Key Terms

Front 1

CMS

Back 1

Centers for Medicare and Medicaid Services: The federal agency responsible for maintaining and monitoring the Medicare program, beneficiary services, and Medicaid and state operations.

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Compliance Plan

Back 2

a structure format stating office policies and procedures for identifying and correcting inaccurate documentation and billing criteria

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Conventions

Back 3

Terms and symbols used to provide instructions for using diagnostic codes

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DRG

Back 4

Diagnosis- related group: a patient classification system to categorize patients who are medically related with respect to diagnosis or treatment or who are statistically similar with regard to length of hospital stay

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E Codes

Back 5

Codes for the external cause of injury or disease

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Eponym

Back 6

A condition or procedure named after a person or place

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Etiology

Back 7

Cause of a disease

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Manifestation

Back 8

Signs or symptoms of a disease

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NEC

Back 9

Not elsewhere classified: category of codes to be used only when the coder lacks the information required to code the term to a more pacific category

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Nonessential Modifiers

Back 10

Terms listed in parentheses that provide supplemental information but do not affect the code selection

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NOS

Back 11

Not otherwise specified: this abbreviation is equivalent to "unspecified"

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Rubric

Back 12

Three-digit root code for the classification of illness, disease, or injury

Front 13

Tabular List

Back 13

Another name for ICD-9, Volume 1, the numerical listing of disease and injury

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V Codes

Back 14

Supplemental codes that are used when patient presents for something other than illness or disease