Chap 1 CMOP
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71 terms
Terms | Definitions |
|---|---|
 Cases | conditions for which patients seek treatment. There can be several for one patient. |
| Chart number | a number or alpha character assigned to the medical record. |
| Co-payment | a fixed fee that the patient pays at the time of visit |
| Deductible | the amount the patient has to pay before the insurance company begins making payments. |
| Encounter form | a form that contains the medical office's most common procedures and diagnosis codes, including the patient's name, address, and billing information |
| Front desk | the area where patients may check in and are made to feel welcome |
| Guarantor | the person responsible for paying the bill |
| Information cycle | a series of steps performed before, during and after the patient has been seen by the provider |
| Medical practice management software | software used to schedule patients, submit electronic claims to the insurance company and perform simplified accounting procedures |
| Medisoft | a medical practice management software system for use in medical offices |
| Provider | a general term referring to physicians, physician assistants, and nurse practitioners |
| Sidebar | a feature of medisoft that allows you to access many features quickly |
| Superbill | another name for the encounter form |
| Toolbar | icons that allow you to access many features of Medisoft |
| Lists menu | where information on patients/guarantors, cases, patient recall, patient treatment plans, diagnosis codes, insurance, addresses, providers, and billing codes are available |
| Reports menu | generates different reports that may be used by administrators, physicians and staff |
| Tools menu | enables you to access information on your computer system |
| File menu | contains the basic operations of opening practices, creating new practices, backing up data and restoring data, setting the program date, practice information, security setup, and exiting the program |
| Activities menu | used to access functions such as entering transactions, claim management, statement management, entering deposits/payments, appointment sceduling, and insurance eligibility verification. |
| Practice information screen | allows you to enter and edit data about your practice |
| NPI | national Provider Identifier number went into effect on May 23, 2007. |
| Responsible party | person responsible for the patient |
| Guarantor | person responsible for paying the bill |
| Chart number | can be assigned manually, but Medisoft will assign automatically |
| Cases | a group of transactions for a particular patient's condition |
| CPT | Current Procedural Terminology |
| CPT | numerical codes used to designate procedures |
| E/M codes | Evaluation and management codes |
| E/M codes | codes used to classify patients according to the level of service required by their provider |
| Health insurance | provider's protection for patients against the financial consequences of illness, accidents, injuries, and disabilities |
| ICD-9-CM | International Classification of Diseases, ninth revision, Current Modifications |
| ICD-9-CM | numerical codes used to classify patient sickness and death for statistical purposes |
| Managed care | prepaid health plans that provide health care services at a low cost |
| Medicare | a federally administered insurance program primarily for people over age 65 |
| Modifiers | a two-digit code used for CPT codes, usually indicating some alteration to the procedure code |
| PPOs | preferred provider organizations |
| PPOs | managed care organizations that use the fee-for-service concept by predetermining a list of charges for all services |
| Third-party payer | someone other than the patient who is responsible for paying the medical bill, typically the insurance company |
| Accounting equation | a formula used to analyze each transaction at your medical office |
| Accrual-basis accounting | recording revenue when services are performed |
| Cash-basis accounting | recording revenues when cash is received |
| Cycle billing | the medical office's statements are equally divided and sent twice a month, weekly, or daily |
| Daily journal | used to record original transactions in chronological order |
| Day sheet | list of all transactional information for a given day |
| Liabilities | the medical office's debt or obligations |
| Once-a-month billing | all patient statements for the medical office are prepared once a month at the same time |
| Owner's equity | the rights of the owner (providers, community, and so on) |
| Patient ledger card | patient's transaction information on one sheet or card |
| Patient statement | document listing the amount the patient owes to the medical office |
| Patient's financial record | a series of accounts recorded on a patient ledger card |
| Pegboard | a one-write system where you enter the transaction a single time |
| Posting | recording transactional information from the journal too the patient ledger |
| Custom reports | reports that can be created, edited, and printed from Medisoft; including superbills, patient birthday lists, patient recall lists, and narrative reports, among others. |
| Day Sheet | a report that contains transaction detail, a charge and payment summary, an accounting summary, and an optional bank deposit sheet |
| Insurance Aging Report | A report that provides a breakdown of the insurance company balances and charges during a specified transaction period by reporting those charges as current or how many days they have been outstanding |
| Patient Aging Report | A report that prints the patient's outstanding charges not paid as either current or the number of days the charges are not current |
| Patient Ledger Report | the patient's transactional information, such as charges and payments |
| Practice Analysis Report | a report that contains charges, payments, and an accounting summary |
| Backup | making a copy of your files and storing them on a disk for safekeeping |
| Final Draft | Medisoft's word processor |
| Patient notes | information recorded on the patient's record |
| Recall list | a list to remind patients of their upcoming appointments |
| E-health | using the internet to retrieve information about health-related matters |
| Electronic Health Records | electronic version of a patient's medical records |
| Electronic prescriptions | prescriptions that can be ordered (by a provider) and sent to the patient's local pharmacy |
| E-mail | mail that is sent through the use of computers |
| Internet | a world wide collection of networks with a vast amount of information |
| Risk management | defining practices that may put the medical office at risk and correcting those practices |
| Telemedicine | using technology to practice the art of medicine |
| Telephone nursing | using the telephone as a means to diagnose a problem |
| Voice-activated dictation | the provider speaks his or her patient notes into a microphone, which translates the spoken word into written word on the conputer |
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