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
Chap 11AR
Claims Process
| Question | Answer |
|---|---|
| A & P | anterior and posterior |
| A | before |
| ANT | anterior |
| A/O | alert and oriented |
| ASAP | as soon as possible |
| bid | twice a day |
| BIL | bilateral |
| BP | blood pressure |
| BS | bowel sounds, breathing sounds |
| c/o | complains of |
| C1-7 | cervical vertebrae |
| CAD | coronary artery disease |
| CC | cheif complaint |
| CHD | congenital heart disease |
| CHF | congestive heart failure |
| CNT | could not test |
| CON | congested |
| COPD | chronic obstructive pulmonary disease |
| CP | chest pain |
| CV | cardiovascular |
| CVA | cerebrovascular accident |
| D/C | discontinue |
| DDD | degenerative disk disease |
| DIST | distal |
| DJD | degenerative joint disease |
| DM | diabetes mellitus |
| DOB | date of birth |
| DOE | dyspnea on exertion |
| DOI | date of injury |
| DVT | deep vein thrombosis |
| Dx | diagnosis |
| ed | edema |
| EENT | eye, ear, nose, and throat |
| Eval | evaluate |
| ext | extremity |
| EXT | external, extension |
| ext. rot. | external rotation |
| FH | family history |
| FLEX | flexion |
| FROM | full range of motion |
| ft | foot |
| Fx | fracture |
| GERD | gastroesophageal reflux disease |
| GI | gastriointestinal |
| GYN | gynecologic, gynecological |
| HA | head ache |
| HBP | high blood pressure |
| HPI | history of present illness |
| hs | at bedtime |
| HTR | hypertrophy |
| Hx | history |
| IHD | ischemic heart disease |
| IM | intramuscular |
| INFLAM | inflammation |
| INT | internal |
| int. rot. | internal rotation |
| IV | intravenous |
| jt | joint |
| KUB | kidneys, ureter, bladder |
| L | left |
| L1-5 | lumbar vertebrae |
| Lat | lateral, left anterior thigh |
| Lats | latissimus dorsi |
| LB | low back |
| LBP | low back pain |
| LE | lower extremities |
| LLQ | left lower quadrant (abdomen) |
| M | murmur |
| mas | massage |
| SOB | shortness of breath |
| SOBOE | shortness of breath on exertion |
| SP | spasm |
| spr | sprain |
| SQ or SC | subcutaneous |
| S&S or S/S | signs and symptoms |
| stat | immediately |
| STI | soft tissue injury |
| str | strain |
| SUP | superior, supination |
| Sx | symptoms |
| T1-12 | thoracic vertebrae |
| TIA | tansient ischemia attack |
| tid | three times a day |
| TMJ | temporal mandibular joint |
| TMJD | temporal mandibular joint dysfunction |
| TP | trigger point |
| TPR | temperature, pulse, respiration |
| Tx | treatment, therapy |
| UE | upper extremity |
| UTI | urinary tract infection |
| VV | vericose vein |
| WNL | within normal limits |
| x | times |
| y/o | years old |
| capitation | rate paid to participating physicians on a per person bases, based on age and sex whether the patient utilizes services or not |
| rule for waiving copayments | illegal (write on test) |
| disallowed amount | difference between billed amount and the allowed amount |
| oldest type of prepaid health plan | HMO |
| professional review organization | determines and assures the quality and operation of health care |
| utilization review | controls costs |
| carve outs | medical services that are not included in the capitation list |
| churning | when a physician sees a patient more than is medically necessary |
| PPO | organization gives members freedom of choice |
| another name for PCP | gatekeeper |
| preauthorization | seeking approval of services before seeing a specialist or obtaining radiology services |
| withholding | certain % of monthly capitation payment is held out of payment to pay for operating an IPA |
| Managed Care Organization | MCO |
| can a person who is eligible for Medicare still have an HMO or prepaid health plan | yes |
| staff model HMO | physician hired directly by the health plan that pays their salary |
Created by:
maxphia32
Popular Medical sets