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Ch. 1 Introduction to Coding and Coding Professions

Terms in this set (37)

Accrediting Bureau of Health Education Schools (ABHES)
(ABHES) One of two agencies the U.S. Department of education recognizes that may accredit programs in medical assisting.
Administrative Simplification
aspect of the Health Insurance Portability and Accountabity Act of 1996 (HIPAA) that developed standards for the electronic exchange of health-care data by administrative and financial transactions.
American Academy of Professional Coders (AAPC)
organization founded in an effort to elevate the standards of medical coding.
American Association of Medical Assistants (AAMA)
association that represents individuals trained in performing rountine administrative and clinical jobs that keep medical offices and clinics running efficiently and smoothly.
American Health Information Management Association (AHIMA)
organization that represents health information professionals who manage, organize, process, and manipulate patient data.
American Medical Billing Association (AMBA)
Provides education and networking opportunities for medical billers; offers the Certified Medical Reimbursement Specialist credential (CMRS) and also provides continuing education and ongoing research related to medical billing.
American Medical Technologists (AMT)
professional association for medical technicians.
Centers for Medicare and Medicaid Services (CMS)
is responsible for maintaining the procedure codes of ICD-CM, found in volume 3.
Certified Coding Associate (CCA)
certification offered by the AHIMA., CCA...An entry level coding credential implemented by AHIMA in 2002. The recommended amount of experience for this credential is 6 months or completion of an AHIMA approved coding certificate program or other formal training program.
Certified Coding Specialist (CCS)
certification offered by the AHIMA., An AHIMA certification that indicates competency in hospital coding and requires a higher level of expertise i ndiagnosis and procedural coding. CCS-certified coders also have at least two years of experience in the coding profession.
Certified Coding Specialist, Physician-Based (CCS-P)
certification offered by the AHIMA, An AHIMA certification that indicates competency in hospital coding and requires a higher level of expertise i ndiagnosis and procedural coding. CCS-certified coders also have at least two years of experience in the coding profession.
Certified in Health Data Analyst (CHDA)
certification offered by the AHIMA
Certified in Healthcare Privacy and Security (CHPS)
certification offered by the AHIMA, certification (exam) offered by American Health Information Management Assoc (AHIMA) is a leader in medical coding certification. not inteded specifically for medical billers. HIPPA (health insurance portability & accountability act of 1996)
Certified Medical Assistant (CMA)
certification offered by th AAMA, CMA, A title received by a person after appropriate training and by passing a certification examination administered by the American Association for Medical Assistants, Inc.
Certified Medical Billing Specialist (CMBS)
certification offered by MAB, CMBS, A titled received by a person after appropriate training and by passing a certification examination administered either by the American Association of Medical Billers in Los Angeles or the Medical Association of Billers in Las Vegas.
Certified Medical Billing Specialist for Chiropractic Assistants (CMBS-CA)
CMBS, A titled received by a person after appropriate training and by passing a certification examination administered either by the American Association of Medical Billers in Los Angeles or the Medical Association of Billers in Las Vegas.
Certified Medical Billing Specialist for Hospitals (CMBS-H)
CMBS, A titled received by a person after appropriate training and by passing a certification examination administered either by the American Association of Medical Billers in Los Angeles or the Medical Association of Billers in Las Vegas.
Certified Medical Billing Specialist for Instructors (CMBSI)
CMBS, A titled received by a person after appropriate training and by passing a certification examination administered either by the American Association of Medical Billers in Los Angeles or the Medical Association of Billers in Las Vegas.
Certified Medical Reimbursement Specialist (CMRS)
certification offered by AMBA, certification offered by the American Medical Billing Assoc (AMBA) by an online exam of approx 750 questions. grade of 85% or better
Certified Professional Coder (CPC)
certification for coders offered by the American Academy of Professional Coders., CPC, CPC-A CPC-H, A title received by a person after appropriate training and by passing a certification examination administered by the American Academy of Professional Coders
Certified Professional Coder, Hospital-Based (CPC-H)
Certification for coders in a hospital setting, CPC, CPC-A CPC-H, A title received by a person after appropriate training and by passing a certification examination administered by the American Academy of Professional Coders
Coding
is the assignment of numeric or alphanumeric digits and characters to specific diagnostic and procedural phrases.
Commission on Accreditation of Allied Health Education Programs (CAAHEP)
accredits medical assisting programs in both public and private postsecondary institutions throughout the United States.
Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191
was passed by Congress that mandates how paper and electronic health information is cared for and monitored.
ICD-10-CM
an abbreviation for the International Classification of Diseases, Tenth Revision, Clinical Modification
ICD-10-PCS
abbreviation for the ICD-10 Procedure Coding System; the most recent version of the ICD coding system set up to replace volume 3 of the ICD-9-CM system.
ICD-10 Procedure Coding System
the most recent version of the ICD coding system set up to replace volume 3 of the ICD-9-CM system.
International Classification of Diseases, Tenth Revision, Clinical Modification
an arrangement of classes or groups of diagnoses and procedures by systemic division.
International Classification of Diseases, Tenth Revision (ICD-10)
produced by the World Health Organization and used as a basis for the ICD-10-CM.
Medical Association of Billers (MAB)
founded in 1995 and approved and licensed by the Commission for Post Secondary Education; offers the CMBS, CMBS-CA, CMBS-H, and CMBSI credentials.
morbidity
the rate or frequency of disease.
mortality
the rate or frequency of deaths.
National Center for Health Statistics (NCHS)
is responsible for maintaining the diagnostic codes in Volume 1 and 2 of the ICD-CM manuals.
Registered Health Information Administrator (RHIA)
certification offered by AHIMA to members who have obtained their bachelor's degree from an accredited program.
Registered Health Information Technician (RHIT)
certification offered by AHIMA to members who have obtained their associate's degree from an accredited program.
Registered Medical Assistant (RMA)
professional credentials for a medical technician.
World Health Organization (WHO)
responsible for preparing and publishing the revisions to ICD system; based in Geneva, Switzerland.
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