Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Mode 4010 wk 1
4010 1Terms and Abbreviations
| Question | Answer |
|---|---|
| Ethics | standards of conduct generally accepted as a moral guide for behavior by which an insurance billing or coding specialist may determine the appropriateness of his or her conduct in a relationship with the patients, the physician, co-workers, the government |
| Etiquette | Customs, rules of conduct, courtesy, and manners of the medical profession |
| Capitation | a system of payment used by managed care plans in which physicians and hospitals are paid/ fixed per capita amount for each patient enrolled over a stated period of time regardless of the type and number of services provided |
| Expressed Contract | A verbal or written agreement |
| Respondent Superior | "Let the Master answer" refers to a physician's liability in certain cases for wrongful acts of his assistant(s) or employee(s) |
| Accounts Receivable Management | The organization and administration of coding and billing in a medical practice |
| Guarantor | An individual who promises to pay the medical by signing a form agreeing to pay or who accepts treatment, which constitutes an expressed promise. |
| Implied Contract | Not manifested by direct words but implied or deduced from the circumstances |
| Medicaid | A federally aided state operated and administered program that provides medical benefits for certain low income families |
| Medicare | A nationwide health insurance program for those who are 65 years old and older |
| Medicaid/Medicare(Medi/Medi) | Refers to an individual who has both Medicaid and Medicare benefits |
| Principle Diagnosis | A condition established after study that is chiefly responsible for the admission of the patient into the hospital |
| Discharge Summary | various services provided that prepare the patient for discharge from the inpatient facility |
| Fraud | An intentional misrepresentation of the facts to deceive or mislead another |
| Medical Necessity | The performance of services and procedures that are consistent with a diagnosis in accordance with standards of good medical practice performed at the proper level and provided in the most appropriate setting |
| DIAG | Diagnosis |
| BP | Blood Pressure |
| HEENT | head, eyes, ears, nose, throat |
| PMH | Past Medical History |
| COPD | Chronic Obstructive Pulmonary Disease |
| CBC | Complete Blood Count |
| HIPAA | Health Insurance Portability and Accountability |
| AMA | American Medical Association |
| NPP | Notice of privacy Practices |
| CAP | Claims Assistance Professional |
| PHI | Protected Health Information |
| A/R | Accounts Receivable |
| POS | Point of Service |
| HMO | Health Maintenance Organization |
| PPO | Preferred Provider Organization |
Created by:
SSchabow
Popular Medical sets