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47 terms

Chaper 13 Medical Terminology/ Chapter 17&18 Insurance HB

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peripheral nervous system
the part of the nervous system that consists of various nerve processes and receptors
brain
the cerebrum, diencephalon, and cerebellum are parts of the:
cerebral contusion
bruising of brain tissue as a result of head injury
neurosis
a large category of psychiatric disorders in which the symptoms are distressing to the person, reality testing is within normal limits and behavior does not violate gross social norms refers to:
narcolepsy
a chronic ailment of sudden, recurrent attack of sleep or drowsiness
pyromania
abnormal preoccupation with setting fires or seeing them
it connects the brain and spinal cord with receptors, muscles, and glands
a true statement about the peripheral nervous system
psychosis
the term for any major mental disorder characterized by gross impairment in reality testing and often characterized by inappropriate mood and diminished impulse control
thermoreceptors
nerve endings that detect changes in temperature are termed:
semicircular canals
what structures provide a sense of balance
chemoreceptors
nerve endings that detect chemicals are called:
TRUE
there is more chance for advancement working in a hospital facility than in a private physician's office
TRUE
because of the diversity in reimbursement methods, it is very important that the insurance billing specialist have knowledge of insurance programs
TRUE
when admitted as a workers' compensation case, the patient will not have an insurance card
TRUE
Elective surgeries are deferrable
TRUE
The purpose of the DRG-based system is to hold down rising health care costs
co-workers, family, friends
confidentional information about patients should never be discussed with who?
48 hours
when a patient who has a managed care contract is admitted to a hospital for an emergency, the managed care program needs to be notified within
72-hour rule
the rule stating that when a patient receives outpatient services within 72 hours of admission, then all outpatient services are combined with inpatient services and become part of the diagnostic-related group rate for admission, is called:
principal diagnosis
the significant reason for which a patient is admitted to the hospital is coded using the...
CPT
the codebook used to list procedures on outpatient hospital claims is...
admitting clerk
the person who interviews the patient and obtains personal and insurance information and the admitting diagnosis is a/an...
nurse
daily progress notes are entered on the patient's medical record by...
UB-04
the claim form transmitted to the insurance carrier for reimbursement for inpatient hospital services is called:
25
how many diagnostic categories (MDCs) are there in the DRG-based system?
preadmission testing
PAT is the abbreviation for..
UR (utilization review)
the hospital dept. that conducts an admission and concurrent review on all cases and prepares a discharge plan to determine whether admissions are justified i called _________ dept.
discharge summary
clinical resume for the final progress note
EDI
the abbreviation of the phrase that indicates when claims are submitted electronically is...
Comorbidty
what does the abbreviation CC indicate when used with DRGs?
TRUE
an insurance billing specialist may be employed by a physician, hospital, or other medical facility or may choose to be self employed
TRUE
a blind mailing means sending information to potential employers who have not advertised a job opening
FALSE
it is never acceptable to fax a resume to a prospective employer
false
most of the certifications offered for individuals who bill for physicians are obtained through state organizations
true
an insurance billing specialists should join a professional organization of billers because this helps in keeping up to date with coding information
customized, typed for neatness, addressed to a specific person
cover letters should be..
place of last employment
in an interview, inquiries about the following are illegal except
thank employer for the interview, keep the applicant's name at the attention of the potential employer
after an interview, a follow-up letter should be written to
instructions
an employer may evaluate the application itself to determine whether the applicant can follow_______.
chronological resume
a resume that provides recent experiences first, with dates and descriptive date for each job is ________.
functional resume
a resume that states the skills an individual is able to perform is ________.
combination resume
a resume that summarizes the applicant's job skills, as well as educational and employment history is _________.
proofread
_____the resume carefully for spelling, punctuation, grammatical, and typographic errors.
physical appearance
it has been found that when applicant have similar skills and education, the decision to hire has been based on_________at the interview.
portfolio
letters of recommendation, school diplomas or degrees, certificates, names and addresses of references, and some neatly typed insurance claim forms are items an applicant may enclose in a______.
blind mailing, cold calls, internet, attend meetings and workshops, temp agencies, job hotlines, network, yellow pages, library, newspaper ads
5 ways to search for a job
requesting an interview
what should a cover letter end with?