Vocab & Important Info
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| show | Coding System
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| show | Classification System
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| ICD-9-CM arranges these elements of coding/classification system into appropriate __ & __ | show 🗑
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| called the United States Postal Service ZIP Code system, which classifies addresses as numbers | show 🗑
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| adopted in 1979 to classify diagnoses (Volumes 1 & 2) & procedures (Volume 3) | show 🗑
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| developed by the National Center for Health Statistics (NCHS) to replace Volume 3 of ICD-9-CM | show 🗑
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| when ICD-10-PCS implemented it will be used to classify __ __ & __ | show 🗑
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| originally published by the American Medical Association (AMA) in 1966; considered Level I of the Healthcare Common Procedure Coding System (HCPCS) | show 🗑
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| ; includes Level II (national codes), called HCPCS level II (or HCPCS national codes); managed by the Centers for Medicare & Medicaid (CMS) | show 🗑
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| classifies medical equipment, injectable drugs, transportation services, & other services not classified by CPT | show 🗑
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| use HCPCS Level II to report procedures & services | show 🗑
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| discontinued in 2004 | show 🗑
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| collection of words/phrases with their meanings | show 🗑
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| show | SNOMED CT
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| system that is clinically descriptive & arranges/organizes like/related entities | show 🗑
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| example of a classification as classify nephrolithiasis, renal calculi, & kidney stone within the same category | show 🗑
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| show | nomenclature
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| show | disease nomenclature
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| show | example of nomenclature
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| show | terminology
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| show | clinical terminology
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| show | broader classifications
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| set of concepts & relationships that provides a common consultation point for comparison & aggregation of data about the entire healthcare process, recorded by multiple individuals, systems,/institutions | show 🗑
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| acute care facilities (hospitals), behavioral healthcare facilities, hospice inpatient care, long-term care facilities are all | show 🗑
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| show | medical coding
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| show | coded medical information
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| central premise was that deaths from plague needed to be examined in the context of all other causes of mortality in order to understand effects of all diseases (deductive reasoning) | show 🗑
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| London merchant who published Reflections on the Weekly Bills of Mortality 1665 | show 🗑
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| sixty disease categories in the Bills constituted the FIRST __ __ to analyze incidences of disease | show 🗑
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| show | Dr. William Farr
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| show | International Statistical Congress in Brussels
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| show | anatomical site; rubrics
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| show | Dr. Farr's classification list
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| show | Jacques Berillion
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| FIRST standard system actually implemented internationally | show 🗑
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| show | American Public Health Association
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| has working knowledge standardized medical coding systems, coding guidelines, principles/rules, government reg., & 3rd-party payer requirements to ensure all diagnoses, medical services, & procedures as documented in medical records are coded accurately | show 🗑
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| show | Medical Coding Specialist
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| career associated with American Medical Billing Association (AMBA) | show 🗑
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| Medical Association of Billers (MAB) certification for career in Health Insurance Specialist | show 🗑
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| show | Certified Claims Assistance Professional (CCAP) & Certified Electronic Claims Professional (CECP)
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| ICD-9-CM codes are assigned to inpatient cases to __ __ __ for education and research, determine third-party payer reimbursement, and facilitate institutional financial planning | show 🗑
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| show | UB-04 claim
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| show | diagnoses; procedures
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| show | sequence; UHDDS
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| responsible for documenting and authenticating legible, complete, and timely patient records in accordance with federal regulations & accrediting agency standards | show 🗑
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| show | support
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| show | justify
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| show | medical necessity
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| show | American Association of Professional Coders (AAPC)
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| adherence to accepted standards | show 🗑
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| show | American Health Information Management Association (AHIMA)
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| show | EHR
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| show | Certified coding specialist (CCS)
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| show | Centers for Medicare & Medicaid Services (CMS)
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| official daily publication for rules, proposed rules, & notices of US federal agencies & organizations | show 🗑
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| payment for health care services | show 🗑
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| show | Encoder
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| combination of formats producing similar results i.e. paper & electronic records | show 🗑
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| show | Credential
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| show | chief complaint
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| show | Certified Professional Coder, Hospital (CPC-H)
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| show | Principal Diagnosis
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| show | Certified Professional Coder, Payer (CPC-P)
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| procedure performed/definitive treatment, rather than diagnostic or exploratory purposes, or one necessary to take care of complication | show 🗑
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| show | Certified Electronic Claims Professional (CECP)
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| show | medical necessity
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| show | Certified Medical Billing Specialist (CMBS)
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| condition that requires patient to be hospitalized | show 🗑
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| show | present on admission (POA)
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| preexisting diagnosis/condition (present on admission) which may lead to increased resource use | show 🗑
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| show | progress notes
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| show | complication
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| show | review of systems
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| show | consultant
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| show | significant procedure
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| show | DRGs
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| show | MS-DRGs
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| amyotrophic lateral sclerosis (ALS) or Lou Gehrig disease can also be called | show 🗑
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