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112 terms

Billing & Coding Week 3

Billing & Coding Week 3 Medical Terms
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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
bi/o
life
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.