Term | Definition |
-a | no, not, without |
-algia | pain |
-ase | enzyme |
*atrophy | shrink |
-carcinoma | cancer |
de- | lack of |
dys | difficulty |
-emia | blood |
-genesis | to form, make or beginging |
hemo-, hema- | blood |
hyper- | high or above |
hypo- | below or low |
-itis | inflammation or infection |
-lysis | breakdown |
macro- | large |
-malacia | soft |
-megaly | enlargement |
micro- | small |
-oma | tumor |
-osis
-iasis | abnormal condition |
poly- | many |
-sis | state of condition |
-sthenia | strenght |
*-trophy | nourishment or development |
-logy | study of |
rrhea- | discharge |
-plasty | repair |
-otomy | to cut; making an incision |
-ostomy | surgical or artificial opening |
-ectomy | excision or remove |
-rrhaphy | to sew or suture |
-pexy | to fix |
-centesis | to puncture |
-ITIS | INFLAMMATION OR INFECTION |
DERMATITIS | SKIN |
ENCEPHALITIS | BRAIN |
MENINGITIS | MENNIGES |
OSTEOMYELITIS
OSTE/O/MYEL | BONE/O/BONE MARROW |
BURSITIS | BURSA SAC |
TENDONITIS | TENDON |
ARTHRITIS | JOINTS |
PNEUMONITIS | LUNGS |
OSTEOARTHRITIS
OSTE/O/ARTHR | BONE/O/JOINT |
MYOSITIS
MY/O | MUSCLE |
CONJUNCTIVITIS | CONJUNCTIVIA |
RETINITITS | RETINA |
MASTOIDITIS | MASTOID PROCESS (EAR) |
PHLEBITIS | VEIN |
ENDOCARDITIS | ENDOCARDIUM |
PERICARDITIS | PERICARDIUM |
THYROIDITIS | THYROID |
LYMPHADENITIS | LYMPH NODE |
EPIGLOTTITIS | EPIGLOTTIS |
LARYNGITIS | VOICE BOX |
NASOPHARYNGITIS
NAS/O/PHARYNG/ | NOSE AND THROAT |
SINUSITIS | SINUS |
GINGIVITIS | GUM (DISEASE) |
APPENDICITIS | APPENDIX |
STOMATITSIS | MOUTH |
BALANITIS | GLAN PENIS (HEAD) |
PROSTATITIS | PROSTATE |
MASTITIS | BREAST |
VAGINITIS | VAGINA |
OOPHORITIS | OVARIES |
CERVICITIS | CERVIX |
CYSTITIS | BLADDER |
URETHRITIS | URETHRA |
PYELONEPHRITIS
PYEL/O/NEPHR | GALL BLADDER |
NEPHRITIS | NEPHRON |
OTITIS | EAR |
-ALGIA | PAIN |
CAUSALGIA | BURNING |
NEURALGIA | NERVE |
CEPHALGIA | HEAD (ACHE) |
MYALGIA | MUSCLE |
POLYMYALGIA | IN MANY MUSCLES |
GASTRALGIA | GASTRIC/STOMACH |
-PLASTY | REPAIR |
DERMOPLASTY | SKIN |
ARTHROPLASTY | JOINT |
TYMPANOPLASTY
TYMPAN/O/PLASTY | TYMPANIC MEMBRANE |
URETEROPLASTY
URETER/O/PLASTY | URETER |
URETHROPLASTY
URETHR/O/PLASTY | URETHRA |
OTOPLASTY
OT/O/PLASTY | INNER EAR |
-OMA | TUMOR |
LIPOMA | FATTY TISSUE |
MELANOMA | MALIGNANT SKIN |
THYMOMA | THYMUS GLAND |
CARCINOMA | CANCEROUS |
-RRHEA | DISCHARGE |
DIARRHEA | LOOSE STOOL |
RHINORRHEA
RHIN/O/RRHEA | RUNNY NOSE |
SEBORRHEA
SEB/O/RRHEA | OILY causing DANDRUFF |
STEATORRHEA
STEAT/O/RRHEA | EXCESS FAT IN THE FECES |
GONORRHEA
GON/O/RRHEA | GONAD (SEX GLANDS) |
AMENORRHEA
A-MEN/O/RRHEA | NO MENSES |
GALACTORRHEA
GALACT/O/RRHEA | EXCESS DISCHARGE OF MILK FROM THE BREAST |
-GRAM | TO RECORD |
MYELOGRAM
MYEL/O/GRAM | MUSCLE |
AUDIOGRAM
AUDI/O/GRAM | HEARING |
ANGIOGRAM
ANGI/O/GRAM | BLOOD VESSEL |
ELECTROENCEPHALOGRAM
ELECTRO ENCEPHAL/O/GRAM | BRAIN WAVE (ELECTRICITY) |
ELECTROCARDIOGRAM
ELECTRO/O/CARDI/O/GRAM | HEART BEAT (ELECTRICAL) |
-OTOMY | INCISION/CUT |
VAGOTOMY | VAGUS NERVE #10 |
KERATOTOMY | CORNEA |
TRACHEOTOMY | TRACHEA/WINDPIPE |
EPISIOTOMY | EPIDERMIS/VULVA |
PHLEBOTOMY | BLOOD |
-ECTOMY | EXCISION,REMOVAL,RESECTION |
FASCIECTOMY | FASCIA/CONNECTIVE MUSCLE TISSUE |
ADENECTOMY | GLAND |
PANCREATECTOMY | PANCREAS |
PARATHYROIDECTOMY | PARATHYROID |
SPLENECTOMY | SPLEEN |
THYMECTOMY | THYMUS GLAND |
ADENOIDECTOMY | ADENOID GLAND |
LOBECTOMY | LUNG |
TONSILIECTOMY | TONSILS |
APPENDECTOMY | APPENDIX |
CHOLECYSTECTOMY | GALL BLADDER |
ORCHIECTOMY | TESTIS |
VASECTOMY | VAS DEFEREN |
HYSTERECTOMY | REMOVAL OF FEMALE REPRODUCTIVE ORGANS |
MASTECTOMY | BREAST |
MYOMECTOMY | FIBROIDS |
SALPINGECTOMY | FALLOPIAN/URETREINE TUBES |
CYSTECTOMY | STONES (ANY TYPE) |
-PLEGIA | SHRINKAGE |
HEMIPLEGIA | VERTICAL SIDE |
PARAPLEGIA | TWO (2) EXTREMITIES |
QUADRIPLEGIA | FOUR(4) EXTREMITIES |
-PNEA | TO BREATHE |
A- | NO, NOT, WITHOUT |
DYS- | DIFFICULT |
-OPIA | VISION |
DIPLOPIA | DOUBLE |
NYCTALOPIA | NIGHT |
HYPEROPIA | FARSIGHTEDNESS |
MYOPIA | NEARSIGHTEDNESS |
-SCLEROSIS | FAT DEPOSITS, HARDENING |
ARTHROSCLEROSIS
ARTHR/O/SCLEROSIS | FATTY DEPOSITS IN THE JOINT |
ARTHEROSCLEROSIS
ARTHER/O/SCLEROSIS | FATTY DEPOSITS IN THE ARTERIES |
OTOSCLEROSIS
OT/O/SCLEROSIS | HARDENED FAT DEPOSITS IN THE EARS |
-MEGALY | ENLARGEMENT |
CARDIOMEGALY
CARDI/O/MEGALY | ENLARGED HEART |
SPLENOMEGALY
SPLEN/O/MEGALY | ENLARGED SPLEEN |
HEPATOMEGALY
HEPAT/O/MEGALY | ENLARGED LIVER |
-SCOPY | VISUAL EXAM WITH AN INSTRUMENT |
OTOSCOPY
OT/O/SCOPY | EAR WITH OTOSCOPE |
COLONOSCOPY
COLON/O/SCOPY | COLON |
LAPAROSCOPY
LAPAR/O/SCOPY | LAPAR, ABDOMEN |
SIGMOIDOSCOPY
SIGMOID/O/SCOPY | SIGMOID |
COPLOSCOPY
COPL/O/SCOPY | VAGINA |
-STOMY | OPENING |
COLOSTOMY | COLON |
-URIA | FOUND IN URINE |
BACTERIURIA | BACTERIA |
KETONURIA | KETONES |
OLIGURIA | SCANT |
PYURIA | PUS |
HEMATURIA | BLOOD |
POLYURIA | FREQUENTLY |
DYSURIA | DIFFICULTY |
-EMIA | IN BLOOD |
ANEMIA | LOW RED BLOOD CELL COUNT |
LEUKEMIA | HIGH WHITE BLOOD CELL COUNT |
CARDI | HEART |
BRADYCARDIA | SLOW BEATING |
TACHYCARDIA | FAST BEATING |
OSTEO | BONE |
OSTEOMALACIA | SOFT BONE |
OSTEOPOROSIS | FRAGILE,POROUS BONE |
OSTEOGENIC SARCOMA | PERTAINING TO MALIGNANT BONE CANCER |
OSTEOITIS | INFLAMMATION/INFECTION |
DYS- | DIFFIUCLT |
DYSLEXIA | LEARNING |
DYSPHAGIA | EATING |
DYSPHONIA | HOARSE |
DYSPHASIA | SPEAKING |
HYPER- | HIGH/ABOVE |
HYPER/CALC/EMIA | CALCIUM IN THE BLOOD |
HYPER/OPIA | |
HYPER/CHOLESTEROL/EMIA | CHOLESTROL IN BLOOD |
HYPERTERNSION | BLOOD PRESSURE |
HYPER/GLYC/EMIA | SUGAR IN BLOOD |
HYPERSPLENISM
SPLEN/O/MEGALY | ENLARGED SPLEEN |
HYPERTHYROIDISM | THYROID |
PY/O- | PUS |
PYODERMA | IN THE SKIN |
PYOTHORAX | IN THE CHEST/THORAX |
HYPO- | LOW |
HYPOCALCEMIA
HYPO/CALC/EMIA | LOW CALCIUM IN BLOOD |
HYPOKALEMIA
HYPO/KAL/EMIA | LOW POTASSIUM IN BLOOD |
RHINO | NOSE |
HEMAT | BLOOD |
LAPAR | STOMACH |
ANGIO | BLOOD VESSEL |
PHLEBO | VEIN |
OTO | EAR |
MYO | EYE MUSCLE |
NEO | NEW |
HEPAT | LIVER |
CHOLE | GALL |
ATHRO | JOINT |
MAMMO OR MASTO | BREAST |
NEUR | NERVE |
MYELO | SPINAL CORD AND BRAIN |
NEPHR | KIDNEY |
DERM | SKIN |
KERATO | CORNEA |
MYRINGO | EARDRUM |
STOMAT | MOUTH |
OOPHORO | UTERUS |
BENEFICIARY | THE PERSON RECIEVING THE BENEFITS OF AN INSURANCE POLICY. |
COB - CORORDINATION OF BENEFITS | THE PROVISION IN AN INSRUANCE CONTRACT THAT LIMITS BENEFITS TO 100% OF THE COST. |
CAPITATION | WHEN A DOCTOR AGREES TO GET A CERTAIN AMOUNT OF MONEY EACH MONTH FOR A PATIENT EVEN IF THEY ARE NOT SEEN. |
SUBSCRIBER | A PERSON NAMED AS PRINCIPAL IN AN INSURANCE CONTRACT. |
PREMIUM | THE PERIODIC PAYMENT REQUIRED TO KEEP A POLICY IN FORCE. |
CLAIM | A DEMAND TO THE INSURER BY THE INSURED PERSON FOR THE PAYMENT OF BENEFITS UNDER A POLICY. |
DEDUCTIBLE | A STATEMENT IN AN INSURANCE POLICY THAT THE INSURING COMPANY WILL PAY THE EXPENSES INCURRED AFTER THE INSURED PERSON HAS PAID A SPECIFIED AMOUNT. |
SSI - SOCIAL SECURITY INSURANCE | PROGRAM OF INCOME SUPPORT FOR LOW INCOME, AGED, BLIND, AND DISABLED PERSONS, ESTABLISHED BY THE TITLE XVI OF THE SOCIAL SECURITY ACT. |
CMS - CENTERS FOR MEDICARE AND MEDICAID SERVICES AKA HEALTH CARE FINANCE ADMINISTRATION (HCFA) | AN AGENCY WITHIN THE US DEPARTMENT OF HEALTH & HUMAN SERVICES (HHS) RESPONSIBLE FOR ADMINISTRATION OF SEVERAL KEY FEDERAL HEALTH CARE PROGRAMS. |
SUPERBILL | A PRIVATE INSURANCE CARRIER SOMETIMES SENDS ITS OWN FORM TO THE PATIENT, RATHER THAN COMPLETING THIS FORM, THE OFFICE THAT USES THE SUPERBILL CAN SIMPLY ATTACH A COPY TO THE INSURANCE FORM OR GIVE AN EXTRA COPY TO THE PATIENT IF HE/SHE IS TO SUBMIT IT. |
WORKER'S COMPENSATION | STATE LAWS TO PROTECT WAGE EARNERS AGAINST THE LOSS OF WAGES AND THE COST OF MEDICAL CARE RESULTING FROM OCCUPATIONAL ACCIDENT OR DISEASE. |
AMA - AMERICAN MEDICAL ASSOCIATION | THE STATED MISSION IS TO PROMOTE THE ART & SCIENCE OF MEDICINE FOR THE BETTERMENT OF THE PUBLIC HEALTH, TO ADVANCE THE INTERESTS OF PHYSICIANS & THEIR PATIENTS, TO PROMOTE PUBLIC HEALTH, TO LOBBY FOR LEGISLATION FAVORABLE TO PHYSICIANS AND THEIR PATIENTS. |
FIVE REASONS FOR CLAIM REJECTION | 1. WRONG DATE 2. WRONG PATIENT 3. WRONG PROCEDURE 4. WRONG INSURANCE 5. WRONG TIME. |
HMO - HEALTH MAINTENANCE ORGANIZATION | WHERE EACH PATIENT HAS A PREDETERMINED AMOUNT, WHICH IS USUALLY NEGOTIATED THROUGH A GROUP CONTRACT, AND IN ADDITION MAY CHARGE A SMALL CO-PAYMENT FOR EACH VISIT. |
SOF - SIGNATURE ON FILE | |
CROSSOVER CLAIM | A CLAIM FOR BENEFITS UNDER MEDICARE AND MEDICAID. |
TWO (2) COMMON TYPES OF MED ICAL CODING | 1. DIAGNOSTIC CODES - ICD-9-CM
2. PROCEDURAL CODES - CPT-4 |
CPT-4: {PHYSICIANS} CURRENT PROCEDURAL TERMINOLOGY 4TH ED. | A CODE SYSTEM USED FOR SERVICES, TREATMENTS OR PROCEDURES. |
ICD-9-CM: INTERNATIONAL CLASSIFICATION OF DISEASES - 9TH REVISION CLINICAL MODIFICATION. | A CODE SYSTEM FOR CLASSIFYING DISEASES AND OPERATIONS TO FACILITATE COLLECTION OF UNIFORM AND COMPARABLE HEALTH INFORMATION. |
MEDICARE | A LAW UNDER SOCIAL SECURITY FOR PT'S >65, STARTED JULY 1, 1966. IN 1973 IT ADDED DISABLED PERSONS <65 WHO RECEIVED SSI OR RAILROAD RETIREMENT CHECKS FOR >2 YRS. THIS INCLUDES DISABLED WORKERS, PERSONS INCAPACITATED <22, DISABLED DEPENDENT SPOUSES |
MEDICAID | UNDER THE SOCIAL SECURTIY AMENDMENTS OF 1965, PROVIDED FOR AGREEMENT WITH STATES FOR ASSISTANCE FROM THE FEDERAL GOVERNMENT IN PROVIDING HEALTH CARE FOR THE MEDICALLY INDIGENT. |
CHAMPVA - CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE VETERANS ADMINISTRATION | THIS COVERS SURVIVING SPOUSES AND DEPENDENTS OF CHILDREN OF VETERANS WHO DIES AS A RESULT OF A SERVICE CONNECTED DIASBILITY. |
TRICARE AKA (CHAMPUS) CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED SERVICES | IN 1956, GOVERMENT BECAME A MAJOR INSURER WITH PASSAGE OF LAW 569, WHICH AUTHORIZED DEPENDEANTS OF MILITARY PERSONNEL TO RECEIVE TREATMENT BY CIVILIAN PHYSICIANS AT THE EXPENSE OF THE GOVERNMENT. |
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