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chapter 15

STUDY
PLAY
admitting diagnosis
The patients condition determined by a physician to an inpatient facility
ambulatory care
Outpatient care
attending physician
the clinician primarily responsible for care of the patient from the beginnig of a hospitalization
charge master
a hospitals list of aodes and charges for its services
cms 1450
paper claim for hospital services;also known as the UB-92
diagnosis related group
a system of analyzing conditions and treatments for similar groups of patients used to establish Medicare fees for hospital inpatient services
837I claim
the HIPPA institututional claim transaction
emergency care
care received in a situtation which a delay in the treatment of a patient would lead to a significant increase in the threat to life or body part
health information management
hospital department that organizes and maintains patient medical records; also profession devoted to managing, analyzing, and utilizing data vital for patient care, making it accessibleto healthcare providers
inpatient
a person admitted to a medical facility for services that require an overnight stay
master patient index
a hospitals main patient database
MS-DRGs
Medicare Inpatient Prospective Payment System revision that takes into account whether certain conditions were present on admission
present on admission POA
Indicator required by Medicare that identifies whether a coded conditon was present at the time of hospital admission
principal diagnosis
the condition that after study established as chiefly responsible for a patients admission to a hospital
principal procedure
the main service performed for thje condition listed as the principal diagnosis for a hospital inpatient
Prospective Payment System
Medicare system for payment for institutional services
registration
the process of gathering personal insurance information about a patient during admission to a hospital
UB-92
Paper hospital claim for merely a Medicare required Part A hospital form; also known as the CMS 1450