Advertisement Upgrade to remove ads

Billing & Coding Week 3 Medical Terms

actual charge

the amount charged by the practice when providing services.

BR

By report.

CF

conversation factor.

co-payment

the amount the insured has to pay toward the amount allowed by the insurance company for services.

EOB

explanation of benefits.

RBRVS

resource-based relative value scale.

UCR

usual customary and reasonable.

abdomen/o

abdomen

acr/o

extremities, top, extreme point

acu/o

sharp, severe, sudden

aden/o

gland

adip/o

fat

amni/o

amnion (sac surrounding the embryo)

angi/o

vessel (blood)

arteri/o

artery

arthr/o

joint

axill/o

armpit

blephar/o

eyelid

bronch/o

bronchial tube

carcin/o

cancer

cardi/o

heart

chem/o

drug, chemical

chondr/o

cartilage

chron/o

time

col/o

colon (large intestine)

cyst/o

urinary bladder, cyst

encephal/o

brain

erythr/o

red

hem/o

blood

hepat/o

liver

hydr/o

water

inguin/o

groin

isch/o

hold back, back

lapar/o

abdominal wall

laryng/o

larynx (voice box)

leuk/o

white

lymph/o

lymph

mamm/o, mast/o

breast

morph/o

shape, form

muc/o

mucus

my/o

muscle

myel/o

spinal cord, bone marrow

necr/o

death

nephr/o

kidney

neur/o

nerve

neutr/o

neither, natural, neutrophil

nucle/o

nucleus

-ac, -al, -ary

pertaining to

-eal, -ic, -ical

pertaining 2

-genic, -genesis

producing forming

-oid

resembling, derived from

-ose

full of, pertaining to sugar

-ous, -tic

pertaining too

-algia, dynia

pain

-cele

hernia

-centesis

surgical puncture to remove fluid

-coccus, -cocci

berry-shaped bacterium

-cyte

cell

-ectomy

excision

-emia

blodd condition

-er

one who

-gram

record

-graphy

process of recording

-ia

condition

-ist

specialist

-logy

study (process of)

-lysis

breakdown, seperation, destruction

-malacia

softening

-megaly

enlargement

-ole

little, small

-oma

tumor

-opsy

view of

-osis

condition, usually abnormal

-pathy

disease, emotion

-penia

deficiency

-phobia

fear

-plasia

development, formation, growth

-plasty

surgical repair

-ptosis

falling, drooping, prolapse

-sclerosis

hardening

-scope

instrument for visual examination

-scopy

visual examination

-stasis

stopping, controlling, placing

capitation

a form of prepayment in which a provider agrees to furnish services to members of a particular insurance program for a fixed fee.

COB

coordination of benefits.

CPT

current procedural terminology.

deductible

the dollar amount that must be paid by the patient before insurance will pay a claim based on coverage plans and benefits.

DOS

date of service.

DRG

diagnosis related group.

HCPCS

healthcare common procedure coding system.

ICD-9-CM

international classidication of diseases, 9th edition, clinical modification.

PC

professional component.

percentile

the ranking fees from all providers in a given area to develop a reimbursement base.

POS

place of service codes.

precertification

a method for preapproving all elective admissions, surgeries, and other services as required by insurance carriers.

PRO

professional review organization.

RVS

relative value scale.

TC

technical component.

third party payer

a carrier that has an agreement with an individual or organization to provide heath care benefits.

carrier

another name for an insurance company that covers health care services.

COB

coordination of benefits.

HMO

health maintenance organization.

PPO

preferred provider organization. A special insurance program offering patients higher reimbursement by using physicians, hospitals, and laboratories within the PPO network.

provider

one who supplies health care services.

specialist

a physician in a specialty area other than primary care who provides specialized care to the patient.

tricare

civilian health and medical program of the uniformed services.

WC

workers' compensation a contract that insures a person against on the job injuries paid for by the employer.

arbitration

a method of settling a dispute with the judicial process involving an impartial third party to render a decision for settlement of a claim.

deposition

the process of taking a witness's sworn testimony by an attorney outside of the courtroom setting.

extraterritorial

a compensable injury to an employee hired in one state but is injured on the job outside of that state.

IME

independent medical examiner.

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set