crash Cart | Nurses station |
| dependability | faithfulness or allegiance to a cause, ideal, custom, institution, or product |
| Afferent Nerve | carries impules to brain |
| Basophilia | Overbundance of a particular white blood cell in peripheral blood. |
| Transcription | The Conversion of the doctors notes to a medical report |
| Patient Signed Consent | Medical records cannot without patient signed consent |
| itis unsafe to make purchases using the ? | FAX |
| Accounts receivable is? | is a record of all monies due to the practice |
| diagnosis | Dx |
| emancipted minor | a minor who has been judicially emancipated from their parents, or has reached the age of majority and is therefore free from the custody and control of their parents |
| Primary Insurance | is the one who pays first on a claim |
| Secondary Insurance | secondary insurance can provide benefits once the primary insurance has already paid |
| Tertiary Insurance | is a third payer and will pay after the first and second insurances have paid. |
| Coding is? | Transformation of verbal descriptions into numbers |
| Chest X ray | CXR |
| Commercial Plans | group policy sponsered by employer |
| Disibility Insurance | Disability insurance provides partial income so you can pay your bills if you get too sick or injured to work. |