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Study sets matching "insurance handbook for the medical office key terms chapter 2"

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Study sets matching "insurance handbook for the medical office key terms chapter 2"

17 terms
Chapter 2: Insurance Handbook for the Medical Office 13th Edition Workbook
19. One of the agencies charged with e…
20. HIPAA transaction standards apply…
21. Enforcement of the privacy standar…
22. Verbal or written agreement that g…
B. Office of Inspector General (OIG)
D. All of the above
C. Office of Civil Rights (OCR)
B. Consent
19. One of the agencies charged with e…
B. Office of Inspector General (OIG)
20. HIPAA transaction standards apply…
D. All of the above
17 terms
Chapter 2: Insurance Handbook for the Medical Office 13th Edition Workbook
19. One of the agencies charged with e…
20. HIPAA transaction standards apply…
21. Enforcement of the privacy standar…
22. Verbal or written agreement that g…
B. Office of Inspector General (OIG)
D. All of the above
C. Office of Civil Rights (OCR)
B. Consent
19. One of the agencies charged with e…
B. Office of Inspector General (OIG)
20. HIPAA transaction standards apply…
D. All of the above
73 terms
Insurance Handbook for the Medical Office Abbreviations Chapters 1, 2 & 3
AAMA
ACA
AHIMA
AMA
American Association of Medical Assistants
American Collectors Association
American Health Information Management Association
American Medical Association
AAMA
American Association of Medical Assistants
ACA
American Collectors Association
25 terms
Insurance Handbook for Medical Office: Chapter 2-Compliance, Privacy, Fraud, and Abuse in Insurance Billing-Quiz
The process of meeting regulations, re…
Under HIPAA guidelines, an outside bil…
To give, release, or transfer informat…
Confidentiality between the physician…
False (p23)
False (p25)
False (p26)
True (p30)
The process of meeting regulations, re…
False (p23)
Under HIPAA guidelines, an outside bil…
False (p25)
73 terms
Insurance Handbook for the Medical Office Abbreviations Chapters 1, 2 & 3
AAMA
ACA
AHIMA
AMA
American Association of Medical Assistants
American Collectors Association
American Health Information Management Association
American Medical Association
AAMA
American Association of Medical Assistants
ACA
American Collectors Association
9 terms
Insurance Handbook for the Medical Office:Chapter 2 - Compliance, Privacy, Fraud, and Abuse (Multiple Choice Only)
The focus on the health care practice…
The Office of Civil Rights enforces...
Confidential information includes ever…
What is the correct response when a re…
b: Title II Administrative Simplification
a: privacy and security rules
d: (all of the above) heard about/read about/seen regarding
c: have the physician return the phone call
The focus on the health care practice…
b: Title II Administrative Simplification
The Office of Civil Rights enforces...
a: privacy and security rules
39 terms
Insurance Handbook for Medical Office: Chapter 2-Compliance, Privacy, Fraud, and Abuse in Insurance Billing
HIPAA
respiration rate
sign
symptom
Health Insurance Portability and Accountability Act of 1996
number of breaths per minute
term for objective evidence of a disease
subjective evidence as perceived by the patient
HIPAA
Health Insurance Portability and Accountability Act of 1996
respiration rate
number of breaths per minute
72 terms
Insurance Handbook for the Medical Office-key terms ch 3, 4, 5, 6, 7, 8
Accounts receivable management
Claim
Coinsurance
Coordination of Benefits
The organization and administration of coding and billing in…
A bill sent to an insurance carrier requesting payment for se…
A cost sharing requirement under a health insurance policy pr…
COB-Two insurance carriers working together and coordinating…
Accounts receivable management
The organization and administration of coding and billing in…
Claim
A bill sent to an insurance carrier requesting payment for se…
11 terms
Chapter 2 Key terms: Computers in the Medical Office
access rights
Auto Log Off
backup data
database
Security option that determines the areas of the program a us…
Feature of Medisoft that automatically logs a user out of the…
A copy of data files made at a specific point in time that ca…
A collection of related bits of information.
access rights
Security option that determines the areas of the program a us…
Auto Log Off
Feature of Medisoft that automatically logs a user out of the…
63 terms
Medical Insurance Key Terms Chapter 2
medical record
malpractice
documentation
medical standards of care
file containing the documentation of a patient's medical hist…
failure to use professional skill when giving medical service…
organizing a patient's health record in chronological order u…
state-specified performance measures for the delivery of heal…
medical record
file containing the documentation of a patient's medical hist…
malpractice
failure to use professional skill when giving medical service…
15 terms
HIPAA (Medical Insurance-Chapter:2 Key Terms)
Abuse:
Audit:
Compliance Plan:
Covered Entity:
Actions that improperly use another's resources.
A formal examination of a physician's accounting and or medic…
A practice written plan to: appoint a compliance officer; est…
Under HIPAA a health plan, clearinghouse, or provider that tr…
Abuse:
Actions that improperly use another's resources.
Audit:
A formal examination of a physician's accounting and or medic…
Insurance Handbook for the Medical Office (ch2)
Compliance is the process of
Transactions in which health care info…
Baby Nelson was born on January 20, 20…
A code system used for managing patien…
Meeting regulations, recommendations, and expectations of fed…
e-health information management and its acronym is eHIM
201201200715 YYYMMDDHHMM
Systematized Nomenclature of Human & Veterinary Medicine its…
Compliance is the process of
Meeting regulations, recommendations, and expectations of fed…
Transactions in which health care info…
e-health information management and its acronym is eHIM
80 terms
Insurance Handbook for the Medical office Ch.1 thru 3
What are the two main billing types?
Facility Billing
Professional Billing
Non Physician Providers
Facility and professional
hospitals, acute care hospitals, skilled nursing or long term…
is done for physicians or non-physician practioners(NPP)
provider who hasn't obtained a medical degree and can prescri…
What are the two main billing types?
Facility and professional
Facility Billing
hospitals, acute care hospitals, skilled nursing or long term…
36 terms
Insurance Handbook For The Medical Office
A/an_______ is a legally enforceable a…
An individual promising to pay for med…
List five health insureance policy ren…
Insurance reimbursement or payment is…
insurance contract policy
guarantor or subcriber
a. Canceable... b. Optionally renewable... c.Condtionally renewable…
Indemnity
A/an_______ is a legally enforceable a…
insurance contract policy
An individual promising to pay for med…
guarantor or subcriber
37 terms
Chapter 2 Medical Insurance
Which of the following laws is designe…
A Notice of Privacy Practices is given…
Patients' PHI may be released without…
Which government group has the authori…
HIPAA
A practice's patients
employers in workers' compensation cases
OCR
Which of the following laws is designe…
HIPAA
A Notice of Privacy Practices is given…
A practice's patients
34 terms
Chapter 2-HIPAA Compliance and Privacy in Insurance Billing
abuse
authorization
authorization form
breach of confidential communication
Incidents or practices, not usually considered fraudulent, th…
Under the HIPAA privacy rule, an individual's formal, written…
A document signed by the patient that is needed for use and d…
Breach means "breaking or violation of a law or agreement" In…
abuse
Incidents or practices, not usually considered fraudulent, th…
authorization
Under the HIPAA privacy rule, an individual's formal, written…
21 terms
Computers in the Medical Office Chapter 2
Administrative Safeguards
Audit/Edit Report
Audit Trail
Autoposting
Regulations outlining the minimum administrative, technical,…
A report from a clearinghouse that lists errors to be correct…
A report that traces who has accessed electronic information,…
An automated process for entering information on a remittance…
Administrative Safeguards
Regulations outlining the minimum administrative, technical,…
Audit/Edit Report
A report from a clearinghouse that lists errors to be correct…
64 terms
Chapter 2 Compliance, Privacy, Fraud, and Abuse in Insurance Billing
ARRA
CD
CERT
CLIA
American Recovery and Reinvestment Act
compact disk
Comprehensive Error Rate Testing
Clinical Laboratory Improvement Amendments
ARRA
American Recovery and Reinvestment Act
CD
compact disk
31 terms
Medical Office Chapter 2
Abandonment
Arbitration
Assault
Authorization
The physician's failure to furnish care for a particular illn…
The process whereby a neutral third party judges the merits o…
The clear threat of injury to another.
Expressed (stated) permission given by the physician and requ…
Abandonment
The physician's failure to furnish care for a particular illn…
Arbitration
The process whereby a neutral third party judges the merits o…
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…
36 terms
Insurance Handbook For The Medical Office
A/an_______ is a legally enforceable a…
An individual promising to pay for med…
List five health insureance policy ren…
Insurance reimbursement or payment is…
insurance contract policy
guarantor or subcriber
a. Canceable... b. Optionally renewable... c.Condtionally renewable…
Indemnity
A/an_______ is a legally enforceable a…
insurance contract policy
An individual promising to pay for med…
guarantor or subcriber
40 terms
Insurance Handbook for the Medical Office
American Health Information Management…
All of the Above - knowledge, experien…
All of the Above- holding patients' me…
consideration for others
Which organization published diagnostic and procedure coding…
The amount of money an insurance billing specialist earns is…
a billing specialist is entrusted with
Medical etiquette refers to
American Health Information Management…
Which organization published diagnostic and procedure coding…
All of the Above - knowledge, experien…
The amount of money an insurance billing specialist earns is…
20 terms
SimChart Ch 2 Overview of SimChart for the Medical Office
Active Patient
Button
Check Box
Closed Patient Record
An established patient who has seen the provider or another p…
An element of the user interface on which the user can click…
A specialized type of button that toggles on (unchecked). Che…
The record of a patient who has not been seen by the provider…
Active Patient
An established patient who has seen the provider or another p…
Button
An element of the user interface on which the user can click…
24 terms
insurance handbook for the medical office quiz 1 (ch1)
Electronic Claims Processor
Name some facilities where facility bi…
Name some examples of NPP's (non-physi…
Identify 3 career opportunities (job t…
The ability to input data, transmit insurance claims, update…
a) hospitals... b) Acute care hospitals... c) Skilled nursing or lo…
a) Physician assistant... b) Nurse practitioner... c) Advanced regi…
a) Insurance billing specialist... b) Coding specialist... c) Elect…
Electronic Claims Processor
The ability to input data, transmit insurance claims, update…
Name some facilities where facility bi…
a) hospitals... b) Acute care hospitals... c) Skilled nursing or lo…
38 terms
Chapter 2 Key Terms (Health Science)
Agency for Healthcare Research and Qua…
Assisted living facilities
Centers for Disease Control and Preven…
Clinics
A federal agency established to improve the quality, safety,…
Allows individuals who can care for themselves to rent or pur…
Another division of the USDHHS; concerned with the causes, sp…
Health care facilities found in many types of health care.
Agency for Healthcare Research and Qua…
A federal agency established to improve the quality, safety,…
Assisted living facilities
Allows individuals who can care for themselves to rent or pur…
46 terms
MEDICAL INSURANCE CHAPTER 2
Medical Record
Malpractice
Documentation
Medical standards of care
File containing the documentation of a patient's information
failure to use professional skill when giving medical service…
recording of a patient's health status in a medical record
state-specified performance measures for te delivery of healt…
Medical Record
File containing the documentation of a patient's information
Malpractice
failure to use professional skill when giving medical service…
48 terms
Chapter 2 - Medical Insurance
Meeting regulations, recommendations a…
Hippocratic Oath
Is to provide continuous insurance cov…
Title 2: Administrative Simplification
Compliance is the process of
What is the first step health insurance specialists should ta…
What is the primary purpose of HIPAA Title 1: Insurance reform?
The focus on the health care practice setting and reduction o…
Meeting regulations, recommendations a…
Compliance is the process of
Hippocratic Oath
What is the first step health insurance specialists should ta…
59 terms
Insurance Handbook for the Medical Office Chapter 4
Emergency care is usually given to chr…
A permanent, legal document that forma…
A child's health record is no longer n…
The name of a disease, anatomic struct…
False
Medical Report
False
Eponym
Emergency care is usually given to chr…
False
A permanent, legal document that forma…
Medical Report
80 terms
Chapter 2 - Key Terms
ambulatory payment classifications (AP…
Balanced Budget Act of 1997 (BBA)
CHAMPUS Reform Initiative (CRI)
Civilian Health and Medical Program of…
prospective payment system used to calculate reimbursement fo…
addresses health care fraud and abuse issues, and provides fo…
conducted in 1988; resulted in a new health program called TR…
program that provides health benefits for dependents of veter…
ambulatory payment classifications (AP…
prospective payment system used to calculate reimbursement fo…
Balanced Budget Act of 1997 (BBA)
addresses health care fraud and abuse issues, and provides fo…
31 terms
Medical Office Chapter 2 Terms
Abandonment
Arbitration
Assult
Authorization
Physician's failure to furnish care for a particular illness…
Process whereby a neutral 3rd party judges the merits of a co…
Clear threat or injury to another.
Expressed (stated) permission given by the physician and requ…
Abandonment
Physician's failure to furnish care for a particular illness…
Arbitration
Process whereby a neutral 3rd party judges the merits of a co…
49 terms
Chapter 2 Key Terms
association of medical care plans
automobile insurance policy
Balanced budget act of 1997 (BBA)
base period
a national coordinating agency for physician-sponsored health…
contract between an individual and an insurance company where…
addresses health care fraud and abuse issues, and prices for…
period of time that usually covers 12 months and is divided i…
association of medical care plans
a national coordinating agency for physician-sponsored health…
automobile insurance policy
contract between an individual and an insurance company where…
19 terms
CCMA chapter 2 terms
Caregiver
Community services
Electronic communication
Electronic health record
Person delegated to provide care for a partially dependent pa…
A service or activity performed by a group of people for the…
Methods of communication via digital methods such as fax, ema…
Systematic collection of a patient's health care and treatmen…
Caregiver
Person delegated to provide care for a partially dependent pa…
Community services
A service or activity performed by a group of people for the…
122 terms
Chapter 2 Compliance, Privacy, Fraud & Abuse in Insurance Billing
ARRA
CD
CERT
CLIA
American Recovery & Reinvestment Act
Compact Disk
Comprehensive Error Rate Testing
Clinical Laboratory Improvement Amendment
ARRA
American Recovery & Reinvestment Act
CD
Compact Disk
39 terms
Chapter 2 Terms
Centers for Medicare and Medicaid Serv…
Health Insurance Portability and Accou…
Medical Records
Covered Entities
Main federal government agency responsible for health care
Law designed to protect people's private health information,…
Patient's medication files and other clinical materials that…
Organizations that electronically transmit any information th…
Centers for Medicare and Medicaid Serv…
Main federal government agency responsible for health care
Health Insurance Portability and Accou…
Law designed to protect people's private health information,…
41 terms
Chapter 2
DIAGNOSTIC RELATED GROUP
FORPROFIT
LABORATORY
WHO (World Health Organization)
Amount Medicare will pay for a diagnosis - flat fee
Hospital profits are distributed to shareholders
Performs tests on blood, and body tissues and fluids
International agency sponsored by the united nations
DIAGNOSTIC RELATED GROUP
Amount Medicare will pay for a diagnosis - flat fee
FORPROFIT
Hospital profits are distributed to shareholders
18 terms
chapter 2 key terms
Title VII of the 1964 Civil Rights Act…
Equal Employment Opportunity Commissio…
affirmative action,33
Office of Federal Contract Compliance…
The section of the act that says an employer cannot discrimin…
The commission, created by Title VII, is empowered to investi…
Steps that are taken for the purpose of eliminating the prese…
This office is responsible for implementing the executive ord…
Title VII of the 1964 Civil Rights Act…
The section of the act that says an employer cannot discrimin…
Equal Employment Opportunity Commissio…
The commission, created by Title VII, is empowered to investi…
18 terms
Chapter 2 Key Terms
Title VII of the 1964 Civil Rights Act
Equal Employment Opportunity Commission
affirmative action
Office of Federal Contract Compliance…
The section of the act that says an employer cannot discrimin…
The commission, created by Title VII, is empowered to investi…
Steps that are taken for the purpose of eliminating the prese…
This office is responsible for implementing the executive ord…
Title VII of the 1964 Civil Rights Act
The section of the act that says an employer cannot discrimin…
Equal Employment Opportunity Commission
The commission, created by Title VII, is empowered to investi…
18 terms
Chapter 2 Key Terms
Title VII of the 1964 Civil Rights Act.
Equal Employment Opportunity Commissio…
affirmative action.
Office of Federal Contract Compliance…
The section of the act that says an employer... cannot discrimin…
The commission, created by Title VII, is... empowered to investi…
Steps that are taken for the purpose ... of eliminating the pres…
This office is responsible for implementing... the executive ord…
Title VII of the 1964 Civil Rights Act.
The section of the act that says an employer... cannot discrimin…
Equal Employment Opportunity Commissio…
The commission, created by Title VII, is... empowered to investi…
46 terms
Health Information Management, Chapter 2 Key Terms
Accreditation
Certification
Certified Coding Specialist
Code of Ethics
A voluntary process by which a private nongovernmental organi…
Refers to the process by which government and non-government…
Advanced coding credential implemented by AHIMA in 1992. Indi…
Guides the practice of people who choose a given profession a…
Accreditation
A voluntary process by which a private nongovernmental organi…
Certification
Refers to the process by which government and non-government…
36 terms
chapter 2 science
Agency for health care policy and rese…
assisted living facilities
centers for disease control and preven…
medicare
A federal agency established in1990 to research the quality o…
A residential setting that provides personal care services, 2…
another division of the USDHHS, concerned with causes, spread…
federal program that pays for some of the healthcare of those…
Agency for health care policy and rese…
A federal agency established in1990 to research the quality o…
assisted living facilities
A residential setting that provides personal care services, 2…
32 terms
Chapter 2 Key Terms
anatomic and surgical pathology area
autologous donation
blood bank
blood type
one of the two main branches of the clinical laboratory, resp…
donation of a patient's own blood for use at a later time
department that deals with blood for transfusions
presence and type of antigens on the surface of red blood cells
anatomic and surgical pathology area
one of the two main branches of the clinical laboratory, resp…
autologous donation
donation of a patient's own blood for use at a later time
31 terms
Chapter 2- Health Care Systems
Hospitals
Long Term Care facilities
Medical Offices
Dental Offices
types include: general, specialty, government and university…
provide assistance and care for residents... Include:residentia…
vary from offices that are privately owned by one doctor to l…
Vary in size from offices that are privately owned by one or…
Hospitals
types include: general, specialty, government and university…
Long Term Care facilities
provide assistance and care for residents... Include:residentia…
30 terms
Chapter 2- Key Terms (H.S)
Agency for Healthcare Research & Quali…
Assisted Living Facilities
Centers for Disease Control and Preven…
Clinics
A federal agency established to improve the quality, safety,…
Allows individuals who can care for themselves to rent or pur…
Another division of the USDHHS; concerned with the causes, sp…
Also called satellite clinics or satellite centers, are healt…
Agency for Healthcare Research & Quali…
A federal agency established to improve the quality, safety,…
Assisted Living Facilities
Allows individuals who can care for themselves to rent or pur…
23 terms
Chapter 2 Organization and Time Management in the Medical Office Review
A medical test that helps to identify…
The term clinician can be used to refe…
The phrase that often describes the du…
A mammogram would be referred to as
Preventative Health Screen
nurse practitioner
working the floor
Preventative Health Screen
A medical test that helps to identify…
Preventative Health Screen
The term clinician can be used to refe…
nurse practitioner
46 terms
chapter 2
emergency care services
mental health facility
dental offices
home health care
provide special care for accidents or sudden illness
deal with mental disorders for diseases
offices owned by one or more dentists
provide care in a patient's home
emergency care services
provide special care for accidents or sudden illness
mental health facility
deal with mental disorders for diseases
19 terms
Front Office Management for the Veterinary Team Part 1 Chapter 2
Anesthetic Release Form
Client Patient Information Sheet
Debt Transactions
Deposit
A form signed by the client accepting risks associated with s…
A sheet is filled out by the client, requesting client contac…
Transactions paid with a credit card that is linked to the cu…
Placing or transferring funds into a savings or checking acco…
Anesthetic Release Form
A form signed by the client accepting risks associated with s…
Client Patient Information Sheet
A sheet is filled out by the client, requesting client contac…
47 terms
Insurance handbook for the Medical Office Ch. 8
Accredited Standards Committee X12 (AS…
Accredited Standards Committee X12 Ver…
Application Service Provider
Back Up
The U.S. standards body formed by the American National Stand…
Upgrade transaction standards that allows providers and payer…
A practice management system available over the Internet in w…
A duplicate data file, such as tape, CD-ROM, disk, or zip dis…
Accredited Standards Committee X12 (AS…
The U.S. standards body formed by the American National Stand…
Accredited Standards Committee X12 Ver…
Upgrade transaction standards that allows providers and payer…
30 terms
MOA Chapter 2
Certificate of Waiver
Clinical Laboratory Improvement Act
Consensus
Differential Diagnosis
A process by which a doctor's office can be granted permissio…
A set of regulations that controls the activities of medical…
Agreement about what has been observed or proven
This methodology is based on ruling out conditions, working f…
Certificate of Waiver
A process by which a doctor's office can be granted permissio…
Clinical Laboratory Improvement Act
A set of regulations that controls the activities of medical…
26 terms
HIT 100 - Chapter 2 - Terms & Definitions
Outguide
EHR or Electronic Health Record
EMR or Electronic Medical Record
Digitized Health Records
In a manual record-keeping system, these are cardboard or pla…
An EHR captures more information than an EMR and is designed…
An EMR provides a digital record of the traditional chart use…
Health records kept in an electronic binary format.
Outguide
In a manual record-keeping system, these are cardboard or pla…
EHR or Electronic Health Record
An EHR captures more information than an EMR and is designed…
39 terms
Chapter 2 Billing Terms
Centers for Medicare & Medicaid Servic…
Health Insurance Portability & Account…
Medical Records
Covered entities
This agency oversees Medicare and Medicaid. It establishes co…
the purpose was to improve portability and continuity of heal…
Patient's medication files and other clinical materials that…
health care providers and clearinghouses that transmit HIPAA…
Centers for Medicare & Medicaid Servic…
This agency oversees Medicare and Medicaid. It establishes co…
Health Insurance Portability & Account…
the purpose was to improve portability and continuity of heal…
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