| Term | Definition |
|---|
| Add On Codes | Can not be reported as stand-alone codes |
| Pre-Existing Condition | An illness or condition present before insurance coverage begins |
| Triangle in front of a code in the CPT Manual | The description for the code has been changed |
| Medicaid | The insurance policy that is NEVER primary when the insured h as more than one policy |
| The CPT coding system | Service & procedure based |
| Durable medical equipment | A respirator used by a Medicare patient |
| Medical ethics are | Standards of conduct |
| To correct an error on a patient's medical record | Crossing out the incorrect data with a single line and write in the correct inforamtion followed by initials and date |
| Cardiomegaly | Enlargement of the heart |
| ICD-9-CM Subclassification code | 282.60 |
| Itemized statement | Document that contains dates of service, list of detaled charges, co-payments and deductibles paid, date insurance was filed, adjustments and account balances |
| Who Qualifies for Medicaid | Low income families with children, persons over 65 who are blind or have a permanent disability, persons who earn enough money to pay basic living expenses but cannot afford high medical bills |
| International Classification of Deseases, 9th Revision, Clinical Modification | ICD-9-CM |
| Established patient | Has seen a physician or another physician of the same specialty in the same group with in the past 3 years |
| A metastatic bone neoplasm | Secondary malignant |
| A dollar amount | Method of reimbursement under the RBRVS "Conversion Factor" |
| Organization that initiated the development of ICD codes | WHO |
| Patient's birth date on the CMS-1500 form | MM/DD/CCYY |
| Five long bones of the midfoot | Metatarsal bones |
| Service that is rarely provided, unusual, variable. or new may require this i determining medical appropriateness of the service | Special Report |
| One who has not visted the physician in more than 3 years | New Patient |
| Statement set by the payer to the covered individual that contains reimbursement amounts | Explanation of Benefits |
| 3 Key components of an E & M code | History, examination, medical decision making |
| Printed file from a computer | Hard Copy |
| Both Parties agree to use a mediator to settle any disputes regarding medical care | Arbitration |
| Certified mail provides the sender | Proof of delivery |
| Reference book used to check for the correct spelling of drugs | Physician's desk reference |
| The numbers following the "." 12345.44 | Terminal digits |
| Total amounts due to the physician, from all patients, for services rendered | Accounts receivable |
| Needed to ask about a family members medical condition | Permission from the patient |
| Hyphenated last names should have a rolodex card with both names | Cross-referencing |
| Thoroughly document, in writing - to the patient - the reason for withdrawing from the case and stipulate a specified number of days for the patient to seek a new physician | To avoid being sued for abandonment |
| The symptons a patient is currenly seen for | The chief complaint |
| Giving the patient adequate information concerning the method, risk and consequences prior to a procedure | Informed Consent |
| Subjective, Objective, Assessment, Plan | SOAP |
| Patient reception, Filing Medical Records, Setting up appointments | Medical Administrative Assistant Duties |
| Call the insurance carrier for verification of current coverage | Verifiy insurance coverage |
| Inside address in a letter would include | Name, address of person receiving the letter |
| A form of mailing large volumes of information, where you pre-sort your mail by zip code | Bulk Mailing |
| The amount that an insurance company does not allow and not the responsibility of the patient | Adjustment |
Combine with other sets
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