How can we help?

You can also find more resources in our Help Center.

Study sets matching "medical billing chapter 10"

Study sets
Classes
Users

Study sets matching "medical billing chapter 10"

12 terms
medical billing : chapter 10
claims
HIPPA X12 837
CMS- 1500
data elements
__________ communicate information about a patients diagnosis…
The HIPAA standard transaction for electronic claims is the _…
__________ has thirty- three numbered boxes representing abou…
smallest units of information in a transaction
claims
__________ communicate information about a patients diagnosis…
HIPPA X12 837
The HIPAA standard transaction for electronic claims is the _…
44 terms
Medical insurance billing chapter 10
Eligible for medicaid
Not eligible for medicaid
a physician who wishes to provide serv…
individuals enrolled in managed care p…
-legally blind & receive supplemental security income... -pregna…
-people who are eligible for TANF & receive financial assista…
Dept of human services
primary care provider
Eligible for medicaid
-legally blind & receive supplemental security income... -pregna…
Not eligible for medicaid
-people who are eligible for TANF & receive financial assista…
47 terms
chapter 10 medical billing & coding
categorically needy
Children's Health Insurance Program (C…
crossover claim
dual-eligible
people who receive assistance from government programs
offers health insurance coverage for uninsured children
claim for a Medicare or Medicaid beneficiary
Medicare-Medicaid beneficiary
categorically needy
people who receive assistance from government programs
Children's Health Insurance Program (C…
offers health insurance coverage for uninsured children
43 terms
Medical insurance billing chapter 10
Eligible for medicaid
Not eligible for medicaid
a physician who wishes to provide serv…
individuals enrolled in managed care p…
-legally blind & receive supplemental security income... -pregna…
-people who are eligible for TANF & receive financial assista…
Dept of human services
primary care provider
Eligible for medicaid
-legally blind & receive supplemental security income... -pregna…
Not eligible for medicaid
-people who are eligible for TANF & receive financial assista…
12 terms
medical billing : chapter 10 2
claims
HIPPA X12 837
CMS- 1500
data elements
__________ communicate information about a patients diagnosis…
The HIPAA standard transaction for electronic claims is the _…
__________ has thirty- three numbered boxes representing abou…
smallest units of information in a transaction
claims
__________ communicate information about a patients diagnosis…
HIPPA X12 837
The HIPAA standard transaction for electronic claims is the _…
107 terms
Chapter 10: Medical Coding & Billing
The suffix -algia in the term fibromya…
Extreme dread or fear is _____________…
A specialist who prescribes medication…
A specialist who is concerned with hum…
Pain
Anxiety
psychiatrist
Psychologist
The suffix -algia in the term fibromya…
Pain
Extreme dread or fear is _____________…
Anxiety
Medical insurance billing chapter 10
Eligible for medicaid
Not eligible for medicaid
a physician who wishes to provide serv…
individuals enrolled in managed care p…
-legally blind & receive supplemental security income... -pregna…
-people who are eligible for TANF & receive financial assista…
Dept of human services
primary care provider
Eligible for medicaid
-legally blind & receive supplemental security income... -pregna…
Not eligible for medicaid
-people who are eligible for TANF & receive financial assista…
43 terms
Medical insurance billing chapter 10
In almost all cases, CHAMPVA is the
Who is not eligible for CHAMPVA?
Which program extends CHAMPVA benefits…
What must all enrollees in TRICARE for…
secondary payer
families of active duty members
CHAMPVA for Life
be enrolled in Medicare Part A & B and pay premiums
In almost all cases, CHAMPVA is the
secondary payer
Who is not eligible for CHAMPVA?
families of active duty members
14 terms
Guide to advanced medical billing chapter 10
Capitalism
Eligibility roster
Group model
Independent physician association's IPAs
The practice of paying a provider a set amount each month to…
Check the eligibility roster to determine the effective date…
In a group model HMO, a medical facility or group bands toget…
Groups of providers who have banded together for the sole pur…
Capitalism
The practice of paying a provider a set amount each month to…
Eligibility roster
Check the eligibility roster to determine the effective date…
20 terms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
Med. Billing chapter 10
FMAP
Federal Medicaid Assistant Percentage…
Medicaid
TANF
Federal Medicaid Assistant Percentage
Federal government makes payment to states.
Low income, funded by government, ran by state, follow the ru…
Temporary Assistance for Needy Families... Used to be called AFDC
FMAP
Federal Medicaid Assistant Percentage
Federal Medicaid Assistant Percentage…
Federal government makes payment to states.
27 terms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
27 terms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
56 terms
Billing Chapter 10
A/R
ATM
CMS
E-CHECK
accounts receivable
automatic teller machine
center for medicare and medicaid services
electronic check
A/R
accounts receivable
ATM
automatic teller machine
16 terms
Medical Billing (Chapter 9,10,11/Terms)
condition code
working aged person
occurrence code
occurrence span code
A two-digit numeric or alphanumeric code used to report a s…
In Medicare, the term for a patient or his/her spouse who is…
Two-digit numeric or alphanumeric codes that define a signi…
Two-digit numeric or alphanumeric codes that identify signi…
condition code
A two-digit numeric or alphanumeric code used to report a s…
working aged person
In Medicare, the term for a patient or his/her spouse who is…
25 terms
Medical Terminology Chapter 10
mechano-
dynam-
osmo-
traumat-
machine
power
odor
wound
mechano-
machine
dynam-
power
27 terms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
7 terms
Billing Chapter 10
EOB (Explanation of benefits)
Remittance Advice (RA)
Electronic remittance advice (ERA)
Information included in the RA and ERA
explanation of benefits carrier to the cover individuals expl…
statement sent by an insurance carrier to the medical provide…
an electronic statement sent by an insurance carrier to the m…
1. identifying information for all parties including the pati…
EOB (Explanation of benefits)
explanation of benefits carrier to the cover individuals expl…
Remittance Advice (RA)
statement sent by an insurance carrier to the medical provide…
10 terms
Chapter 13: Medicare Medical Billing and Chapter 14: Medicaid Medical Billing
Benefit Period
Categorically Needy
Crossover
Intermediaries
A period of time during which medical benefits are available…
The Medicaid eligibility group that includes cash recipients…
Reassignment of gaps in coverage that eliminates the need for…
A private company that has a contract with Medicare to pay Pa…
Benefit Period
A period of time during which medical benefits are available…
Categorically Needy
The Medicaid eligibility group that includes cash recipients…
12 terms
Billing insurance- chapter 10
ACCOUNTS RECEIVABLE (A/R)
CASH FLOW
AGE ANALYSIS
FEE SCHEDULE
the total amount of money owed for professional service rende…
in medical pactice, the amount of actual cash generated and a…
the procedure of systematically arranging the account receiva…
a list of changes or established allowance for specific medic…
ACCOUNTS RECEIVABLE (A/R)
the total amount of money owed for professional service rende…
CASH FLOW
in medical pactice, the amount of actual cash generated and a…
48 terms
billing chapter 10
Emergency Maternal and Infant Care Pro…
CHAMPUS
TRICARE
sponsor
During World War II, congress authorized the creation of the…
During the Korean War, in 1956, the Dependents Medical Care A…
A worldwide healthcare system for the military. Federal progr…
the member or was active-duty military
Emergency Maternal and Infant Care Pro…
During World War II, congress authorized the creation of the…
CHAMPUS
During the Korean War, in 1956, the Dependents Medical Care A…
13 terms
Chapter 10 billing
3rd party payers
3rd party payers consists of:
Modifer
SKIP
Where a large % of the reimbursement in a doctors office.
Private insurances, government plans, managed care plans, wor…
Alters meaning of a code.
Skipped out on a bill
3rd party payers
Where a large % of the reimbursement in a doctors office.
3rd party payers consists of:
Private insurances, government plans, managed care plans, wor…
6 terms
TCI Chapter 10 The Bill of Rights
Bill of Rights
warrant
double jeoprody
self-incrimination
First ten amendments to the Constitution, drafted by Madison,…
v. to justify or deserve
The same person being charged for the same crime twice- this…
When an individual accused of a crime is compelled to be a wi…
Bill of Rights
First ten amendments to the Constitution, drafted by Madison,…
warrant
v. to justify or deserve
15 terms
Billing Chapter 10
Days in A/R
Days in A/R formula
PPA
Common denials
Days in Accounts Receivable; The average number of days it ta…
Total A/R ... Divided by Average Daily Charges... Days in A/R = Tot…
Prompt Payment Act: Fed entities must pay within 30 days of r…
-Incorrect information... -Coordination of benefits... -timely fili…
Days in A/R
Days in Accounts Receivable; The average number of days it ta…
Days in A/R formula
Total A/R ... Divided by Average Daily Charges... Days in A/R = Tot…
27 terms
Chapter 10 - Bill of Rights
First
Second
Third
Fourth
Five (5) freedoms: speech, press, religion, assembly, petitio…
Right to bear arms______ Amendment
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First
Five (5) freedoms: speech, press, religion, assembly, petitio…
Second
Right to bear arms______ Amendment
27 terms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
21 terms
The Bill of Rights: Chapter 10
Anti-Federalists
First amendment
clear and present danger
militia
demanded that amendments be added to secure basic rights
freedom of religion, speech, press, to assemble, to petition
freedom of speech can be limited, yell "fire" in a crowded th…
a force made up of ordinary citizens who take up arms
Anti-Federalists
demanded that amendments be added to secure basic rights
First amendment
freedom of religion, speech, press, to assemble, to petition
14 terms
Chapter 10 - The Bill of Rights
Author
It did not list the rights of the peop…
to limit the power of government
He believed in the separation of relig…
2.Which of these best describes James Madison's role in the c…
1.In 1788, why did several states refuse to approve the U.S.…
3.Which of these is one purpose of the Bill of Rights?
4.Which of these describes Thomas Jefferson's belief about go…
Author
2.Which of these best describes James Madison's role in the c…
It did not list the rights of the peop…
1.In 1788, why did several states refuse to approve the U.S.…
27 terms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
45 terms
Medical Coding and Billing ICD-10
The Coding Notation that adds further…
Synonyms, alternate words, and explana…
Septicemia due to unknown causes
Encephalitis due to Measles
Includes
[ ] Brackets
A41.9
B05.0
The Coding Notation that adds further…
Includes
Synonyms, alternate words, and explana…
[ ] Brackets
50 terms
Chapter 10 Bill of Rights
amendment
congress
prohibit
abridge
a statement that is added to a proposal or document
a national legislative assembly
command against
lessen, diminish, or curtail
amendment
a statement that is added to a proposal or document
congress
a national legislative assembly
19 terms
Chapter 10 - The Bill of Rights
James Madison
U.S. Constitution
Bill of Rights
Thomas Jefferson
This man was the primary author of the Bill of Rights.
In 1788, many states refused to ratify this document because…
The main purpose of this document is to limit the power of th…
This founding father believed that there should be a "wall of…
James Madison
This man was the primary author of the Bill of Rights.
U.S. Constitution
In 1788, many states refused to ratify this document because…
27 terms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
10 terms
Bill of Rights (Chapter 10)
1st Amendment
2nd Amendment
3rd Amendment
4th Amendment
Freedom of Religion, Speech, Press, Petition and Assembly
Right to bear arms (own weapons)
Citizens can't be forced to house and feed soldiers
Protection from unreasonable searches and seizures
1st Amendment
Freedom of Religion, Speech, Press, Petition and Assembly
2nd Amendment
Right to bear arms (own weapons)
Chapter 10 - Bill of Rights
.
.
.
.
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
.
Five (5) freedoms: speech, press, religion, assembly, petition
.
Right to bear arms
10 terms
Chapter 10: The Bill of Rights
Bill of Rights
Compensation
Controversial
Defendant
a formal listing of the basic rights of U.S. citizens
payment given to someone to offset, or make up for, a loss or…
when many people have strong opinions on a subject, causing c…
a person who is required to defend himself or herself in a le…
Bill of Rights
a formal listing of the basic rights of U.S. citizens
Compensation
payment given to someone to offset, or make up for, a loss or…
8 terms
Chapter 10 Bill of Rights
Amendment 1-Basic Rights
Amendment 2,3 and 4
Amendment 5
Amendment 6
Right to Religion, Assembly, Press, Petition and Speech
These Amendments were created as a result of Great Britain's…
No one may be subjected to double jeopardy - that is, tried t…
Right to a Speedy Trial
Amendment 1-Basic Rights
Right to Religion, Assembly, Press, Petition and Speech
Amendment 2,3 and 4
These Amendments were created as a result of Great Britain's…
19 terms
Chapter 10 - The Bill of Rights
James Madison
U.S. Constitution
Bill of Rights
Thomas Jefferson
This man was the primary author of the Bill of Rights.
In 1788, many states refused to ratify this document because…
The main purpose of this document is to limit the power of th…
This founding father believed that there should be a "wall of…
James Madison
This man was the primary author of the Bill of Rights.
U.S. Constitution
In 1788, many states refused to ratify this document because…
12 terms
Chapter 10 The Bill Of Rights
Bill of Rights
Warrant
double jeopardy
self-incrimination
formal list of the basic rights of U.S. Government
an order from a judge that authorizes police o other official…
putting a person on trial more than once for the same crime.
giving testimony that can be used against oneself
Bill of Rights
formal list of the basic rights of U.S. Government
Warrant
an order from a judge that authorizes police o other official…
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
27 terms
Chapter 10 - Bill of Rights
First Amendment
Second Amendment
Third Amendment
Fourth Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Right to bear arms
Forbids the government to order private citizens to allow sol…
Protects the rights of people from unreasonable search and se…
First Amendment
Five (5) freedoms: speech, press, religion, assembly, petition
Second Amendment
Right to bear arms
24 terms
Billing Chapter 10 Abbreviations
A/R
EOB
RA
ERA
Accounts Receivables
Explanation of benefits
Remittance Advice
Electronic Remittance Advice
A/R
Accounts Receivables
EOB
Explanation of benefits
8 terms
Computer Billing Chapter 10
Claims
Timely filing
HIPAA standard transaction for electro…
CMS 1500 claim
Communicate information about a patients diagnosis, procedure…
Rules specifying the number of days after date of service tha…
HIPAA x12 837 health care claim/HIPAA claim
33 numbered boxes representing about 150 discrete data elements
Claims
Communicate information about a patients diagnosis, procedure…
Timely filing
Rules specifying the number of days after date of service tha…
8 terms
Billing and Coding Chapter 10
VBP
p4p
targets
Pay for performance
value based purchasing
pay for performance
are specific measurable objectives against which performance…
type of payment arrangement to reimburse providers that is pe…
VBP
value based purchasing
p4p
pay for performance
10 terms
Chapter 10- The Bill of Rights
Bill of Rights
warrant
double jeopardy
self-incrimination
a formal listing of the basic rights of U.S. citizens.
an order from a judge that authorizes police or other officia…
putting a person on trial more than once for the same crime.
giving testimony that can be used against oneself.
Bill of Rights
a formal listing of the basic rights of U.S. citizens.
warrant
an order from a judge that authorizes police or other officia…
Chapter 10: Bill of Rights
Amendment I (First)
Amendment II (Second)
Amendment III (Third)
Amendment IV (Fourth)
The Five Freedoms: Freedom of Religion, Freedom of Speech, Fr…
The Right to Bear Arms
No soldier shall, in time of peace be quartered in any house,…
NO unreasonable search and seizures, a specific warrant is ne…
Amendment I (First)
The Five Freedoms: Freedom of Religion, Freedom of Speech, Fr…
Amendment II (Second)
The Right to Bear Arms
20 terms
Chapter 10 Medical Terminology
ataxia
bradykinesia
cephalgia
cerebellar
a condition of no (decreased) activity
a condition of slow movement
pain in the head (headache)
pertaining to the posterior part of the brain that coordinate…
ataxia
a condition of no (decreased) activity
bradykinesia
a condition of slow movement
22 terms
Medical Terminology, Chapter 10
nucleus
chromosomes
tissue
connective tissue
"kernel" inside each cell that contains genes
DNA strands that contain the genes
group of specialized cells which function together
fibrous, binds together (i.e. skin, bone, muscle)
nucleus
"kernel" inside each cell that contains genes
chromosomes
DNA strands that contain the genes
42 terms
Hospital Billing Chapter 10 Hemic & Lymphatic Sytem: Combining Forms, Prefixes, Suffixes, and Medical Terms
aden/o
adenoid/o
axill/o
cervic/o
gland
adenoids
armpit
neck/cervix
aden/o
gland
adenoid/o
adenoids
1 of 10