Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
47 Cards in this Set
- Front
- Back
CPT
|
Current Procedural Terminology
|
|
ICD-9
|
International Classification of Diseases, 9th Edition
|
|
HCFA
|
Health Care Financial Administration
|
|
HCPCS
|
HCFA Common Procedural Coding System
|
|
ESRD
|
End Stage Renal Disease
|
|
Hospice
|
Program of coordinated in-pt and out-pt care for terminally ill pts. Tx is to relieve pain and discomfort.
|
|
Benefit Period
|
In Medicare, the benefit period extends from the first day of hospitalization thru 60 days after in-pt stay.
|
|
HIPAA
|
Health Insurance Portability and Accountability Act
|
|
RBRVS
|
Resource Based Relative Value Scale
|
|
TANF
|
Temporary Assistance for Needy Families. Time limited cash assistance.
|
|
CHAMPUS
|
Civilian Health and Medical Program for Uniformed Services
|
|
MTF
|
Military Treatment Facility. On base hospital/clinic.
|
|
NEC
|
Not elsewhere classified. (icd-9)
|
|
NOS
|
Not otherwise specified.
(icd-9) |
|
V Codes
|
Codes for factors that influenced pt health.
|
|
E Codes
|
External causes of injury/poisoning
|
|
E & M
|
Evaluation and Management
|
|
CMS 1500
|
Insurance claim forms for out patient services.
|
|
DME
|
Durable Medical Equipment
|
|
Medically Needy
|
People who can cover their basic living expenses, but have high medical costs.
|
|
First Report of Injury
|
Form filed by health care provider when pt seeks tx for work related injury.
|
|
Fraud
|
act of deceiving or misrepresenting.
|
|
Abuse
|
A corrupt practice or custom.
|
|
Insurance
|
Insurance against risk of incurring medical expenses among individuals.
|
|
Primary Diagnosis
|
Most significant condition serviced. Listed as the first code.
|
|
Principle Diagnosis
|
Condition identified after "studies" such as lab or xray.
|
|
What is the purpose of coding, why do we use codes in insurance?
|
To create a uniform language, and ensure proper reporting for billing purposes.
|
|
99201
|
E & M
|
|
00102
|
Anesthesia
|
|
90732
|
Medicine
|
|
10032
|
Integumentary System
|
|
74774
|
Radiology
|
|
64001
|
Nervous System
|
|
30041
|
Respiratory System
|
|
87377
|
Pathology/Lab
|
|
57212
|
Urinary System
|
|
D4550
|
Level ll
|
|
99201
|
Level l
|
|
W7321
|
Level lll
|
|
00137
|
Level l
|
|
Z0130
|
Level lll
|
|
V2271
|
Level ll
|
|
77333
|
Level l
|
|
What are the 2 most important steps in coding?
|
1. Start in index. 2. Confirm code in tabular list.
|
|
History
|
Problem focused, Expanded Problem focused, Detailed, Comprehensive.
|
|
Exam
|
Problem focused, Expanded Problem focused, Detailed, Comprehensive.
|
|
Medical Decision Making
|
straightforward, low, moderate, high complexity.
|