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57 Cards in this Set
- Front
- Back
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Blank: a diagnosis or diagnostic study of a physical or mental condition
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Evaluation
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the whole system of care and treatment of a disease or a sick individual
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Management
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term blank has two meanings. First, it refers to the complete removal of the liver, which is carried out in preparation for a liver transplant to treat complete liver failure. The second meaning applies to the removal of part of the liver; this procedure is also called a blank resection. Blank is usually carried out as a treatment for benign or malignant liver tumors, or gallstones located in the liver.
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hepatectomy
partial hepatic |
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A blank is a type of medication that may be used to prevent blood from coagulating or clotting. There may kinds of blanks and they have different ways of acting. The majority of them are medications that are administered to people to prevent blood clotting in certain illness, but sometimes in lab or medical settings an blank is used to prevent things like clogging of intravenous lines or of blood clotting in test tubes and syringes. For medical use in people, it’s also important to mention anti-platelet medications, which have a similar purpose to anticoagulants, though the way they work is different.
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anticoagulant
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Blank is a prescription anticoagulant medication that is taken for the prevention of blood clots.
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Warfarin
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A blank is a mucus-like material that is found in the lungs, and which can usually be coughed up and spit out. While no specific color key exists to diagnose an illness based on blank color, if it is anything other than clear or white, a viral or bacterial lung infection or lung inflammation is possible. When illness is suspected in the bronchial tubes or lungs, a doctor may request a blank test or sample to identify what is causing the infection. This is because bacteria or viruses that cause a variety of lung infections will reside in the blank of the infected person.
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sputum
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People suffering from blank stop breathing for seconds or minutes at a time during the night. Arrested breathing results in restless sleep, frequent awakenings, headaches, loud snoring, and memory deficiency. Either due to malfunctioning muscles or a misfiring brain, the throat doesn't open in time with expanding lungs, so the blood fails to acquire sufficient oxygen.
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sleep apnea
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A blank scan can be used to accurately identify health problems inside the body, but it often comes with some risks. One of the main risks of a blank scan is the onset of cancer resulting from the radiation that is distributed during the procedure.
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computerized tomography (CT)
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Blank refers is one of the most common lung diseases. It makes it difficult to breathe. There are two main forms of blank and blank bronchitis, which involves a long-term cough with mucus; Emphysem...
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Chronic Obstructive Pulmonary Disease (COPD)
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A is surgical removal of a fallopian tube. The fallopian tubes are part of the reproductive system in women and form the needed connection between the ovaries and the uterus. Sometimes disease is present in one or both of the tubes, or other conditions like fluid build-up or ectopic pregnancy damages a single tube. In these instances and in other circumstances, blank could be considered. Occasionally it's necessary to remove both tubes, which is called a bilateral version of the procedure.
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salpingectomy
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One who has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past three years.
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New Patient
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One who has received professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past three years.
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Established Patient
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Blank is a concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the encounter, usually stated in the patients words.
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Chief Complaint
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Plumbers, carpet layers, and other people who spend a lot of time on their knees often experience swelling in the front of the knee. The constant friction irritates a small lubricating sac (bursa) located just in front of the kneecap (patella). The bursa enables the kneecap to move smoothly under the skin. If the bursa becomes inflamed, it fills with fluid and causes swelling at the top of the knee. This condition is called kneecap
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prepateller bursites
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-Quadrant Diagnosis Method of Abdominal Pain
To be more accurate about the source of specific abdominal pain causes, it's helpful to use a horizontal line and a vertical line to divide the abdomen into four parts: the right upper quadrant, the left upper quadrant, the right lower quadrant and the left lower quadrant. You can refer to the following tables to find symptoms and suggestions for each quadrant. |
Stomach pain
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left lower quadrant pain
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You experience pain in lower left abdomen, and the pain often comes suddenly, severely, and with fever. You may also have nausea, vomiting, chills, and abdominal tenderness. Your bowel habits may also get changed, and you suffer from either diarrhea or constipation.
Causes Diverticulitis Suggestions You need to make an appointment with your doctor immediately. If you have sharp abdominal pain in left side along with fever, chills, swelling, or nausea and vomiting, go for emergency treatment right away. You may have peritonitis, a life-threatening infection of the abdominal cavity http://www.officialhealthcare.net/pain-symptoms-charts.htm |
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can appear anywhere on a person's body, but are most likely to appear on the back, ears, chest, and shoulders. They can develop within the scar tissue of any injury or disruption to the skin, including piercings, bug bites, acne, and cuts. These types of scars can affect anyone at any age.
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keloids
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scars are common after thermal injuries and other injuries that involve the deep dermis.
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Hypertrophic scars
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Statement that describes the symptom, problem, condition, diagnosis, or other reason for the encounter
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Chief complaint
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The provision of similar services to the same patient by more than one physician on the same day. Transfer of the management of a patient's care from one physician to another physician.
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Concurrent Care and Transfer of Care
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Read the definition of Concurrent Care and Transfer of Care. Most concurrent care situations no longer require special reporting. Modifier 75 has been deleted. However, you should be aware of concurrent care, when a patient receives the same or similar services from more than one physician on the same day. Modifiers blank and blank are used for the special case when a repeat service or procedure is performed by the same physician on the same day or by another physician on the same day. Transfer of care occurs when one physician relinquishes the management of a patient's care to another physician
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76 and 77
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The below description:
Diagnostic results, impressions, and/or recommended diagnostic studies Prognosis Risks and benefits of management (treatment) options Instructions for management (treatment) and/or followup Risk factor reduction Patient and family education |
Counseling
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An blank is something which softens and loosens the mucus in the respiratory tract while also thinning it so that it will be easier to bring up. Expectorants are used when people have difficulty breathing because they have large amounts of mucus in their respiratory tracts, and to help people recover from coughs.
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expectorant
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Blank is a medication that is most commonly used to loosen mucus and phlegm and to clear the symptoms of congestion resulting from a cold or allergy. It is considered an expectorant and works by thinning mucus and phlegm in the body. The thinning action makes it easier for the body to expel excess mucus and phlegm, generally through coughing or the blowing of the nose.
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Guaifenesin
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excision of a localized area of subcutaneous adipose tissue.
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lipectomy
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is a condition in which the upper eyelid cannot be lifted all the way, causing it to partially cover the eye, and creating a droopy appearance.
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ptosis
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Blank or breast lift, is a procedure
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mastopexy
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Discussion with a patient and/or family concerning diagnostic results, prognosis, patient and family education, etc.
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Counseling
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Review of medical events in the patient’s family that includes significant information in the patient’s family history.
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Family History
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Description of the development of the patient’s present illness from the first sign and/or symptom to the present.
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History of Present Illness
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blank is a symptom, problem, condition, diagnosis, or other reason for the encounter
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Chief Complaint
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blank is similar services provided to a patient on the same day by multiple physicians
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concurrent care
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J. patient who has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past three years –
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New patient
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A patient who has received professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past three years
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Established patient
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discussion with patient and/or family concerning diagnostic results and prognosis
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Counseling
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Category of code assigned based on variations in skill, effort, time, responsibility, and medical knowledge required for the prevention or diagnosis and treatment of illness or injury.
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Level of E/M Service
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Patient encounters physician for illness/injury
Provider evaluates and manages patient (simple to complex) Provider documents encounter in medical record Medical coder analyzes key components of medical record to determine complexity of provider evaluation and management |
Steps to E/M
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The first three are key components,
the second three are contributory factors, and “time” is considered separately. |
Key components:
History Examination Medical decision making Contributory factors: Counseling Coordination of care Nature of presenting problem |
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The key components that are reviewed in order to assign the correct E/M code are
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history, examination, and medical decision making
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Each E/M code represents a different level of “skill, time, effort, responsibility, and medical knowledge” on the part of the
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Health Care Provider
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The patient’s presenting problem, otherwise known
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as the chief complaint
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The categorizing of disease, condition, illness, injury, symptom, sign, finding, complaint, or other reason for encounter (with or without a diagnosis being established at the time of the encounter) into one of five groups describing the nature of the problem: minimal, self-limited or minor, low severity, moderate severity, and high severity is known as the
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Nature of Presenting Problem
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Blank refer to the number of people within a certain unit of the general population who have a certain disease or condition. The unit of population is generally 100,000, although this may vary depending on location and the condition in question. Morbidity rates are used to help determine the overall prevalence of a specific illness, as well as where the most instances of the condition occur when compared to the population as a whole.
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Morbidity rates
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the presence of an abnormal amount of cholesterol in the cells and plasma of the blood; associated with the risk of atherosclerosis
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hypercholesterolemia
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Arteries carry blood from the heart to the brain and other parts of the body. If an artery becomes blocked, the blockage can prevent blood, oxygen, and essential nutrients from being transported to one or more areas of the body. If the carotid artery becomes blocked, for example, blood deprivation may lead to a stroke. In a procedure called an endarterectomy, arterial blockages are removed to prevent such events from occurring.
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Endarterectomy
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is a surgical procedure in which the gall bladder
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cholecystectomy
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Carotid artery disease, also known as carotid artery stenosis, occurs when the carotid arteries become narrowed or obstructed. This is usually due to atherosclerosis, or the build-up of plaque in the blood vessel. Plaque is a substance, usually hard on the outside and soft on the inside, which is composed of fatty material, cholesterol, calcium, and cellular waste products. Carotid artery disease can cause a stroke.
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Carotid artery
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is a breathing disorder which is characterized by difficult, labored breathing which makes the patient feel as though he or she is suffocating or fighting for air. It is sometimes called “air hunger,”
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dyspnea
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is actually a symptom rather than a disease. Sometimes people with various problems related to circulation may experience a certain amount of muscle cramping in their lower extremities because there isn’t enough blood reaching the area. This is especially common in the main muscles of the calf and thigh. In most cases, exercise triggers the pain, and there are treatment options that lessen the degree of symptoms for most patients.
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claudication
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Review of the patient’s past experiences with illnesses, injuries, and treatments.
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Past History
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Age appropriate review of past and current activities such as use of drugs, alcohol, and tobacco.
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Social History
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Inventory of body systems obtained through a series of questions to identify signs and/or symptoms that the patient may be experiencing or have experienced.
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System Review (Review of Systems)
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The amount of minutes a physician typically spends face-to-face with the patient and/or family in an outpatient encounter. The amount of minutes a physician spends on the unit and face-to-face with the patient and/or family in an inpatient encounter
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Time
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Physician visits to hospital inpatients are coded and billed by
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an outpatient coder
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Facility charges for inpatients are coded and billed by
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an inpatient coder
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The amount of minutes a physician typically spends face-to-face with the patient and/or family in an outpatient encounter. The amount of minutes a physician spends on the unit and face-to-face with the patient and/or family in an inpatient encounter
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Time
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Blank is used to describe the body building extra cells in organs or tissue
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Hyperplasia
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