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Bill I
Bill !
| Question | Answer |
|---|---|
| AAPC | Professional Association, Previously known as the American Academy of Professional Coders, established to provide a national certification and credentialing process to support the National and local membership by providing educational products and opport |
| American Association of Medical Assistants (AAMA) | enables med assisting professionals to enhance and demonstrate the knowledge, skills, and professionalism required by employers and pts as well as protec med assistans right to practice |
| American Health Information Management Association (AHIMA) | found in 1928 to improve the quality of medical records, and currently advances the health information management HIM profession toward an electronic and global environment including impementation of ICD-10 and ICD-10PCS in 2013 |
| Artificial Intelligence AI | enables computer systems to perform tasks that have traditionally required human intelligence |
| Bonding Insurance | an insurance agreement that guarantees repayment for financial losses resulting from the act or failure to act of an employee. It protects the financial operations of the employer |
| Business Liability Insurance | Protects business assets and covers the cost of lawsuits resulting from bodily injury, personal injury, and false advertising |
| Centers for Medicare & Medicaid Services (CMS) | Administrative agency within the federal department of Health and Human Services DHHS |
| Claims Examiner | Employed by third-party payers to review health related claims to determine whether the charges are reasonable and medically necessary based on the patients diagnosis |
| Coders | appolies working knowledge of coding systems, coding conventiona and guidelines, govenment regulations, and third party payer requirements to accurately assign ICD-10CM/PCS and CPT/HCPCS nLevel II codes to diagnoses and procedures/services documented |
| Coding | Process of reporting diagnoses, procedures, services, and supplies as numeric and alphanumeric characters call codes on the insurance claim |
| Embezzle | The illegal transfer of money or property as a fraudulent action; to steal money from and employer |
| Errors and Omissions Insurance | See Professional Liability Insurance |
| Ethics | Principle of right or good conduct; rules that govern the conduct of members of a profession |
| Health Care Provider | Physician or other health care practitioner eg physcian;s assistant |
| Health Information Technicians | Professionals who manage patient health info and medical recors; admin computer info systems, ensure accurate and complete medical records in electronic, paper based or hybrid formats; and code dx and cpt for health care serv provided to pts |
| Health Insurance Claim | document that is electronically or manually submitted to an insurance plan rquesting reimbursement for health care procedures and services provided eg CMS 1500 and UB 04 claims |
| Health Insurance Specialists | Person who reviews health related claims to match med necessity to procedures or services performed before payment reimbursement is made to the provider; see also reimbursement specialist |
| Hold Harmless Clause | policy that the patient is not responsible for paying what the insurance plan denies |
| Internship | Experience that benefits the students and facilities that accept students for placement; students rec on the job exper prior to graduation, and the internship assist them in obtaining perm employment |
| Medical Assistant | Employed by a provider to perform administrative and clinical tasks that keep the office or clinic running smoothly |
| Medical Malpractice Insurance | a type of liability insurance that covers physicians and other health care professionals for liability claims arising from patient treatment. |
| Medical Necessity | involves linking every procedure or service code reported on an insurance claim to a condition code eg disease, injury, sign symptom, or other reason for encounter that justifies the need to perform that procedure or service |
| Professional Liability Insurance | Provides protection from liability as a result of errors and omissions when performing their professional services; also called errors and omissions insurance |
| Professionalism | conduct or qualities that characterize a professional person |
| Property Insurance | Protects business contents eg buildings and equipment against fire, theft, and other risks. |
| Reimbursement Specialists | see health insurance specialist |
| Respondeat Superior | Latin for let the master answer legal doctrine holding that the employer is liable for the actions and omissions of employees performed and committed within the scope of their employment |
| Scope of Practice | Health care services, determined by the stat that an NP and PA can perform |
Created by:
luci2