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M.O.P.
Vocabulary
| Question | Answer |
|---|---|
| AAMA (American Association of Medical Assistants) | A national association providing continuing education, professional networking opportunities, and certification examinations to its members |
| Abandonment | The physician's failure to furnish care for a particular ilness for as long as it is required unless the patient has been discharged in an appropriate manner |
| Absolute Accuracy | correctness that is 100 percent; correctness withour error, required for handling financial transactions |
| Accepting Assignment | the agreement by a healthcare provider who participates in an insurance plan to accept the allowed charge as payment in full for services |
| Accession Book | a book containing a list of consecutive numbers used to assign each patient a number in practices where a numeric filing system is used |
| Accounting | a system used to classify, record, and summarize financial transactions |
| Accounts Payable (A/P) | the unpaid amounts of money owed by the practice to creditors and/or suppliers |
| Accounts Receivabl (A/R) | the unpaid amounts of money owed to the medical practice by patients and third-party payers |
| Accrual Method | the accounting method whereby income is recorded as soon as it is earned, whether or not payment is received; expenses are recorded when they are incurred |
| Accuracy | correctness, including attention to detail; the trait often ranked the most important in assistants by physicians |
| Active Files | those records belonging to patients currently seeing the physician |
| Administrative Medical Assistant | the title given to medical office professionals who perform administrative tasks in a wide variety of settings |
| Agenda | an outline of a meeting, specifying locaion, time, date, and major topics to be dscussed |
| Aging Reports | reports that show the passage of time between the issuing of a request for payment (innvoice) and the receipt of payment; used to determine late payments and collect them |
| AHDI (Association for Healthcare Documentation Integrity) | a national organization that promotes professional standards and growth for the field of medical transcription |
| AHIMA (American Health Information Management Association) | a national organization that serves health information management professionals, keeps professionals current with legislatiion, and provides consumers of health services with topics of interest to them |
| Allowed charge | the maximum amount that an insurer will pay for a service or procedure; also called "allowable" or "maximum" |
| Alphabetic Filing | a system of filing whereby documents are kept according to names, titles, or classifications in alphabetic order |
| AMT (American Medical Technologists) | a national organization that promotes professional standards and growth; certification available through association's examination |
| Annotate | the act of making notes that are either helpful or necessary in the margins of communications before forwarding them to the physician |
| Annual Summary | a report providing the monthly charges and payments for an entire year |
| Annotate | the act of making notes that are either helpful or necessary in the margins of communications before forwarding them to the physician |
| Annual Summary | a report providing the monthly charges and payments for an entire year |
| Application Software | computer programs that apply the computer's capabilities to specific uses, such as word processing, graphics, database management, and spreadsheets |
| Arbitration | the process whereby a neutral third party judges the merits of a complaint by one party against another, with the consent of the parties; serves as an alternative to trial and the judgment is binding |
| ARMA (Association of Records Managers and Administrators) | an internation association that includes among its members information managers, archivists, librarians, and educators; sets standards for filing, record retention, and other aspects of records management |
| Assault | the clear threat of injury to another |
| Assertiveness | the ability to step forward to make a point in a confident, positive manner |
| Assessment | the physician's interpretation of subjective and objective findings as contained in the SOAP record; also called "diagnosis" or "impression" |
| Assignment of Benefits | the permission given by a policyholder that allows a third-party payer to pay benefits directly to the healthcare provider |
| Audit | a review of all financial data by an independent party outside the practice--the IRS or an accountant--to ensure the accuracy and completeness of all financial transactions |
| Authoritarian/Autocratic | a leadership style that provides clear and definitive expectations to team members |
| Authorization | expressed (stated) permission given by the physician and required to convey information about a patient to anyone (including the patient) |
| Balance Billing | collecting payment from the insured patient of the difference between a provider's usual fee and a payer's lower allowed charge |
| Arbitration | the process whereby a neutral third party judges the merits of a complaint by one party against another, with the consent of the parties; serves as an alternative to trial and the judgment is binding |
| ARMA (Association of Records Managers and Administrators) | an internation association that includes among its members information managers, archivists, librarians, and educators; sets standards for filing, record retention, and other aspects of records management |
| Assault | the clear threat of injury to another |
| Assertiveness | the ability to step forward to make a point in a confident, positive manner |
| Assessment | the physician's interpretation of subjective and objective findings as contained in the SOAP record; also called "diagnosis" or "impression" |
| Assignment of Benefits | the permission given by a policyholder that allows a third-party payer to pay benefits directly to the healthcare provider |
| Audit | a review of all financial data by an independent party outside the practice--the IRS or an accountant--to ensure the accuracy and completeness of all financial transactions |
| Authoritarian/Autocratic | a leadership style that provides clear and definitive expectations to team members |
| Authorization | expressed (stated) permission given by the physician and required to convey information about a patient to anyone (including the patient) |
| Balance Billing | collecting payment from the insured patient of the difference between a provider's usual fee and a payer's lower allowed charge |
| Balance Sheet | a report for a stated period indicating the practice's complete assets, liabilites, and capital |
| Bank Reconciliation | the process of comparing the balance on the monthly bank statement with the checkbook balance to determine whether there is agreement or a difference in the amounts |
| Basic Insurance Plan | a policy that generally includes coverage of hospitalization, laboratory tests, surgery, and x-rays |
| Battery | any bodily contact without permission; in medicince, interpreted to include procedures performed without the patient's consent or those that go beyond the degree of consent given |
| Bibliography | a list of all references used by an author in the prepararion of a manuscript; listed in a separate section at the end of the text |
| Bioethics | the branch of ethics that deals specifically with medical treatment, technology, and procedure |
| Birthday Rule | a guideline for determining which of two parents with medical coverage has the primary insurance for a child; states that the policy held by the insured with the earliest birthday in the calendar year is the primary policy |
| Blank Endorsement | the presence of only a signature to enable a check to be cashed or deposited; the most common form of endorsement |
| Block-Style Letter | arrangement of a letter so that all lines, including those begining new paragraphs, begin at the left margin |
| BCBS (Blue Cross and Blue Sheild Association) | one of the largest private-sector insurers in the US; offers both indemnity and managed care plans with many variations |
| Bookkeeping | the accurate recording of financial transactions |
| Bound Printed Matter | the classification of mail used for any material permanently bound by materials such as glue, staples, or spiral binding |
| Capitation | a form of payment made by the insurance company in advance of medical services received; the prepayment by the insurance carrier of a fixed amount to a physician to cover services for a member of a particular plan |
| Carrier | an insurance company; aka a third-pary payer |
| Cash Basis | the system of accounting whereby charges for services are not recorded as income to the practice until payment is received and expenses are not recorded until they are paid |
| CD-ROM Drive | an optical storage medium using a CD; ROM(read only memory) means that the disk cannot record info but may be used to copy new programs onto the hard drive or to store info |
| CMS (Centers for Medicare and Medicad Services) | the federal agency reponsible for setting up the terms of Medicare and reviewing managed care plans that want to become Medicare-covered providers; part of the Dept of Health and Human Services; Was called HCFA before 2001 |
| Certificate of Mailing | a receipt purchased at the time of mailing that documents the date the material was presented for mailing to the U.S. Postal Service |
| Certification | an essential minimum standard of competence in a particular medical specialty, awarded by The American Board of Specialties; achieved thru academic in-hospital training and passing an exam |
| Certified Mail | a service offered by the US Postal Service whereby the Postal |
| Balance Sheet | a report for a stated period indicating the practice's complete assets, liabilites, and capital |
| Bank Reconciliation | the process of comparing the balance on the monthly bank statement with the checkbook balance to determine whether there is agreement or a difference in the amounts |
| Basic Insurance Plan | a policy that generally includes coverage of hospitalization, laboratory tests, surgery, and x-rays |
| Battery | any bodily contact without permission; in medicince, interpreted to include procedures performed without the patient's consent or those that go beyond the degree of consent given |
| Bibliography | a list of all references used by an author in the prepararion of a manuscript; listed in a separate section at the end of the text |
| Bioethics | the branch of ethics that deals specifically with medical treatment, technology, and procedure |
| Birthday Rule | a guideline for determining which of two parents with medical coverage has the primary insurance for a child; states that the policy held by the insured with the earliest birthday in the calendar year is the primary policy |
| Blank Endorsement | the presence of only a signature to enable a check to be cashed or deposited; the most common form of endorsement |
| Block-Style Letter | arrangement of a letter so that all lines, including those begining new paragraphs, begin at the left margin |
| BCBS (Blue Cross and Blue Sheild Association) | one of the largest private-sector insurers in the US; offers both indemnity and managed care plans with many variations |
| Bookkeeping | the accurate recording of financial transactions |
| Bound Printed Matter | the classification of mail used for any material permanently bound by materials such as glue, staples, or spiral binding |
| Capitation | a form of payment made by the insurance company in advance of medical services received; the prepayment by the insurance carrier of a fixed amount to a physician to cover services for a member of a particular plan |
| Carrier | an insurance company; aka a third-pary payer |
| Cash Basis | the system of accounting whereby charges for services are not recorded as income to the practice until payment is received and expenses are not recorded until they are paid |
| CD-ROM Drive | an optical storage medium using a CD; ROM(read only memory) means that the disk cannot record info but may be used to copy new programs onto the hard drive or to store info |
| CMS (Centers for Medicare and Medicad Services) | the federal agency reponsible for setting up the terms of Medicare and reviewing managed care plans that want to become Medicare-covered providers; part of the Dept of Health and Human Services; Was called HCFA before 2001 |
| Certificate of Mailing | a receipt purchased at the time of mailing that documents the date the material was presented for mailing to the U.S. Postal Service |
| Certification | an essential minimum standard of competence in a particular medical specialty, awarded by The American Board of Specialties; achieved thru academic in-hospital training and passing an exam |
| Certified Mail | a service offered by the US Postal Service where they keep a record of delivery and the sender receives a receipt |
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