Chapter 2 vocab medisoft
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12 terms
Terms | Definitions |
|---|---|
 Cases | a group of transactions for a particular pts condition |
| Current procedural terminology (CPT) | numerical codes used to designate procedures |
| Evaluation & management codes (E/M Codes) | codes used to classify pts according to the level of service req by their provider |
| Health insurance | providers protection for pts against the financial consequesnces of illness, accidents, injuries and disabilities |
| International classification of disease, (icd-9-cm) | numerical codes used to classiy pt sickness and death of statistical purposes |
| Managed care | prepaid health plans that provide health care services @ low cost |
| Medicare | A federally administred ins program primarily for people over 65 |
| Modifiers | a 2 digit code used for cpt codes, usually indicating some alteration to the procedure |
| PPO'S | managed care organizations that use the fee-for-service concept by predetermining a list of charges for all services |
| Third-party billing | someone other than the pt who is responsible for paying medical bill, typically insurance company |
| Tricare | a managed care plan administered by the Department of Defense |
| Workers comp | protects the worker against loss of wages, the cost of medical care resulting from work-related accidents or disease |
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