Billing & Coding week 2

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Billing & Coding week 2 medical terms

adjunct codes

codes used to record additional services

AMA

american medical association

audit

a process to determine if the information sent to the insurance company is supported by the documentation in the medical record.

biopsy

removal of a small amount of tissue to determine the extent of a disease or to determine a diagnosis.

bundling services

combining lesser services with a mojor service so that one charge will include the variety of services.

CCI

correct coding initiative.

cervical canal

opening or canal within the cervix that extends from the uterine cavity.

CMS

centers for medicare and medicaid services.

comorbidity

an ongoing condition that exists with another condition for which the patient is receiving treatment.

component billing

billing for each item or service provided to a patient in accordance with insurance carriers policies.

CPT

current procedural terminology (coding)

CPT code

procedural description with a five-digit identifying code number.

diagnostic services

services performed to determine or establish a patient's diagnosis.

evaluation & Management

E&M code; used to report patient visits, consults, hospital care and so on.

endoscopic procedure

a procedure performed through an existing orifice with an edoscope to visualize an abnormality or to determine the extent of a disease.

fallopian tubes

consist of two tubes, one on either side of the uterus to develop and nurture egg cells (ova).

global period

specific time frames assigned to a code by an insurance company before additional payment will be made following a surgical procedure.

global procedures

Major surgical procedures that typically have a follow up period before you may begin to bill the patient for services.

HCPCS

healthcare common procedure coding system.

HIPAA

Health Insurance Portability and Accountability Act.

major procedure

a packaged procedure that includes the operation, local infiltration, digital blocks, and follow-up care for a specific number of days.

minor procedures

Services identified by AMA as a starred procedure.

modality

any physical agent applied to produce therapeutic changes to biological tissue.

North Carolina

the wrights brothers and their plane are on the back of this states quarter.

ovaries

small, almond-shaped organs on either side of the uterus to develop and nurture egg cells (ova).

perineum

area between the vaginal opening and the anus.

POS codes

place of service (e.g., office, hospital) codes.

ranking codes

listing services in their order of importance by DOS and vlues, usually value hightst to lowest charges.

RVU

relative value unit.

superbill

a form listing the most frequently used diagnosis and procedure codes.

therapeutic services

services performed for treatment of a specific condition.

trimester

one of the 3 periods in which pregnancy is divided, total of 3.

unbundling services

listing billable components; like services and procedures, separately.

UPIN

unique personal identification number.

uterus

a pear-shaped organ between the bladder and the rectum.

vagina

a collapsible tube between the bladder and urethra that functions as the organ for intercourse, the birth canal, and the passage of menstruation products.

vulva

general term for the external female genitalia

DX

diagnosis

TX

treatment

abdomin/o

abdomen

adip/o

fat

anter/o

front

bol/o

cast, throw

cervic/o

neck

chondr/o

cartilage

chrom/o

color

coccyg/o

coccyx (tailbone)

crani/o

skull, head

cyt/o

cell

dist/o

far, distant

dors/o, poster/o

back (of body)

hist/o

tissue

ili/o

ilium

inguin/o

groin

kary/o, nucle/o

nucleus

later/o

side

lumb/o

lowerback, loin

medi/o

middle

pelvi

pelvis, hip region

proxim/o

near

sacr/o

sacrum

sacr/o

flesh (connective tissue)

spin/o

spine (backbone)

thel/o

nipple

thorac/o

chest

trache/o

trachea (windpipe)

umbilic/o

umbilicus, naval

ventr/o

belly side of the body.

vertebr/o

vertebra, backbone

viscer/o

internal organs

-eal, -iac, -ior

pertaining to

-ectomy

removal, excision

-ism

process, condition

-oma

tumor, mass, fluid collection

-ose

full of, pertaining to sugar

-plasm

formation, structure

-somes

body

-tomy

process of cutting

-type

classification, picture

ana-

up, apart, backward, again

cata-

down

epi-

above, upon, on

hypo-

deficient, below, under, less then normal

inter-

between

meta-

change

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