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Clinical Vocab
Med term - clinical vocab, coding systems vocab, and medical coding vocab.
| Term | Definition |
|---|---|
| alphabetic index | a content list for a reference work organized by the first letter of each entry |
| ICD-10-CM | tenth revision of the ICD code set |
| insurance reimbursement | the process of receiving payment from an insurance company for a covered benefit |
| nomenclature | an organized system of words for use in a particular field |
| tabular list | a category grouping of items |
| International Classification of Diseases-10th Revision-Procedure Classification System (ICD-10-PCS) | a separate procedure code system in the ICD-10 clinical vocabulary system |
| procedure code | a code assigned to a particular medical service or procedure |
| International Classification of Diseases for Oncology (ICD-O) | an extension of the ICD for use in classifying neoplasms |
| oncology | the medical specialty that focuses on cancer |
| neoplasm | an abnormal growth of cells that may or may not form a tumor (solid mass), and may or may not be malignant (cancerous) |
| Health Care Procedure Coding System (HCPCS) | a diagnosis and procedure code nomenclature used for outpatient billing in the US |
| HCPCS Level I | a clinical coding system used to describe medical and surgical procedures performed by healthcare providers that is identical to the Current Procedural Terminology (CPT) system of the American Medical Association |
| HCPCS Level II | a collection of codes for services that are not found in the CPT system, including, for example, non-physician services |
| Systematized Nomenclature of Medicine Clinical Terminology (SNOMED CT) | a multinational, multilingual, comprehensive medical nomenclature covering all aspects of medicine |
| Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) | the current version of the DSM, a publication of the American Psychiatric Association (APA) used as the primary resource in the US to classify and diagnose mental disorders |
| mental disorder | a condition in which a person’s thoughts, feelings, and/or behaviors cause distress or impair the ability to function |
| substance abuse | a pattern of use medications or substances that are not part of an approved medical plan or treatment |
| nursing vocabulary | a nomenclature system used to communicate nursing strategies, protocols, and procedures |
| medical coding | the process of assigning nomenclature codes to patient data obtained by examining medical records |
| medical transcriptionist | a specialist who creates a text-based medical record from a voice recording |
| medical coder | a specialist in medical coding |
| medical biller | a professional who prepares and submits insurance claims for a provider based on a medical coder’s work |
| medical claims examiner | a health insurance professional who examines submitted medical claims to ensure that they are valid and qualify for payment |
| explanation of benefits | a form created by the insurance company to explain what charges were covered, denied, or need more documentation based on the claims submitted by the physician’s office |
Created by:
Vaishnavi.
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