1.
Cases: a group of transactions for a particular pts condition
2.
Current procedural terminology (CPT): numerical codes used to designate procedures
3.
Evaluation & management codes (E/M Codes): codes used to classify pts according to the level of service req by their provider
4.
Health insurance: providers protection for pts against the financial consequesnces of illness, accidents, injuries and disabilities
5.
International classification of disease, (icd-9-cm): numerical codes used to classiy pt sickness and death of statistical purposes
6.
Managed care: prepaid health plans that provide health care services @ low cost
7.
Medicare: A federally administred ins program primarily for people over 65
8.
Modifiers: a 2 digit code used for cpt codes, usually indicating some alteration to the procedure
9.
PPO'S: managed care organizations that use the fee-for-service concept by predetermining a list of charges for all services
10.
Third-party billing: someone other than the pt who is responsible for paying medical bill, typically insurance company
11.
Tricare: a managed care plan administered by the Department of Defense
12.
Workers comp: protects the worker against loss of wages, the cost of medical care resulting from work-related accidents or disease
