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4010 week1


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
Created by: markitaboyles