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Study sets matching "insurance coding week 2"

20 terms
Intro to Insurance, Coding and Billing - Terms Week #2
Inpatient
Outpatient
Indigent
Beneficiary
a person who stays in the hospital for 24 hours or more
a patient who does not require an overnight stay at the hospi…
a medically needy person
the party designated to receive benefits
Inpatient
a person who stays in the hospital for 24 hours or more
Outpatient
a patient who does not require an overnight stay at the hospi…
57 terms
NCCT 2 Insurance and coding
An unintended reaction to a drug is ca…
The medical term for high blood preasu…
proximal and distal refer to
Plantar flexion is a movement of the
adversse effect
hypertension
proximity
foot
An unintended reaction to a drug is ca…
adversse effect
The medical term for high blood preasu…
hypertension
57 terms
NCCT 2 Insurance and coding
An unintended reaction to a drug is ca…
The medical term for high blood preasu…
proximal and distal refer to
Plantar flexion is a movement of the
adversse effect
hypertension
proximity
foot
An unintended reaction to a drug is ca…
adversse effect
The medical term for high blood preasu…
hypertension
Insurance and Coding Terms #2
CT
Diff
DNR
DOA
Computerized Tomography
Differential
Do Not Resuscitate
Dead On arrival
CT
Computerized Tomography
Diff
Differential
17 terms
Chapter 2 Insurance Coding
Centers for Medicare and Medicaid Serv…
CMS-1500
Current Dental Terminology (CDT)
Current Procedural Terminology (CPT)
formerly known as the Health Care Financing Administration (H…
a standardized form, approved by the American Medical Associa…
a reference book that provides language for sental healthcare…
is a systematic listing for coding the procedures or services…
Centers for Medicare and Medicaid Serv…
formerly known as the Health Care Financing Administration (H…
CMS-1500
a standardized form, approved by the American Medical Associa…
20 terms
Week 2, Intro to insurance coding & billing MA #102
Inpatient
Out patient
Indigent
Beneficiary
a patient who stays in the hospital for 24 hours or more
a patient who dose not require an overnight stay at the hospi…
a medically needy person
the party designated to receive benefits
Inpatient
a patient who stays in the hospital for 24 hours or more
Out patient
a patient who dose not require an overnight stay at the hospi…
36 terms
Insurance and coding chapter 2
Which is necessary and permitted throu…
Transactions and code set establish st…
If a practice is being investigated fo…
Which code set is used for dental bill…
Use of PHI and disclosure of PHI
Finical and administrative data
Compliance plan
CDT-4
Which is necessary and permitted throu…
Use of PHI and disclosure of PHI
Transactions and code set establish st…
Finical and administrative data
19 terms
1.2 TABLE MED TERM FOR INSURANCE & CODING
macro-
meta-
micro-
multi-
large
change; after; beyond
small
many
macro-
large
meta-
change; after; beyond
57 terms
NCCT Certified Insurance & Coding - 2
An unintended reaction to a drug is ca…
The medical term for high blood pressu…
Proximal and distal refer to _______.…
Plantar flexion is a movement of the _…
d. adverse effect
a. hypertension
d. proximity
b. foot
An unintended reaction to a drug is ca…
d. adverse effect
The medical term for high blood pressu…
a. hypertension
20 terms
Week 1 ,Insurance coding & billing #102
Tricare
Medicaid
Medicare
Premium
Insurance for miltary dependants
Insurance for the indigent (not in AZ) (Medi-Cal in Californi…
Insurance for the aged , totally disabled & blind
Payment made to keep the insurance policy in force.
Tricare
Insurance for miltary dependants
Medicaid
Insurance for the indigent (not in AZ) (Medi-Cal in Californi…
50 terms
Insurance and Coding - Chapter 2 - Terminology
adverse effect
hypertension
proximal and distal refer to
plantar flexion is a movement of the
an unintended reaction to a drug
the medical term for high blood pressure
proximity
foot
adverse effect
an unintended reaction to a drug
hypertension
the medical term for high blood pressure
13 terms
Dental Insurance Codes Test #2
00330
00425
00460
00470
Panoramic Film
Caries susceptibility tests
Pulp Vitality Tests
Diagnostic casts
00330
Panoramic Film
00425
Caries susceptibility tests
26 terms
Insurance coding and billing terms #2
Inpatient
Outpatient
Indigent
Beneficiary
A patient who stays in the hospital for 24 hours or more
A patient who does not require an overnight stay at the hospi…
A medically needy person
The party designated to receive benefits
Inpatient
A patient who stays in the hospital for 24 hours or more
Outpatient
A patient who does not require an overnight stay at the hospi…
30 terms
Medical Insurance and Coding Chapter 2
ARRA
CERT
CLIA
CMP
American Recovery and reinvestment agency
Comprehensive Error rating testing
clinical laboratory improvement amendments
Competitive medical plan
ARRA
American Recovery and reinvestment agency
CERT
Comprehensive Error rating testing
76 terms
Insurance Billing Coding Unit 2
What are the two main organization com…
true
true
false
alphabetic index and tabular list
One difference between ICD-9 and ICD-10 is that ICD-10 descri…
ICD-10 CM was originally planned to be implemented on October…
In diagnostic coding, the coexisting conditions are coded fir…
What are the two main organization com…
alphabetic index and tabular list
true
One difference between ICD-9 and ICD-10 is that ICD-10 descri…
40 terms
Insurance Theory and Coding Chapter 2
documentation
encounter
SOAP
evaluation and management
the systematic, logical, and consistent recording of a patien…
face to face meeting between a provider and a patient
subjective, objective, assessment, plan
provider's evaluation of a patient's condition and decision o…
documentation
the systematic, logical, and consistent recording of a patien…
encounter
face to face meeting between a provider and a patient
57 terms
NCCT Certified Insurance & Coding - 2
An unintended reaction to a drug is ca…
The medical term for high blood pressu…
Proximal and distal refer to _______.…
Plantar flexion is a movement of the _…
d. adverse effect
a. hypertension
d. proximity
b. foot
An unintended reaction to a drug is ca…
d. adverse effect
The medical term for high blood pressu…
a. hypertension
20 terms
Week 3, insurance coding & billing #120
Emergency
Third party payer
Critical care
Observation status
Sudden or unexpected medical condition (e.g. Chest pain , sho…
An organization that provides payment for specified coverage…
A critical illness or injury which acutely impairs one to be…
An outpatient service that allows patients to be monitored in…
Emergency
Sudden or unexpected medical condition (e.g. Chest pain , sho…
Third party payer
An organization that provides payment for specified coverage…
26 terms
MA 50 week 3 Medical Insurance/Coding
adjustments
assignment of benefits
beneficiary
coordination of benefits
increases or decreases to patient accounts not due to charges…
signing over benefits by the beneficiary to another party
person under a policy eligible to receive benefits
COB the provision of an insurance contract that limits benefi…
adjustments
increases or decreases to patient accounts not due to charges…
assignment of benefits
signing over benefits by the beneficiary to another party
20 terms
Intro To Insurance & Coding - Terms Week #3
Emergency
Third Party Payer
Critical Care
Observation Status
sudden or unexpected medical condition (e.g. chest pain, shor…
an organization that provides payment for specified coverage…
a critical illness or injury which acutely impairs one or mor…
an outpatient service that allows patients to be monitored in…
Emergency
sudden or unexpected medical condition (e.g. chest pain, shor…
Third Party Payer
an organization that provides payment for specified coverage…
26 terms
MA 50 Week 3 Medical Insurance / Medical Insurance Coding
adjustment
assignment of benefits
beneficiary
coordination of benefits (COB)
increases or decreases to patient accounts not due to charges…
signing over of benefits by the beneficiary to another party…
person under a policy eligible to receive benefits
the provision of an insurance contract that limits benefits t…
adjustment
increases or decreases to patient accounts not due to charges…
assignment of benefits
signing over of benefits by the beneficiary to another party…
85 terms
Billing & Coding week 2
adjunct codes
AMA
audit
biopsy
codes used to record additional services
american medical association
a process to determine if the information sent to the insuran…
removal of a small amount of tissue to determine the extent o…
adjunct codes
codes used to record additional services
AMA
american medical association
26 terms
MA WEEK 3 MEDICAL INSURANCE/MEDICAL INSURANCE CODING TERMS AND DEFINITION
Adjustment
Assignment of Benefits
Beneficiary
Coordination of benefits
A small alteration or movement made to acheive a desired fit,…
Signing over of benefits by the "beneficiary" to another party.
Person under a policy eligible to receive benefits.
The provision of an insurance contract that limits benefits t…
Adjustment
A small alteration or movement made to acheive a desired fit,…
Assignment of Benefits
Signing over of benefits by the "beneficiary" to another party.
26 terms
Ma 50 week 3 medical insurance/medical insurance coding
adjustment
assignmeent of benefits
beneficiary
coordination of benefits (cob)
increases or decreases to patient accounts not due to charges…
signing over of benefits by the beneficiary to another party
person under a policy eligible to receive benefits
the provision of an insurance contract that limits benefits t…
adjustment
increases or decreases to patient accounts not due to charges…
assignmeent of benefits
signing over of benefits by the beneficiary to another party
Ma 50 week 3 medical insurance and coding
Adjustment
Assignment of benefits
Beneficiary
Coordination of benefits COB
increases or decreases to patient accounts not due to charges…
signing over of benefits by the beneficiary to another party
person under a policy eligible to receive benefits
the provision of an insurance contract that limits benefits t…
Adjustment
increases or decreases to patient accounts not due to charges…
Assignment of benefits
signing over of benefits by the beneficiary to another party
39 terms
Medical Billing, Coding, and Insurance Chapter 2
A medical record must document what fo…
Explain the term medical professional…
List 8 advantages of EHRs over paper r…
List the four types of information in…
A patient's health history, examinations, tests, and results…
Healthcare providers are legally responsible for providing a…
1. Immediate access to health information.... 2. Computerized ph…
1. The chief complaint.... 2. The history and physical examinati…
A medical record must document what fo…
A patient's health history, examinations, tests, and results…
Explain the term medical professional…
Healthcare providers are legally responsible for providing a…
20 terms
Insurance Terms Week 2
Inpatient
Outpatient
Indigent
Beneficiary
a patient who stays in the hospital for 24 hours or more
a patient who does not require an overnight stay at the hospi…
medically needy person
the party designated to receive benefits
Inpatient
a patient who stays in the hospital for 24 hours or more
Outpatient
a patient who does not require an overnight stay at the hospi…
39 terms
Medical Billing, Coding, and Insurance Chapter 2
A medical record must document what fo…
Explain the term medical professional…
List 8 advantages of EHRs over paper r…
List the four types of information in…
A patient's health history, examinations, tests, and results…
Healthcare providers are legally responsible for providing a…
1. Immediate access to health information.... 2. Computerized ph…
1. The chief complaint.... 2. The history and physical examinati…
A medical record must document what fo…
A patient's health history, examinations, tests, and results…
Explain the term medical professional…
Healthcare providers are legally responsible for providing a…
54 terms
Insurance week 2
NPI
CMS
EOB
EDI
Unique 10-digit identifier for covered health care providers
Centers for Medicare and Medicaid services
Document explaining payments made by the insurance company
Electronic system required for filing electronic claims to CMS
NPI
Unique 10-digit identifier for covered health care providers
CMS
Centers for Medicare and Medicaid services
63 terms
Insurance Coding and Managed Care Test 2 Review
Who is Eligible for Medicare
Who is Eligible for Medicaid
Who is Eligible for Tricare
Who is Eligible for CHAMPVA... Civilian H…
- individuals 65 and older... - disabled adults... - individuals di…
- Individuals who are categorically needy or medically needy…
Military personnel and their families
Families of veterans with 100% service-related disabilities
Who is Eligible for Medicare
- individuals 65 and older... - disabled adults... - individuals di…
Who is Eligible for Medicaid
- Individuals who are categorically needy or medically needy…
55 terms
Insurance Billing and Coding Ch. 1,2,3
Indemnity Plan
Third party payer
EMR
EHR
provides protection against loss
private or government organization insuring or paying for hea…
electronic medical record-practices records
electronic health records for multiple medical sites that can…
Indemnity Plan
provides protection against loss
Third party payer
private or government organization insuring or paying for hea…
39 terms
Medical Billing, Coding, and Insurance Chapter 2
A medical record must document what fo…
Explain the term medical professional…
List 8 advantages of EHRs over paper r…
List the four types of information in…
A patient's health history, examinations, tests, and results…
Healthcare providers are legally responsible for providing a…
1. Immediate access to health information.... 2. Computerized ph…
1. The chief complaint.... 2. The history and physical examinati…
A medical record must document what fo…
A patient's health history, examinations, tests, and results…
Explain the term medical professional…
Healthcare providers are legally responsible for providing a…
20 terms
Insurance Terms Week 2
Inpatient
Outpatient
Indigent
Beneficiary
A patient who stays in the hospital for 24hrs or more
Patient who does not require an overnight stay at the hospita…
A medically needy person
The party designated to receive benefits
Inpatient
A patient who stays in the hospital for 24hrs or more
Outpatient
Patient who does not require an overnight stay at the hospita…
20 terms
Insurance Terms Week 2
Inpatient
Outpatient
Indegent
Beneficiary
A patient who stays in the hospital for 24 hours or more
A patient who does not require an overnight
A medically needy person
The party designated to receieve benefits
Inpatient
A patient who stays in the hospital for 24 hours or more
Outpatient
A patient who does not require an overnight
Insurance 3 week 2
-Cele
Tachy
-pnea
Phag/o
Hernia
Fast
Breathing, breath
Eat, swallow, consume
-Cele
Hernia
Tachy
Fast
57 terms
MA Seq.2 : Insurance & Coding Final
What does ICD stand for?
What is volume 2 in ICD-10?
What is volume 1 in ICD-10?
How long are codes in ICD-10?
International classification of diseases
The index
Tabular list
3-5 numeric digits
What does ICD stand for?
International classification of diseases
What is volume 2 in ICD-10?
The index
20 terms
insurance terms week 2
Inpatient
Outpatient
Indigent
Beneficiary
a patient who stays in the hospital for 24 hours
a patient who dose not require an overnight stay at the hospi…
a medically needy person
the party designated to receive benefits
Inpatient
a patient who stays in the hospital for 24 hours
Outpatient
a patient who dose not require an overnight stay at the hospi…
30 terms
INSURANCE TERMS week 2
billing provider
claim control number
claim scrubber
destination payer
Person or organiziation sending a HIPAA claim
Unique number assigned to a healthcare claim by the sender
Software that checks claims to permit error correction for cl…
The health plan recieving the claim
billing provider
Person or organiziation sending a HIPAA claim
claim control number
Unique number assigned to a healthcare claim by the sender
30 terms
Week 2 basic insurance
Make certain they are on mailing list…
coding
Both the silicate analysis of practice…
American Medical Association
To remain up to date with the frequent changes of health insu…
The process of reporting diagnosis and procedures and service…
Accurate coding of diagnoses procedures and services rendered…
Which of the following is not a professional association for…
Make certain they are on mailing list…
To remain up to date with the frequent changes of health insu…
coding
The process of reporting diagnosis and procedures and service…
15 terms
Week one insurance 2
Centesis
Dynia
Melan/o
Hidr/o
Surgical puncture
Pain
Black
Sweat
Centesis
Surgical puncture
Dynia
Pain
172 terms
Medical Coding and Insurance Billing Ch1-7 (2)
As blood enters the heart form the hea…
Break down the following words: Root w…
Break down the following words: Suffix…
Break down the following words: Word m…
Superior Vena Cava, (vena) cava; atrium, entricle; pulmonary;…
Isch; Lack of
Emia; Blood condition
lack of blood
As blood enters the heart form the hea…
Superior Vena Cava, (vena) cava; atrium, entricle; pulmonary;…
Break down the following words: Root w…
Isch; Lack of
85 terms
Billing & Coding week 2
adjunct codes
AMA
audit
biopsy
codes used to record additional services
american medical association
a process to determine if the information sent to the insuran…
removal of a small amount of tissue to determine the extent o…
adjunct codes
codes used to record additional services
AMA
american medical association
65 terms
Medical Insurance & Coding Review (Ch 2&3)
Documentation
SOAP note
SOAP (stands for)
H&P
A systematic, logical and consistent recording of a patient's…
Subjective is taken from the patient
Subjective/objective/assessment/plan
Is documented with four types of info
Documentation
A systematic, logical and consistent recording of a patient's…
SOAP note
Subjective is taken from the patient
20 terms
Insurance Terms Week #2
Inpatient
Outpatient
indigent
beneficiary
a patient who stays in the hospital for 24 hrs or more
a patient who does niot require to stay overnight at the hosp…
a medically needy person
then party designated to receive benefits
Inpatient
a patient who stays in the hospital for 24 hrs or more
Outpatient
a patient who does niot require to stay overnight at the hosp…
20 terms
Insurance terms week 2
Inpatient
Outpatient
Indigent
Beneficiary
A patient who stays in the hospital for 24 hours or more
A patient who does not require an overnight stay at the hospi…
A medically needy person
The party designated to receive benefits
Inpatient
A patient who stays in the hospital for 24 hours or more
Outpatient
A patient who does not require an overnight stay at the hospi…
21 terms
Chapter 2: Basic Concepts of Coding and Insurance
capitation fee
copayment
Current Procedural Terminology (CPT)
deductible
fixed prepayment made to a provider by an insurance carrier f…
small, fixed fee paid by the patient or guarantor each time t…
Numerical codes used to designate procedures or services perf…
Amount that must first be paid by the insurance policyholder…
capitation fee
fixed prepayment made to a provider by an insurance carrier f…
copayment
small, fixed fee paid by the patient or guarantor each time t…
32 terms
Insurance Coding Chapter 2 Lab Vocabulary
Access Controls
Adjudication
Audit Trails
Autoposting
limit employees to what they can view or edit
once the carrier forwards the claim to the carrier it goes th…
allow managers to monitor what staff members viewed what and…
import ERA data directly into their systems and bypass human…
Access Controls
limit employees to what they can view or edit
Adjudication
once the carrier forwards the claim to the carrier it goes th…
57 terms
NCCT Chapter 2 Insurance & Coding Specialist
An unintended reaction to a drug is ca…
The medical term for high blood pressu…
Proximal and distal refer to
Plantar flexion is a movement of the
adverse effect
hypertension
proximity
foot
An unintended reaction to a drug is ca…
adverse effect
The medical term for high blood pressu…
hypertension
39 terms
Medical Billing, Coding, and Insurance Chapter 2
A medical record must document what fo…
Explain the term medical professional…
List 8 advantages of EHRs over paper r…
List the four types of information in…
A patient's health history, examinations, tests, and results…
Healthcare providers are legally responsible for providing a…
1. Immediate access to health information.... 2. Computerized ph…
1. The chief complaint.... 2. The history and physical examinati…
A medical record must document what fo…
A patient's health history, examinations, tests, and results…
Explain the term medical professional…
Healthcare providers are legally responsible for providing a…
10 terms
Coding Week 2
Crowdsourcing
Data
Debugging
Decompose
Getting help from a large group of people to finish something…
Quantities, characters, or symbols that are the inputs and ou…
Finding and fixing errors in programs
Break a problem down into smaller pieces
Crowdsourcing
Getting help from a large group of people to finish something…
Data
Quantities, characters, or symbols that are the inputs and ou…
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