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Chapter 1 :)
| Question | Answer |
|---|---|
| Codes used for supplies, equipment, and services NOT included in the CPT code. | HCPCS |
| A list of procedures and diagnoses for a patient’s visit. | ENCOUNTER FORM :) |
| The standardized classification system for reporting medical procedures and services. | Current Procedural Terminology (CPT). |
| A code that identifies a medical service. | Procedure Code. |
| Abbreviated title of International Classification of Diseases, Tenth Revision, Clinical Modification, which will be used effective 10/01/2015. | ICD-10-CM. |
| Abbreviated title of International Classification of Diseases, Ninth Revision, Clinical Modification, the source of the codes used for reporting diagnoses until 10/01/2015. | ICD-9-CM |
| A standardized value that represents a patient’s illness, signs, and symptoms. | Diagnosis Code. |
| The process of translating a description of a diagnosis or procedure into a standardized code. | Coding. |
| Medical treatment provided by a physician or other healthcare provider. | Procedure. |
| Physician’s opinion of the nature of the patient’s illness or injury. | Diagnosis. |
| A form that includes a patient’s personal, employment, and insurance data needed to complete an insurance claim. | Patient Information Form. |
| A ten-step process that results in timely payment for medical services. | Medical Documentation and Billing Cycle. |
| A secure online website which provides patients with the ability to communicate with their provider and access their health information any time. | Patient Portal. |
| A communication tool that provides the patient with relevant and actionable information and instructions. | After-Visit Summary (AVS). |
| The use of computers and handheld devices to transit prescriptions in digital format. | Electronic Prescribing. |
| A record of healthcare encounters between the physician and the patient, created by the provider. | Documentation. |
| Software programs that automate many of the administrative and financial tasks in a medical practice. | Practice Management Programs (PMP). |
| A model of reimbursement in which single payments are made to multiple providers involved in an episode of care, creating a sense of shared accountability among providers. | Bundled Payments. |
| A network of doctors and hospitals that shares responsibility for managing the quality and cost of care provided to a group of patients. | Accountable Care Organization (ACO). |
| A model of primary care that provides comprehensive and timely care to patients, while emphasizing teamwork and patient involvement. | Patient-centered Medical Home (PCMH). |
| A model of physician reimbursement in which payment is provided for specific, individual services provided to a patient. | fee-for-service. |
| the utilization of certified EHR technology to improve quality, efficiency, and patient safety in the healthcare system. | meaningful use. |
| A computerized lifelong healthcare record for an individual that incorporates data from all providers who treat the individual. | electronic health record (EHR). |
| Technology that is used to record, store, and manage patient healthcare information. | health information technology. |
| part of the American Recovery and Reinvestment Act of 2009 that provides financial incentives to physicians and hospitals to adopt EHRs and strengthens HIPAA privacy and security regulations. | Health Information Technology for Economic and Clinical Health (HITECH) Act |