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4010 week1
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| Question | Answer |
|---|---|
| DIGA | Diagnosis |
| BP | Blood Pressure |
| HEET | Head,Ears,Eyes,Throat |
| PMH | Past Medical History |
| COPD | Chronic obstructive pulmonary disease |
| CBC | Complete blood count |
| HIPPA | Health Insurance Protabilty and Accountabilty Act |
| AMA | Americian medical association |
| NPP | Notice of privacy practices |
| CAP | Claims assistance professionals |
| PHI | Protected health information |
| A/R | Accounts Receivable |
| POS | Point of service |
| HMO | Health maintenance organization |
| PPO | Preferred provider organization |
| Ethics | Defined in the terms of what is morally right or wrong |
| Etiquette | Manners, polliteness, proper behavior, rules of conduct |
| Capitation | Use of the numbers of members enrolled in a plan to determine salary of the provider |
| Expressed Contract | Written or verbal contract that specifically describes what each party in the contract will do |
| Respondent Superior | "Let the master answer" refers to a physicians liability in certian cases for the wrongful acts of his or her assistant or employees |
| Accounts Receivable Management | The organization and administraction of coding and billing in a medical practice |
| Guarantor | The person indentified as responsible for the payment of the bill |
| Implied Consent | Consent complied by the health care member |
| Medicaid | A fedral aid. State operated, and state administered program the provides medica benefits for certain low-income persons in need of health and medical care |
| Medicare | A nationwide health insurance program for persons age 65 years of age and older and certian disabled or blind persons regardless of income |
| Principle Diagnosis | A condition establish after study that is chiefly responsible for the admission of the patient to the hospital |
| Medicare/Medicaid | Refers to an individual who receives medical or disability benefits from both medicare and medicaid programs |
| Discharge Summary | Medical reports that documnet the hospitalization history of a patient |
| Fraud | Deliberate misrepresentation of facts |
| Medical Necessity | The performance of services and precedures that are consistent with the diagnosis in accordance with standards of good medical practice |