Study sets matching "chapter 5 medical coding"

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Study sets matching "chapter 5 medical coding"

Comprehensive Medical Coding chapter 5
Adenoma
Adenocarcinoma
Diag-
Prog-
Tumor of a gland
Cancerous tumor of a gland
Complete
Future
Adenoma
Tumor of a gland
Adenocarcinoma
Cancerous tumor of a gland
Medical Billing and Coding Chapter 5
physician's fee profile
primary diagnosis
secondary diagnosis
etiology
Each physician's charges and the payments made to him or her…
The first listed condition (chief complaint) of a claim for a…
Listed after the primary diagnosis, may contribute to the con…
The underlying cause of a disease.
physician's fee profile
Each physician's charges and the payments made to him or her…
primary diagnosis
The first listed condition (chief complaint) of a claim for a…
54 terms
Medical Billing & Coding: Heald College: Chapter 5 | Diagnostic Coding
Why must diagnostic coding be accurate?
What is the Primary Diagnosis?
What is the Secondary Diagnosis?
What is the Principal Diagnosis?
1. Payment for inpatient services rendered to a patient may b…
1. Related to the chief complaint... 2. Main reason for the enco…
1. May contribute to the primary diagnosis... 2. Not the underly…
1. Only applicable to inpatient cases/claims... 2. Similar to pr…
Why must diagnostic coding be accurate?
1. Payment for inpatient services rendered to a patient may b…
What is the Primary Diagnosis?
1. Related to the chief complaint... 2. Main reason for the enco…
54 terms
Medical Billing & Coding: Heald College: Chapter 5 | Diagnostic Coding
Why must diagnostic coding be accurate?
What is the Primary Diagnosis?
What is the Secondary Diagnosis?
What is the Principal Diagnosis?
1. Payment for inpatient services rendered to a patient may b…
1. Related to the chief complaint... 2. Main reason for the enco…
1. May contribute to the primary diagnosis... 2. Not the underly…
1. Only applicable to inpatient cases/claims... 2. Similar to pr…
Why must diagnostic coding be accurate?
1. Payment for inpatient services rendered to a patient may b…
What is the Primary Diagnosis?
1. Related to the chief complaint... 2. Main reason for the enco…
Medical Billing & Coding: Heald College: Chapter 5 | Diagnostic Coding
Why must diagnostic coding be accurate?
What is the Primary Diagnosis?
What is the Secondary Diagnosis?
What is the Principal Diagnosis?
1. Payment for inpatient services rendered to a patient may b…
1. Related to the chief complaint... 2. Main reason for the enco…
1. May contribute to the primary diagnosis... 2. Not the underly…
1. Only applicable to inpatient cases/claims... 2. Similar to pr…
Why must diagnostic coding be accurate?
1. Payment for inpatient services rendered to a patient may b…
What is the Primary Diagnosis?
1. Related to the chief complaint... 2. Main reason for the enco…
50 terms
CPT Medical Coding: Ch 5 - Radiology
diagnostic, diagnostic ultrasound, rad…
chargemaster
CPT/HCPCS codes, descriptions, charges…
26
What are the six subsections of the radiology section?
This allows the automatic assignment of CPT codes and charges…
The chargemaster contains a list of _______, abbreviated ____…
Modifier that indicates only the professional component of se…
diagnostic, diagnostic ultrasound, rad…
What are the six subsections of the radiology section?
chargemaster
This allows the automatic assignment of CPT codes and charges…
114 terms
coding chapter 5
acute renal failure and acute respirat…
a patient with early onset Alzheimer's…
patient with known Hepatitis B seen in…
an obstetric patient in her third trim…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failur…
G30.0, F02.81
E86.0 (dehy), B19.10 (hep)
B59, B20, O36.73
acute renal failure and acute respirat…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failur…
a patient with early onset Alzheimer's…
G30.0, F02.81
54 terms
Medical Billing & Coding: Heald College: Chapter 5 | Diagnostic Coding
Why must diagnostic coding be accurate?
What is the Primary Diagnosis?
What is the Secondary Diagnosis?
What is the Principal Diagnosis?
1. Payment for inpatient services rendered to a patient may b…
1. Related to the chief complaint... 2. Main reason for the enco…
1. May contribute to the primary diagnosis... 2. Not the underly…
1. Only applicable to inpatient cases/claims... 2. Similar to pr…
Why must diagnostic coding be accurate?
1. Payment for inpatient services rendered to a patient may b…
What is the Primary Diagnosis?
1. Related to the chief complaint... 2. Main reason for the enco…
10 terms
Medical Coding Step by Step Chapter 5 Theory
True
False
False
True
I-10 assumes a relationship between hypertension and renal fa…
If a patient is admitted for an HIV-related condition, the fi…
A Y90 category code would not be assigned to indicate a blood…
Another term to describe malignant hypertension is accelerate…
True
I-10 assumes a relationship between hypertension and renal fa…
False
If a patient is admitted for an HIV-related condition, the fi…
10 terms
Medical Coding Step by Step Chapter 5 Theory
True
False
False
True
I-10 assumes a relationship between hypertension and renal fa…
If a patient is admitted for an HIV-related condition, the fi…
A Y90 category code would not be assigned to indicate a blood…
Another term to describe malignant hypertension is accelerate…
True
I-10 assumes a relationship between hypertension and renal fa…
False
If a patient is admitted for an HIV-related condition, the fi…
10 terms
Medical Coding Step by Step Chapter 5 Theory
True
False
False
True
I-10 assumes a relationship between hypertension and renal fa…
If a patient is admitted for an HIV-related condition, the fi…
A Y90 category code would not be assigned to indicate a blood…
Another term to describe malignant hypertension is accelerate…
True
I-10 assumes a relationship between hypertension and renal fa…
False
If a patient is admitted for an HIV-related condition, the fi…
Mc Grawhill E4 Medical Assisting Chapter 5 Medical Coding
Add-on Code
E/M Code
V Code
Procedure Code
CPT codes used to report procedures done in addition to anoth…
CPT codes used to report the physician's exam of a patient to…
codes used for healthy patients receiving routine service
a code that is used to report the services the physician prov…
Add-on Code
CPT codes used to report procedures done in addition to anoth…
E/M Code
CPT codes used to report the physician's exam of a patient to…
Chapter 5 - Diagnostic Coding
International Classification of Diseas…
ICD-10-CM
AHIMA
AHA
ICD-9-CM
International Classification of Disease, Tenth Revision, Clin…
American Health Information Management Association
American Hospital Association
International Classification of Diseas…
ICD-9-CM
ICD-10-CM
International Classification of Disease, Tenth Revision, Clin…
coding chapter 5
acute renal failure and acute respirat…
a patient with early onset Alzheimer's…
patient with known Hepatitis B seen in…
an obstetric patient in her third trim…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failur…
G30.0, F02.81
E86.0 (dehy), B19.10 (hep)
B59, B20, O36.73
acute renal failure and acute respirat…
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failur…
a patient with early onset Alzheimer's…
G30.0, F02.81
30 terms
Medical Billing & Coding Module 5
Orthotics
Prosthetics
HCPCS Level II Temporary Codes
Ambulatory Surgical Center (ASC)
is a branch of medicine that deals with the design and fittin…
is a branch of medicine that deals with the design, productio…
are maintained by the CMS and other members of the HCPCS Nati…
is a state-licensed, Medicare-certified supplier (not provide…
Orthotics
is a branch of medicine that deals with the design and fittin…
Prosthetics
is a branch of medicine that deals with the design, productio…
56 terms
ICD 9 Medical Coding: Ch 5 - Neoplasms
neoplasm
behavior, anatomical site, morphology…
malignant
primary
New or abnormal growth
Neoplasms are classified according to what three criteria?
Neoplasm that can invade and destroy adjacent structures and…
Type of neoplasm that is contained at the site where it origi…
neoplasm
New or abnormal growth
behavior, anatomical site, morphology…
Neoplasms are classified according to what three criteria?
60 terms
Medical Coding Chapter 10
Office
office visit or other outpatient service
New
99201
Where is the place of service?
What is the type of service?
What is the patient status?
What is the first code number listed under the subheading New…
Office
Where is the place of service?
office visit or other outpatient service
What is the type of service?
Chapter 5 (Coding)
floor division
modulus operator
boolean expression
relational operator
An operator, denoted //, that divides two numbers and rounds…
An operator, denoted with a percent sign (%), that works on i…
An expression whose value is either True or False
One of the operators that compares its operands: ==, !=, >, <…
floor division
An operator, denoted //, that divides two numbers and rounds…
modulus operator
An operator, denoted with a percent sign (%), that works on i…
Ch 5 Step by Step Medical Coding 2015
Sepsis
SIR. Severe Sepsis
Septic Shock
SIRS
.
Report require at least 3 codes: ... 1. Underlying systemic infe…
Is a circulatory failure that represents a type of organ dysf…
systemic inflammatory response syndrome is classified as seve…
Sepsis
.
SIR. Severe Sepsis
Report require at least 3 codes: ... 1. Underlying systemic infe…
34 terms
ICD 10 Medical Coding: Ch 5 - Neoplasms
neoplasm
behavior, anatomical site, morphology…
malignant
primary
New or abnormal growth
Neoplasms are classified according to what three criteria?
Neoplasm that can invade and destroy adjacent structures and…
Type of neoplasm that is contained at the site where it origi…
neoplasm
New or abnormal growth
behavior, anatomical site, morphology…
Neoplasms are classified according to what three criteria?
30 terms
Chapter 14 Medical Coding
When more than two physicians, with te…
Can modifier -22 be assigned to 99291,…
This modifier indicates an increased s…
When modifier -54 is assigned, payment…
Co-Surgeons
No
-22
Usual
When more than two physicians, with te…
Co-Surgeons
Can modifier -22 be assigned to 99291,…
No
27 terms
Chapter 45 - Medical Coding
Who compiled the first disease classif…
What does CPT stand for?
How are codes made?
How often are codes updated?
American Medical Association
Current Procedural Terminology
Names are replaced by numbers and letters
Annually
Who compiled the first disease classif…
American Medical Association
What does CPT stand for?
Current Procedural Terminology
5 terms
coding chapter 5
combination coding
multiple code
SIRS ( SEPSIS )
septic shock
is when one code fully describes the conditions and/ or manif…
is when it takes more than one code to fully describe the con…
is classified as severe sepsis- when there is organ dysfuncti…
is a circulatory failure that represents a type or organ dysf…
combination coding
is when one code fully describes the conditions and/ or manif…
multiple code
is when it takes more than one code to fully describe the con…
10 terms
Chapter 5 Procedural Coding
Code identifying medical treatment or…
Connection between a service and a pat…
Contains the standardized classificati…
Procedure codes found in the main body…
procedure code
code linkage
Current Procedural Terminology (CPT)
Category 1 Code
Code identifying medical treatment or…
procedure code
Connection between a service and a pat…
code linkage
Chapter 5- Medical Terminology
abduction
adduction
anterior
apex (pleural space)
motion of a limb away from the midline
motion of a limb toward the midline
the front surface of the body; the side facing you in the sta…
the pointed extremity of a conical structure
abduction
motion of a limb away from the midline
adduction
motion of a limb toward the midline
6 terms
Medical Coding Chapter 4, 5
AHA
AHIMA
NCHS
The complete ICD-10-CM guidelines is p…
American Hospital Association
American Health Information Management Association
National Center for Health Statistics
CDC.gov.nchs
AHA
American Hospital Association
AHIMA
American Health Information Management Association
Medical Terminology Chapter 5
ovar-
-centesis
oto-
bili-
egg (egg the female reproductive cell)
puncture
ear
bile
ovar-
egg (egg the female reproductive cell)
-centesis
puncture
34 terms
Chapter 15 Medical Coding
Advise or opinion from one physician t…
One who has received professional serv…
A face to face encounter in an office…
One who has not received professional…
Consultation
Established patient
Office Visit
New patient
Advise or opinion from one physician t…
Consultation
One who has received professional serv…
Established patient
Medical Terminology Chapter 5
Osteocyte
Osteo-
cyte
Atrophy
Mature Bone Cell
bone
cell
wasting of bone tissue
Osteocyte
Mature Bone Cell
Osteo-
bone
10 terms
Medical Coding 1 CH 5-Workbook/Questions
Would a biopsy code usually include th…
What is arthrocentesis
What is a uniplane fixation device?
What is the name of the graft that is…
Yes
Aspiration of a joint
Device that has 2 or more pins inserted above a fracture & 2…
Fascia lata graft
Would a biopsy code usually include th…
Yes
What is arthrocentesis
Aspiration of a joint
10 terms
Coding Chapter 5
block
condition
connector
data validation
a series of related statements in a program
a statement that evaluates to either a True or False
a flowchart symbol represented by a circle that connects two…
testing to ensure that user input falls within an acceptable…
block
a series of related statements in a program
condition
a statement that evaluates to either a True or False
33 terms
Chapter 5 PROCEDURAL CODING
CPT
Current procedural terminology
Category I Codes
Category II Codes
Current Procedural Terminology
Contains the standard
Procedure codes found in the main body of CPT
optional CPT codes that track performance measures
CPT
Current Procedural Terminology
Current procedural terminology
Contains the standard
43 terms
Procedural coding chapter 5
Panel
Unlisted procedures
Surgical package
Category III code
In CPT a single code that groups laboratory tests that are fr…
A service that is not listed in CPT and requires a special re…
Combination of services included in one surgical code.
Temporary codes for emerging technology, services, and proced…
Panel
In CPT a single code that groups laboratory tests that are fr…
Unlisted procedures
A service that is not listed in CPT and requires a special re…
Medical Terminology Chapter 5
Aorta
Artery
Arterioles
Capillary Beds
-Granddaddy... -the largest artery in the body. It is located in…
-Daddy... -the blood vessels that carry blood away from the heart
-Baby... -the smallest branches of the arteries. They carry bloo…
-this is where perfusion occurs... -perfusion: what goes into th…
Aorta
-Granddaddy... -the largest artery in the body. It is located in…
Artery
-Daddy... -the blood vessels that carry blood away from the heart
Medical Terminology Chapter 5
Oste/o/cyte
Osteo-
cyte
Atrophy
Mature Bone Cell
bone
cell
wasting of bone tissue
Oste/o/cyte
Mature Bone Cell
Osteo-
bone
Coding chapter 5
Repetition
Loop
While statement
Infinite loop
Happens over and over again
Decision that never ends until a break
General repetition statement that can be used in a variety of…
Never ends
Repetition
Happens over and over again
Loop
Decision that never ends until a break
60 terms
Understanding Medical Coding Chapter 4 & 5
CPT
AMA
CPT I
Modifier
Current Procedural Terminology
CPT codes are published by who?
Description of specific medical, surgical & diagnostic servic…
2 digit code placed after the original code to describe expla…
CPT
Current Procedural Terminology
AMA
CPT codes are published by who?
35 terms
Procedural Coding chapter 5
current procedural terminology (CPT)
category I codes
category II codes
category III codes
contains the standardized classification system for reporting…
procedure codes found in the main body of CPT
optional CPT codes that track performance measures
temporary codes for emerging technology, services, and proced…
current procedural terminology (CPT)
contains the standardized classification system for reporting…
category I codes
procedure codes found in the main body of CPT
39 terms
CHAPTER 5 Medical Terms
anesthesiology
clinical
colitis
dermatology
Study of how to administer agents capable of bringing about l…
pertaining to the bedside or clinic; involving patient care
Inflammation of the colon
Study of the skin and its diseases
anesthesiology
Study of how to administer agents capable of bringing about l…
clinical
pertaining to the bedside or clinic; involving patient care
60 terms
Chapter 5 Medical Terms
ACE inhibitor
anemia
aneruysm
angina
medications administered to treat hypertension and congestive…
a disorder characterized by lower than normal levels of red b…
a localized weak spot or balloon-like enlargement of the wall…
A condition of episodes of severe chest pain due to inadequat…
ACE inhibitor
medications administered to treat hypertension and congestive…
anemia
a disorder characterized by lower than normal levels of red b…
10 terms
Coding Neoplasms Chapter 5
A neoplasm that is typically called ca…
A term used when the physician cannot…
A _________ is a tumor that does not m…
To assign a diagnosis code to a neopla…
malignant neoplasm
neoplasm of uncertain behavior
benign neoplasm
1. Identify the type of neoplasm.... 2. Reference the type in th…
A neoplasm that is typically called ca…
malignant neoplasm
A term used when the physician cannot…
neoplasm of uncertain behavior
Medical Terminology Chapter 5
Osteocyte
Osteo-
cyte
Atrophy
Mature Bone Cell
bone
cell
wasting of bone tissue
Osteocyte
Mature Bone Cell
Osteo-
bone
Chapter 10: Medical Coding
Current Procedural Terminology (CPT)
Established Patient
Evaluation and Management (E/M)
International Classification of Diseas…
Code book for procedures and services performed by providers.
One who has been seen within the past 3 years by any practiti…
Codes for services such as office visits, consultations, the…
Code book for diagnosed diseases.
Current Procedural Terminology (CPT)
Code book for procedures and services performed by providers.
Established Patient
One who has been seen within the past 3 years by any practiti…
30 terms
Medical Terminology Chapter 5
aort/o
arteri/o
ather/o
angi/o
aorta
Artery
plaque or fatty substance
vessel (usually blood or lymph)
aort/o
aorta
arteri/o
Artery
62 terms
Medical Terminology, Chapter 5
uni
bi
di
tri
one
two
double
three
uni
one
bi
two
30 terms
Medical Billing & Coding Module 5
Orthotics
Prosthetics
HCPCS Level II Temporary Codes
Ambulatory Surgical Center (ASC)
is a branch of medicine that deals with the design and fittin…
is a branch of medicine that deals with the design, productio…
are maintained by the CMS and other members of the HCPCS Nati…
is a state-licensed, Medicare-certified supplier (not provide…
Orthotics
is a branch of medicine that deals with the design and fittin…
Prosthetics
is a branch of medicine that deals with the design, productio…
35 terms
Diagnostic Coding chapter 5
appropriate
physicians fee profile
not coded
primary diagnosis
________ diagnosis coding can mean the financial success or f…
a ______ _____ ______ is a compilation of each physician char…
diagnosis that relate to a patients previous medical problem…
the _______ _______ (first listed condition) is the main reas…
appropriate
________ diagnosis coding can mean the financial success or f…
physicians fee profile
a ______ _____ ______ is a compilation of each physician char…
75 terms
Medical Terminology Chapter 5
angi/o
aort/o
arteri/o
ather/o
blood or lymph vessel
aorta
artery
plague, fatty substance
angi/o
blood or lymph vessel
aort/o
aorta
Medical Billing, Coding, and Insurance-Chapter 1
Cash Flow
Accounts Receivable (AR)
Accounts Payable (AP)
Revenue Cycle Management (RCM)
movement of monies into or out of a business.
monies owed to a medical practice.
a practice's operating expenses.
process of making sure sufficient monies flow into the practi…
Cash Flow
movement of monies into or out of a business.
Accounts Receivable (AR)
monies owed to a medical practice.
Chapter 47 medical coding
WHO
WHO defines health as?
Western Med. health care delivery base…
Hospital based/community based healthc…
World Health Organization
Absence of illness or dz, can carry out daily fx's of life wi…
Scientific study
Reduces cost of healthcare, usually provide acute care & diag…
WHO
World Health Organization
WHO defines health as?
Absence of illness or dz, can carry out daily fx's of life wi…
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