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Study sets matching "medical coding and billing insurance icbs 120 combining"

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Study sets matching "medical coding and billing insurance icbs 120 combining"

56 terms
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.
56 terms
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.
347 terms
Medical Billing/Coding Terms - combined lists
(Medi-Medi)
(nonpar)
Abuse
Abuse
Refers to an individual who receives medical or disability be…
A provider who decides not to accept the determined allowable…
were doctors charge PRIVATE insurance subscribers extra for o…
incidents or practices, not usually considered fraudulent, bu…
(Medi-Medi)
Refers to an individual who receives medical or disability be…
(nonpar)
A provider who decides not to accept the determined allowable…
56 terms
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.
90 terms
NHA CODING TERMS FOR MEDICAL BILLING & CODING
HIPAA
HIPAA Title I
HIPAA Title II
FCA
Health Insurance Portability & Accountability Act of 1996
Insurance Reform - to provide continuous insurance coverage f…
Administrative Simplification - to reduce costs by standardiz…
False Claims Act - federal law that prohibits submitting a fr…
HIPAA
Health Insurance Portability & Accountability Act of 1996
HIPAA Title I
Insurance Reform - to provide continuous insurance coverage f…
347 terms
Medical Billing/Coding Terms - combined lists
(Medi-Medi)
(nonpar)
Abuse
Abuse
Refers to an individual who receives medical or disability be…
A provider who decides not to accept the determined allowable…
were doctors charge PRIVATE insurance subscribers extra for o…
incidents or practices, not usually considered fraudulent, bu…
(Medi-Medi)
Refers to an individual who receives medical or disability be…
(nonpar)
A provider who decides not to accept the determined allowable…
56 terms
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.
120 terms
Certified Billing and Coding Specialist (CBCS)
A. Credit
D. Member contract
B. An insurance claims register
B. The NPI of the provider who provide…
A patient has paid in advance and the third-party payer paid…
Secondary to the CMS-1500 claim form, which of the following…
To ensure all claims are being submitted and received, a bill…
Which of the following describes the billing provider NPI?... A…
A. Credit
A patient has paid in advance and the third-party payer paid…
D. Member contract
Secondary to the CMS-1500 claim form, which of the following…
30 terms
Medical Billing & Coding Module 8
Medicare Part A
Medicare Part B
Medicare Hospital Insurance (Medicare…
Medicare Advantage (Medicare Part C)
reimburses institutional providers for inpatient, hospice, an…
reimburses institutional providers for outpatient services an…
pays for inpatient hospital critical care access; skilled nur…
formerly called Medicare+Choice, includes managed care and pr…
Medicare Part A
reimburses institutional providers for inpatient, hospice, an…
Medicare Part B
reimburses institutional providers for outpatient services an…
30 terms
Medical Billing & Coding Module 8
Medicare Part A
Medicare Part B
Medicare Hospital Insurance (Medicare…
Medicare Advantage (Medicare Part C)
reimburses institutional providers for inpatient, hospice, an…
reimburses institutional providers for outpatient services an…
pays for inpatient hospital critical care access; skilled nur…
formerly called Medicare+Choice, includes managed care and pr…
Medicare Part A
reimburses institutional providers for inpatient, hospice, an…
Medicare Part B
reimburses institutional providers for outpatient services an…
342 terms
Medical Assistant Medical Billing/Coding Terms - combined lists
(Medi-Medi)
(nonpar)
abuse
Abuse
Refers to an individual who receives medical or disability be…
A provider who decides not to accept the determined allowable…
were doctors charge PRIVATE insurance subscribers extra for o…
incidents or practices, not usually considered fraudulent, bu…
(Medi-Medi)
Refers to an individual who receives medical or disability be…
(nonpar)
A provider who decides not to accept the determined allowable…
24 terms
13.1 TABLE MED TERM FOR INSURANCE & CODING
arachn/o
cerebr/o
crani/o
dendr/o
spider
cerebrum; brain
cranium; skull
branching; dendrite
arachn/o
spider
cerebr/o
cerebrum; brain
22 terms
1.10 TABLE MED TERM FOR INSURANCE & CODING
abdomin/o; lapar/o; ceil/o
adip/o; lip/o
anter/o
chondr/o
abdomen
fat; fatty
front
cartilage
abdomin/o; lapar/o; ceil/o
abdomen
adip/o; lip/o
fat; fatty
10 terms
1.8 TABLE MED TERM FOR INSURANCE & CODING
-centesis
-desis
-ectasia; -ectasis
-ectomy
surgical puncture
binding together
stretching; dilation
surgical removal; excision
-centesis
surgical puncture
-desis
binding together
13 terms
1.6 TABLE MED TERM FOR INSURANCE & CODING
-algia
-cele
-cytosis
-dynia
pain
hernia; herniation
condition of cells
pain
-algia
pain
-cele
hernia; herniation
16 terms
1.1 TABLE MED TERM FOR INSURANCE & CODING
ab-
ad-
ante-
astr-
away from
to; toward
before
star
ab-
away from
ad-
to; toward
26 terms
4.1 TABLE MED TERM FOR INSURANCE & CODING
cut/o; cutane/o
derm/o; demat/o
hidr/o
kerat/o
skin
skin
sweat
horny tissue; hard
cut/o; cutane/o
skin
derm/o; demat/o
skin
17 terms
14.1 TABLE MED TERM FOR INSURANCE & CODING
arthr/o
dipl/o
enter/o
hist/o
joint
two
within; intestine
tissue
arthr/o
joint
dipl/o
two
25 terms
12.1 TABLE MED TERM FOR INSURANCE & CODING
cervic/o
colp/o
cry/o
cyst/o
cervix
vagina
cold
sac
cervic/o
cervix
colp/o
vagina
27 terms
10.1 TABLE MED TERM FOR INSURANCE & CODING
acid/o
acr/o
aden/o
adren/o; adrenal/o
sour; bitter
extremities
gland
adrenal glands
acid/o
sour; bitter
acr/o
extremities
33 terms
8.1 TABLE MED TERM FOR INSURANCE & CODING
alveol/o
anthrac/o
atel/o
bronch/o; bronch/i
alveolus
coal
incomplete
bronchus
alveol/o
alveolus
anthrac/o
coal
16 terms
1.3 TABLE MED TERM FOR INSURANCE & CODING
a-; an-; ana-
anti-
contra-
non-
no; not; without
against
against; opposite
not
a-; an-; ana-
no; not; without
anti-
against
17 terms
1.4 TABLE MED TERM FOR INSURANCE & CODING
-ac; -al; -ar; -ary
-crine
-crit
-cyte
pertaining to
to secrete
to separate
cell
-ac; -al; -ar; -ary
pertaining to
-crine
to secrete
15 terms
1.5 TABLE MED TERM FOR INSURANCE & CODING
-phoresis
-phoria
-pnea
-poiesis
carrying; transmission
feeling; mental state
breathing
formation
-phoresis
carrying; transmission
-phoria
feeling; mental state
33 terms
11.1 TABLE MED TERM FOR INSURANCE & CODING
andr/o
balan/o
crypt/o
cyst/o
male
glans penis
hidden
bladder; sac; urinary bladder
andr/o
male
balan/o
glans penis
40 terms
9.1 TABLE MED TERM FOR INSURANCE & CODING
abdomin/o; celi/o
an/o
appen/o; appendic/o
bil/i
abdomen
anus
appendix
bile
abdomin/o; celi/o
abdomen
an/o
anus
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
13 terms
1.7 TABLE MED TERM FOR INSURANCE & CODING
-paresis
-pathy
-penia
-phobia
slight paralysis
disease
decreased number
abnormal fear
-paresis
slight paralysis
-pathy
disease
28 terms
6.1 TABLE MED TERM FOR INSURANCE & CODING
aneurysm/o
angi/o
arter/o; arteri/o
arteriol/o
aneurysm
vessel
artery
arteriole
aneurysm/o
aneurysm
angi/o
vessel
39 terms
7.1 TABLE MED TERM FOR INSURANCE & CODING
adenoid/o
agglutin/o
angi/o
ather/o
adenoid
to clump
vessel
fat; fatty plaque
adenoid/o
adenoid
agglutin/o
to clump
60 terms
5.1 TABLE MED TERM FOR INSURANCE & CODING
ankyl/o
arthr/o
articul/o
burs/o
stiff; mobile (immobile)
joint
joint
bursa
ankyl/o
stiff; mobile (immobile)
arthr/o
joint
123 terms
Billing & Coding week 4
beneficiary
CMS
cobra
correct coding initiative CCI
in the Medicare program, one who is eligible to receive Medic…
centers for medicare and medicaid services.
consolidated omnibus budget reconciliation act.
Bundling edits created by CMS to combine various component it…
beneficiary
in the Medicare program, one who is eligible to receive Medic…
CMS
centers for medicare and medicaid services.
42 terms
Study Guide (Certified Medical Coding and Billing Specialist)
UB04 form is used for
patient confidentiality
signing an Acknowledgement of Notice o…
form to authorize sharing of medical i…
Hospice, Ambulatory Surgery Centers, Home Health Care
treating patient's medical information as private and not for…
HIPAA
medical release form
UB04 form is used for
Hospice, Ambulatory Surgery Centers, Home Health Care
patient confidentiality
treating patient's medical information as private and not for…
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
40 terms
Medical Billing and Coding Certification Preparation Section 5
Which of the following is a type of cl…
Attempted restoration of a fracture or…
Which of the following words refers to…
Removal of a blockage from blood vesse…
greenstick, comminuted, simple
reduction
primary bronchus, laryngopharynx, diaphragm
embolectomy
Which of the following is a type of cl…
greenstick, comminuted, simple
Attempted restoration of a fracture or…
reduction
56 terms
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.
66 terms
MEDICAL BILLING & CODING - CERTIFICATION TESTS
What symptoms are included in ROS (Rev…
What symptoms are included in ROS (Rev…
What symptoms are included in ROS (Rev…
What symptoms are included in ROS (rev…
- Usual weight.... - recent weight changes,... - fever,... - weakness,…
- Glasses or contact lenses... - last eye examination... - visual g…
- Ears: hearing discharge, tinnitus, dizziness, pain... - Nose:…
- Chest pain, rheumatic fever, tachycardia, palpitation, high…
What symptoms are included in ROS (Rev…
- Usual weight.... - recent weight changes,... - fever,... - weakness,…
What symptoms are included in ROS (Rev…
- Glasses or contact lenses... - last eye examination... - visual g…
43 terms
NHA INSURANCE TERMS FOR MEDICAL BILLING & CODING
assignment of benefits
accept assignment
new patient
established patient
reimbursement is directly sent from the payer to the provider
the provider agrees to accept what the insurance company appr…
one who has not received professional services from the physi…
one who has received professional services from the physician…
assignment of benefits
reimbursement is directly sent from the payer to the provider
accept assignment
the provider agrees to accept what the insurance company appr…
81 terms
Chapter 1 Working with Medical Insurance and Billing
Health Maintenance Organization (HMO)
Etiquette
Schedule of benefits
Fee-for-service
managed health care system in which providers offer healthcar…
standards for professional behavior
list of medical expenses covered by a health plan.
payment method based on provider charges.
Health Maintenance Organization (HMO)
managed health care system in which providers offer healthcar…
Etiquette
standards for professional behavior
70 terms
Health Insurance Billing - Chapter 3
COB
EPO
HMO
IDS
coordination of benefits (applies when the individual is cove…
exclusive provider organization
health maintenance organization
integrated delivery system
COB
coordination of benefits (applies when the individual is cove…
EPO
exclusive provider organization
36 terms
UNDERSTANDING HEALTH INSURANCE CHAP 14
advance beneficiary notice of noncover…
benefit period (Medicare)
conditional primary payer status
coordinated care plan
document that acknowledges patient responsibility for payment…
begins with the first day of hospitalization and ends when th…
Medicare claim process that includes the following circumstan…
also called managed care plan; includes health maintenance or…
advance beneficiary notice of noncover…
document that acknowledges patient responsibility for payment…
benefit period (Medicare)
begins with the first day of hospitalization and ends when th…
347 terms
Medical Billing/Coding Terms - combined lists
(Medi-Medi)
(nonpar)
Abuse
Abuse
Refers to an individual who receives medical or disability be…
A provider who decides not to accept the determined allowable…
were doctors charge PRIVATE insurance subscribers extra for o…
incidents or practices, not usually considered fraudulent, bu…
(Medi-Medi)
Refers to an individual who receives medical or disability be…
(nonpar)
A provider who decides not to accept the determined allowable…
Medical Coding and Billing Chapter 1
cash flow
accounts receivable
AR
Accounts Payable
movement of monies into or out of a business
monies owed to a medical practice
Accounts Receivable
a practice's operating expenses
cash flow
movement of monies into or out of a business
accounts receivable
monies owed to a medical practice
347 terms
Medical Billing/Coding Terms - combined lists
(Medi-Medi)
(nonpar)
Abuse
Abuse
Refers to an individual who receives medical or disability be…
A provider who decides not to accept the determined allowable…
were doctors charge PRIVATE insurance subscribers extra for o…
incidents or practices, not usually considered fraudulent, bu…
(Medi-Medi)
Refers to an individual who receives medical or disability be…
(nonpar)
A provider who decides not to accept the determined allowable…
74 terms
Medical Billing Insurance Ch. 3
cash flow
revenue cycle management (RCM)
Pre-Claim section of medical billing c…
New Patient (NP)
movement of monies into or out of a business
the actions that ensure the provider receives the maximum app…
processing encounters for billing purposes
patient who has not seen a provider withing the past three ye…
cash flow
movement of monies into or out of a business
revenue cycle management (RCM)
the actions that ensure the provider receives the maximum app…
347 terms
Medical Billing/Coding Terms - combined lists
(Medi-Medi)
(nonpar)
Abuse
Abuse
Refers to an individual who receives medical or disability be…
A provider who decides not to accept the determined allowable…
were doctors charge PRIVATE insurance subscribers extra for o…
incidents or practices, not usually considered fraudulent, bu…
(Medi-Medi)
Refers to an individual who receives medical or disability be…
(nonpar)
A provider who decides not to accept the determined allowable…
83 terms
Billing, Coding and Reimbursement
why do we care about billing and coding?
coding and billing involves ____ from…
coding and billing is based on ____ of…
coding and billing helps in creating r…
it is how we get paid for what we do ... (inpatient, outpatient,…
reimbursement
documentation
stratification
why do we care about billing and coding?
it is how we get paid for what we do ... (inpatient, outpatient,…
coding and billing involves ____ from…
reimbursement
52 terms
Medical coding and billing test
SOAP
Subjective
Objective
Assessment
Subjective, objective,assessment, plan
Patients statement about how he or she feels, chief complaint
Observations about the patient , physical findings, labs or x…
Judgement opinion or evaluation made by the health care provi…
SOAP
Subjective, objective,assessment, plan
Subjective
Patients statement about how he or she feels, chief complaint
26 terms
Billing, Insurance, Coding
ABA routing number
Accounting
Accounts payable
Accounts receivable
A nine-digit number that identifies a bank; the number is pri…
Systemic recording and reporting of financial transactions.
The outstanding bills of business, such as a Medical Office.
Total amount owed to a business for goods and services.
ABA routing number
A nine-digit number that identifies a bank; the number is pri…
Accounting
Systemic recording and reporting of financial transactions.
347 terms
Medical Billing/Coding Terms - combined lists
(Medi-Medi)
(nonpar)
Abuse
Abuse
Refers to an individual who receives medical or disability be…
A provider who decides not to accept the determined allowable…
were doctors charge PRIVATE insurance subscribers extra for o…
incidents or practices, not usually considered fraudulent, bu…
(Medi-Medi)
Refers to an individual who receives medical or disability be…
(nonpar)
A provider who decides not to accept the determined allowable…
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