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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.