Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| The purpose of ICD-9 Coding | Ease the process of claim submission- keep accurate medical records- track healthcare statistics- mandatory to submit claims
🗑
|
||||
| What is the tabular index used for | Find and assign a code that describes a disease and contains the most specific information
🗑
|
||||
| How many chapters does the tabular index have | 17 chapters
🗑
|
||||
| Where can you find diagnostic information | in radiology, lab reports, pathology reports, medical records, and encounter forms
🗑
|
||||
| Two supplementary classifications in the tabular index | E codes- V codes
🗑
|
||||
| E codes | Used to describe external causes of injury and poisoning_emergency sitiations
🗑
|
||||
| V codes | Used to describe factors influencing health status and contact with health services that cannot be classified eleswhere_office visits
🗑
|
||||
| Alphabetical index | Listing of all diagnosis, conditions, illnesses and injuries
🗑
|
||||
| cc/ chief complaint | Reason that a patient seeks medical care
🗑
|
||||
| Primary diagnosis | The condition or complaint that the patient expresses in an outpatient setting
🗑
|
||||
| Volume 1 | Tabular Index (numeric)
🗑
|
||||
| Etiology | Cause of a disorder
🗑
|
||||
| Diagnostic coding | The transformation of written descriptions of illnesses into numeric codes
🗑
|
||||
| Where do you begin your search for the diagnostic code w | In the alphabetic index
🗑
|
||||
| What is the purpose of health care insurance | To help individuals and families offset the cost of healthcare
🗑
|
||||
| What will insurance carriers cover | Services that are medically necessary
🗑
|
||||
| What will Indemnity Insurance allow | It allows you to choose any provider without an effect on reimbursement
🗑
|
||||
| To obtain preauthorization a procedure must be | Medically necessary
🗑
|
||||
| CMS 1500 Form | Claim form used to bill insurance carriers
🗑
|
||||
| What does Managed Care plans provide | Healthcare in return for preset payments
🗑
|
||||
| Two basic models of Managed Care are | HMO and PPO
🗑
|
||||
| What advantages does Managed Care plan have | Authorized services are usually covered- Preventative medical treatment is covered- Out of pocket expenses tend to be less than traditional insurance
🗑
|
||||
| Is having access to specialist an advantage | No- having access to specialist is limited
🗑
|
||||
| Who is responsible for obtaining preauthorization referral | The PCP
🗑
|
||||
| When is a referral Preauthorized | When it has been approved
🗑
|
||||
| Utilization Review | A form of patient care that is reviewed by health care professionals who do not provide care, but make sure services are "medically necessary"
🗑
|
||||
| How can HMO's be structured | IPA, Staff Model, Group Model
🗑
|
||||
| What does HMO plans require | That the patient has a PCP
🗑
|
||||
| What is an Independent Practice Association | Physicians with separately owned practices who organize into a group
🗑
|
||||
| What does group insurance cover | A number of people under no master contract
🗑
|
||||
| Medicade is for | The medically indigent
🗑
|
||||
| Who may be covered under CampVa | Veteran of the armed forces
🗑
|
||||
| Who does Tricare cover | Military dependents and retired military
🗑
|
||||
| Who is Medicare for | People over the age of 65
🗑
|
||||
| PPO | Fee for service type of HMO
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
bossy777
Popular Medical sets