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Study sets matching "medical phlebotomy ekg coding billing"

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Study sets matching "medical phlebotomy ekg coding billing"

199 terms
MEDICAL BILLING/CODING ACRONYMS
Acct.
A/P
A/R
AMA
Account
ACCOUNT Payable
Account Receivable
American Medical Association
Acct.
Account
A/P
ACCOUNT Payable
30 terms
medical billing and coding
modifier 22
23
24
25
increased procedural service
unusual anesthesia
unrelated E&M service during post operation period
significant separately identifiable E&M on same day of the pr…
modifier 22
increased procedural service
23
unusual anesthesia
126 terms
Medical Billing and Coding Final
What is a rule of conduct established…
Another name for terminating care of a…
A health-care professional who stops c…
The appropriate way for a physician to…
Law
D) withdrawing from a case
D) abandonment
Send the patient a certified letter
What is a rule of conduct established…
Law
Another name for terminating care of a…
D) withdrawing from a case
199 terms
MEDICAL BILLING/CODING ACRONYMS
Acct.
A/P
A/R
AMA
Account
ACCOUNT Payable
Account Receivable
American Medical Association
Acct.
Account
A/P
ACCOUNT Payable
45 terms
Introduction to Medical Billing & Coding
WHO
ICD
Who developed ICD to:
CPT
World Health Organization
International Classification of Diseases
collect data for statistical purposes
Current Procedural Terminiology
WHO
World Health Organization
ICD
International Classification of Diseases
5 terms
medical insurance billing and coding
english
billing codes
cpt codes
medical insurance
...
icd 10
cpt 9
health insurance today
english
...
billing codes
icd 10
126 terms
Medical Billing and Coding Final
What is a rule of conduct established…
Another name for terminating care of a…
A health-care professional who stops c…
The appropriate way for a physician to…
Law
D) withdrawing from a case
D) abandonment
Send the patient a certified letter
What is a rule of conduct established…
Law
Another name for terminating care of a…
D) withdrawing from a case
31 terms
Medical Coding and Billing - CPT Coding
CPT
Overview of CPT
CPT Supports electronic data
EDI
CPT stands for current procedural terminology. It provides er…
CPT provides a list of identifying and descriptive codes for…
Exchange (EDI), computer based patient.... Record (CPR), electro…
Electronic Data Interchange.
CPT
CPT stands for current procedural terminology. It provides er…
Overview of CPT
CPT provides a list of identifying and descriptive codes for…
45 terms
Introduction to Medical Billing & Coding
WHO
ICD
Who developed ICD to:
CPT
World Health Organization
International Classification of Diseases
collect data for statistical purposes
Current Procedural Terminiology
WHO
World Health Organization
ICD
International Classification of Diseases
37 terms
Medical coding and billing
Cardiomyopathy
Histology
Bilateral
Tachycardia
disease of the heart muscle
Study of tissues
Present on two sides
Fast heart rate
Cardiomyopathy
disease of the heart muscle
Histology
Study of tissues
86 terms
Medical Coding & Billing
Skin
Epidermis
Stratum germinativum
Stratum spinosum
Primary Function/Description... Protection, regulation, sensatio…
Outer protective covering of the body that can be divided int…
Innermost epidermal layer responsible for regeneration of the…
Means "spiny layer." Each time a stem cell divides one of the…
Skin
Primary Function/Description... Protection, regulation, sensatio…
Epidermis
Outer protective covering of the body that can be divided int…
126 terms
Medical Billing and Coding Laws
What is a rule of conduct established…
Another name for terminating care of a…
A health-care professional who stops c…
The appropriate way for a physician to…
Law
D) withdrawing from a case
D) abandonment
Send the patient a certified letter
What is a rule of conduct established…
Law
Another name for terminating care of a…
D) withdrawing from a case
30 terms
medical billing and coding
modifier 22
23
24
25
increased procedural service
unusual anesthesia
unrelated E&M service during post operation period
significant separately identifiable E&M on same day of the pr…
modifier 22
increased procedural service
23
unusual anesthesia
30 terms
Medical Billing & Coding Module 2
Primary Insurance
Secondary Insurance
Encounter Form
Claims Submission
is the insurance plan responsible for paying health care insu…
is the insurance plan that is billed after the primary insura…
is the financial record source document used by health care p…
is the electronic or manual transmission of claims data to pa…
Primary Insurance
is the insurance plan responsible for paying health care insu…
Secondary Insurance
is the insurance plan that is billed after the primary insura…
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 1
Health Insurance Claim
Medical Assistant
Remittance Advice
Professional Liability Insurance
is the documentation submitted to a third-party payer or gove…
is employed by a provider to perform administrative and clini…
which is a notice sent by the insurance company that contains…
which provides protection from claims that contain errors and…
Health Insurance Claim
is the documentation submitted to a third-party payer or gove…
Medical Assistant
is employed by a provider to perform administrative and clini…
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 2
Primary Insurance
Secondary Insurance
Encounter Form
Claims Submission
is the insurance plan responsible for paying health care insu…
is the insurance plan that is billed after the primary insura…
is the financial record source document used by health care p…
is the electronic or manual transmission of claims data to pa…
Primary Insurance
is the insurance plan responsible for paying health care insu…
Secondary Insurance
is the insurance plan that is billed after the primary insura…
45 terms
Introduction to Medical Billing & Coding
WHO
ICD
Who developed ICD to:
CPT
World Health Organization
International Classification of Diseases
collect data for statistical purposes
Current Procedural Terminiology
WHO
World Health Organization
ICD
International Classification of Diseases
108 terms
Medical Billing & Coding
-algia
-emia
-itis
-megaly
Pain
Blood condition
Inflammation
Enlargement
-algia
Pain
-emia
Blood condition
126 terms
Medical Billing and Coding Final
What is a rule of conduct established…
Another name for terminating care of a…
A health-care professional who stops c…
The appropriate way for a physician to…
Law
D) withdrawing from a case
D) abandonment
Send the patient a certified letter
What is a rule of conduct established…
Law
Another name for terminating care of a…
D) withdrawing from a case
25 terms
Medical Billing & Coding Module 7
Commercial Health Insurance
Indemnity Insurance
Automobile Insurance Policy
Disability Insurance
covers the medical expenses of individuals (e.g., private hea…
compensates policyholders for actual economic losses, up to l…
is a contract between an individual and an insurance company…
is defined as reimbursement for income lost as a result of a…
Commercial Health Insurance
covers the medical expenses of individuals (e.g., private hea…
Indemnity Insurance
compensates policyholders for actual economic losses, up to l…
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…
30 terms
Medical Billing & Coding Module 4
Moderation Sedation
Guidelines
Descriptive Qualifiers
Modifiers
is the administration of moderate sedation or analgesia, whic…
define terms and explain the assignment of codes for procedur…
are terms that clarify the assignment of a CPT code.
clarify services and procedures performed by providers.
Moderation Sedation
is the administration of moderate sedation or analgesia, whic…
Guidelines
define terms and explain the assignment of codes for procedur…
14 terms
Medical Billing & Coding Abbreviations
ABN
E/M
EOB
RA
advanced beneficiary notice
evaluation & management
explanation of benefits
remittance advice
ABN
advanced beneficiary notice
E/M
evaluation & management
31 terms
Medical Terms for Billing and Coding
ablation
ABSTRACT
ABUSE
ACCESS
Ablation Erosive process is performed surgically to eliminate…
Is the collection of information from the medical record via…
A range of the following improper behaviors or billing practi…
Your ability to get needed medical care and services.
ablation
Ablation Erosive process is performed surgically to eliminate…
ABSTRACT
Is the collection of information from the medical record via…
31 terms
Medical Coding and Billing - CPT Coding
CPT
Overview of CPT
CPT Supports electronic data
EDI
CPT stands for current procedural terminology. It provides er…
CPT provides a list of identifying and descriptive codes for…
Exchange (EDI), computer based patient.... Record (CPR), electro…
Electronic Data Interchange.
CPT
CPT stands for current procedural terminology. It provides er…
Overview of CPT
CPT provides a list of identifying and descriptive codes for…
32 terms
endocrine system medical billing and coding
acr/o
adren/o, adrenal/o
cortic/o
crin/o
extremities
adrenal glands
outer region
secrete
acr/o
extremities
adren/o, adrenal/o
adrenal glands
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…
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
51 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
70 terms
Medical Billing and Coding Terminology
ankyl/o
arthr/o
articul/o
burs/o
stiff joint
joint
joint
sac
ankyl/o
stiff joint
arthr/o
joint
31 terms
Medical Coding and Billing- CPT Coding
Bullets
Bulls-Eye
Categories of CPT
Category 1
bullets identify new procedures and services added to CPT
a bulls-eye indicates a procedure that includes moderate seda…
Category 1, Category 2, Category 3
Category 1 contains procedures and/or services identified by…
Bullets
bullets identify new procedures and services added to CPT
Bulls-Eye
a bulls-eye indicates a procedure that includes moderate seda…
305 terms
Medical Coding & Billing
Insurance Collection Specialist
American Health Information Management…
American Medical Billing Association…
Medical Coder
Works with insurance companies to resolve billing and payment…
AHIMA offers these tests:... CCA... CCS... CCS-P
AMBA offers:... CMRS
Assigns numerical codes to diagnostic, procedure, and treatme…
Insurance Collection Specialist
Works with insurance companies to resolve billing and payment…
American Health Information Management…
AHIMA offers these tests:... CCA... CCS... CCS-P
14 terms
Medical Billing and Coding Definitions
Athersclerosis
Myocardial Infarction
Mitral Prolapse
Regurgitation
Hardening of the fatty stuff
Heart muscle, An infarction is blockage blood flow resulting…
Left valve, called atrioventricular for the chamber it separa…
Leakage and backward flow
Athersclerosis
Hardening of the fatty stuff
Myocardial Infarction
Heart muscle, An infarction is blockage blood flow resulting…
15 terms
Medical Coding and Billing - CPT Coding
CPT
Overview of CPT
CPT Supports electronic data
EDI
CPT stands for current procedural terminology. It provides er…
CPT provides a list of identifying and descriptive codes for…
EDI, CPR, EMC
Electronic Data Interchange.
CPT
CPT stands for current procedural terminology. It provides er…
Overview of CPT
CPT provides a list of identifying and descriptive codes for…
28 terms
Medical billing and coding
PHI
ORC
NPP
DME
Protected health information
Office of civil rights
Notice of privacy practices
Duration medical equipment
PHI
Protected health information
ORC
Office of civil rights
165 terms
Medical Coding and Billing
Maxilla/o
Arthr/o
Cardi/o
Cerebell/o
Upper Jaw Bone
Joint
Heart
Cerebellum
Maxilla/o
Upper Jaw Bone
Arthr/o
Joint
126 terms
Medical Billing and Coding Final
What is a rule of conduct established…
Another name for terminating care of a…
A health-care professional who stops c…
The appropriate way for a physician to…
Law
D) withdrawing from a case
D) abandonment
Send the patient a certified letter
What is a rule of conduct established…
Law
Another name for terminating care of a…
D) withdrawing from a case
126 terms
Medical Billing and Coding Final
What is a rule of conduct established…
Another name for terminating care of a…
A health-care professional who stops c…
The appropriate way for a physician to…
Law
D) withdrawing from a case
D) abandonment
Send the patient a certified letter
What is a rule of conduct established…
Law
Another name for terminating care of a…
D) withdrawing from a case
435 terms
Medical Billing & Coding set
abdomin/o
-agon
-22
When should an ABN be signed?
abdomen
assemble
Increase procedural services
When a service is not expected to be covered by Medicare.
abdomin/o
abdomen
-agon
assemble
45 terms
Introduction to Medical Billing & Coding
WHO
ICD
Who developed ICD to:
CPT
World Health Organization
International Classification of Diseases
collect data for statistical purposes
Current Procedural Terminiology
WHO
World Health Organization
ICD
International Classification of Diseases
104 terms
Medical Billing and Coding
AMA
cash flow
ethics
etiquette
American Medical Association
The amount of actual money available to the medical practice
Standards of conduct generally accepted as a moral guide for…
customs, rules of conduct, courtesy, and manners of the medic…
AMA
American Medical Association
cash flow
The amount of actual money available to the medical practice
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
330 terms
Medical Billing and Coding test
Billing for services not provided is a…
Claims for services deemed not medical…
For the physician involved, Medicare o…
Misconduct that occurs within a physic…
fraud
abuse
exclusion from program participation
malpractice
Billing for services not provided is a…
fraud
Claims for services deemed not medical…
abuse
17 terms
Medical Billing and Coding
Preregister Patients
Patient check in
Review code compliance
Stamp
Schedule appointments, collect demographic- name, address &a…
Make a copy of front and back of the insurance card as well a…
ICD code and CPT code must be verified as they must match wha…
Should not be available to all employees, should be kept in a…
Preregister Patients
Schedule appointments, collect demographic- name, address &a…
Patient check in
Make a copy of front and back of the insurance card as well a…
47 terms
Medical Billing and Coding
actual charge
adverse reaction / effect
allowed amount
birthday rule
the amount the doctor charged for a service
an unexpected reaction, allergic etc. to a normal treatment
the amount the insurance company will pay based on there fee…
primary determined by the earliest MONTH and DAY between the…
actual charge
the amount the doctor charged for a service
adverse reaction / effect
an unexpected reaction, allergic etc. to a normal treatment
82 terms
Medical Billing and Coding Review
what is coordination of benefits
are claim inquiries done by phone or i…
what is implied contract
can a photo copy of a claim form be sc…
when the patient has two insurances, one is primary and one i…
both
when a patient goes to the doctor's office seeking medical se…
no. it must be the original claim with the red print
what is coordination of benefits
when the patient has two insurances, one is primary and one i…
are claim inquiries done by phone or i…
both
31 terms
Medical Coding and Billing - CPT Coding
CPT
Overview of CPT
CPT Supports electronic data
EDI
CPT stands for current procedural terminology. It provides er…
CPT provides a list of identifying and descriptive codes for…
Exchange (EDI), computer based patient.... Record (CPR), electro…
Electronic Data Interchange.
CPT
CPT stands for current procedural terminology. It provides er…
Overview of CPT
CPT provides a list of identifying and descriptive codes for…
30 terms
Medical Billing & Coding Module
Medicare Part A
Medicare Part B
Medicare Hospital Insurance
Medicare Advantage
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…
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