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85 terms

Billing & Coding week 2

Billing & Coding week 2 medical terms
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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