Vocab & Important Info
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| show | Coding System
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| Coding System AKA | show 🗑
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| show | chapters; sections
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| called the United States Postal Service ZIP Code system, which classifies addresses as numbers | show 🗑
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| show | International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
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| show | International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS)
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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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| show | HCPCS Level III codes
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| collection of words/phrases with their meanings | show 🗑
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| example of a vocabulary is | show 🗑
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| system that is clinically descriptive & arranges/organizes like/related entities | show 🗑
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| show | ICD-9-CM
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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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| refers to a set of terms representing the system of concepts of a particular subject field | show 🗑
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| refers to a set of standardized terms & their synonyms that record patient findings, circumstances, events, & interventions with sufficient detail to support clinical care, decision support, outcomes research, & quality improvement | show 🗑
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| show | broader classifications
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| show | reference terminology
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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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| show | Bertillion Classification
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| recommended use of Bertillion Classification in United States, Canada, & Mexico in 1898 | show 🗑
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| show | medical information coding specialist
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| American Academy of Professional Coders (AAPC): certifications: CPC, CPC-A, CPC- H, and CPC-P; American Health Information Management (AHIMA): certifications CCA, CCS, CCS-P | show 🗑
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| career associated with American Medical Billing Association (AMBA) | show 🗑
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| show | Certified Medical Billing Specialist (CMBS)
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| show | Certified Claims Assistance Professional (CCAP) & Certified Electronic Claims Professional (CECP)
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| show | collect statistical data
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| show | UB-04 claim
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| hospital inpatient cases usually have multiple __ & __ documented | show 🗑
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| show | sequence; UHDDS
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| show | health care providers
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| show | support
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| patient's diagnosis MUST __ diagnostic and therapeutic procedures or services provided | show 🗑
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| patient's diagnosis justifies diagnostic & therapuetic procedures/services provided | show 🗑
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| show | American Association of Professional Coders (AAPC)
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| adherence to accepted standards | show 🗑
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| electronic health record | show 🗑
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| show | Certified Claims Assistance Professional (CCAP)
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| show | Certified coding associate (CCA)
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| show | Certified coding specialist (CCS)
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| show | Certified coding specialist-physician based (CCS-P)
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| show | Certified Professional Coder(CPC)
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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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| show | Central Office on ICD-9-CM of the American Hospital Association
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| payment for health care services | show 🗑
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| show | Closed classification system
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| coding software that is used to assign diagnosis & procedure codes | show 🗑
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| show | Coding Clinic
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| show | hybrid record
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| show | Credential
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| show | Certified Professional Coder, Apprentice status (CPC-A)
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| show | chief complaint
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| condition established after study to be chiefly responsible for occasioning admission of patient to hospital for care | show 🗑
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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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| show | Medical Association of Medical Billers (MAB)
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| show | admitting diagnosis
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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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| daily recordings by health care providers of patient progress | show 🗑
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| condition arising during during patient's hospitalization which may lead to increased resource use | show 🗑
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| question-&-answer period that occurs between patient & health care provider during which any healthcare issues are reviewed | show 🗑
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| healthcare provider asked to see patient to provide expert opinion outside expertise of requestor | show 🗑
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| considered if surgical in nature, carries procedural/anesthetic risk, &/or requires specialized training | show 🗑
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| show | Uniform Hospital Discharge Data Set (UHDDS)
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| diagnosis-related groups | show 🗑
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| DRGs are now known as | show 🗑
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| show | motor neuron disease
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