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1
Q

Electronic Health Record

A

A digital version of a patients paper chart ( physician uses )

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2
Q

Electronic Medical Record

A

A digital version of the traditional paper-based medical record ( hospital uses )

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3
Q

Inpatient

A

A patient who stays in the hospital for more than 24 hrs

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4
Q

Outpatient

A

A patient who receives medical treatment without being admitted to the hospital

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5
Q

Allergist

A

Specializes in diagnosis and treatment of allergies

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6
Q

Personal Health Record

A

A health record that provides a summary of medical information

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7
Q

Anesthesiologist

A

Doctor who specializes in anesthesia and anesthetics

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8
Q

Bariatric

A

A branch of medicine that deals. With the treatment of obesity

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9
Q

Chiropractic

A

Treating people who are sick/pain by moving bones in the spine or joints

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10
Q

Dentistry

A

Treatment of diseases, disorders, and conditions of the oral cavity

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11
Q

Endonotist

A

Dentist who specializes in maintaining teeth through endodontic therapy

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12
Q

Oral Surgeon

A

Branch of surgery dealing with the surgical treatment/repair of conditions of the mouth/jaw

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13
Q

Orthodontist

A

Specializes in straightening crooked teeth

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14
Q

Pendodontist

A

Branch of dentistry that deals with children’s teeth

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15
Q

Periodontist

A

A practitioner of periodontics

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16
Q

Dermatology

A

Treats diseases of the skin and also the nails and hair

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17
Q

Emergency Medicine

A

Physician that works in the e.r that treats anyone in a accident or illness asap

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18
Q

Geriatrics

A

Treatment of diseases of people of old age

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19
Q

Hospice

A

Treatment of helping someone towards the end of there life

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20
Q

Gynecology

A

Study of diseases or the reproductive organs of the female

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21
Q

Endocrinology

A

Treatments of the endocrine system

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22
Q

Cardiovascular Medicine

A

Diagnoses diseases of the heart, blood vessels, & your lungs

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23
Q

Gastroenterology

A

Diagnoses/treatment of any problems with your digestive tract

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24
Q

Gerontology

A

Treatment/diagnose of the aging process

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25
Q

Immunology

A

Treatments of immunization system

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26
Q

Oncology

A

The study of tumors

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27
Q

Pulmonary Disease

A

Lung disorder characterized by chronic of lung air flow that interferes with normal breathing

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28
Q

Nephrology

A

Medicine that deals with physiology and diseases of the kidneys

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29
Q

Rheumatology

A

The study of arthritis

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30
Q

Infectious Disease

A

Disorders caused by organisms

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31
Q

Hematology

A

The study of physiology of the blood

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32
Q

Obstetrics

A

Physician that delivers babies

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33
Q

Opthamology

A

Specializes in medical/surgical care of the eyes

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34
Q

Pathology

A

Interprets/Diagnose changes caused by disease in tissues/body fluids

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35
Q

Pediatric

A

Specialty of medical science with the mental health of children

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36
Q

Psychiatry

A

Treatment/prevention of mental disorders

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37
Q

Urology

A

Treatment involving male/female urinary tract

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38
Q

Orthopedics

A

Branch of medicine concerned with the corrections or preventions of disorders

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39
Q

Otorhinolaryngology

A

Medical specialty concerned with diseases of the ear,nose, and throat

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40
Q

Radiology

A

Branch of medicine concerned with the use of radiant energy

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41
Q

S.O.A.P

A

Subjective Objective Assess Plan

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42
Q

P.O.M.R

A

Problem Oriented Medical Record

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43
Q

Demographics

A

The information about the patients them self ( medical history, finance, insurance

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44
Q

E-Prescribing

A

Electronic transmission of drug prescription from doctors computer to the pharmacy’s computer

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45
Q

ICD 10-CM

A

System used by physician and other healthcare providers to classify and code all diagnoses, symptoms, and procedures ( hospital uses )

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46
Q

ICD 10-PCS

A

A system of medical classification used for procedural code that track health interventions taken by medical professionals

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47
Q

CPT

A

A medical code set that is used to report medical,surgical, and diagnostic procedures

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48
Q

HCPCS

A

” hicks picks “ set of health care procedure codes based on medical terminology

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49
Q

Interoperability

A

Describes the extent to which systems and devices can exchange data, and interpret shared data

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50
Q

SNOMED CT

A

terminology used by physicians and other health care providers for electronic exchange

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51
Q

LOINC

A

A database for identifying medical laboratory observations

52
Q

UMLS

A

Biomedical terms for developing a understanding for specialized vocabulary used in biomedicine

53
Q

Fixed Appointment

A

Whatever time you have your appointment is the time you see the doctor

54
Q

Cluster Scheduling

A

When different patients have the same procedures and can be seen during the same time

55
Q

Double Booking

A

Two or more patients booked at the same time if they’re family related

56
Q

Wave Scheduling

A

Having a fixed time from 9-12pm then after that having walk-ins

57
Q

Anterior

A

The front

58
Q

Distal

A

Central point , origin

59
Q

Dorsal

A

Toward the back

60
Q

Frontal Plane

A

Vertical plane that divides the body into ventral and dorsal

61
Q

Lateral

A

Side of the body

62
Q

Medial

A

The middle

63
Q

Posterior

A

Hind part of the body

64
Q

Proximal

A

The beginning

65
Q

Transverse plan

A

Divides body into superior and inferior parts

66
Q

Ventral

A

The front or any anterior parts

67
Q

Lateral Recumbent Position

A

The patient is laying on the left or right side

68
Q

Normal Anatomic Position

A

Standing erect , facing forward , feet forward slightly apart, arms down, palms forward

69
Q

Prone Position

A

Lies flat with chest down, back up

70
Q

Supine Position

A

Back downward , laying faced up

71
Q

QHS

A

Every night at bedtime

72
Q

QID

A

4 times a day

73
Q

QOD

A

Every other day

74
Q

TID

A

3 times a day

75
Q

WT

A

Weight

76
Q

PC

A

After meals

77
Q

AA

A

Of each

78
Q

AC

A

Before meals

79
Q

BID

A

Twice a day

80
Q

QH

A

Every Hour

81
Q

Q4H

A

Every 4 hours

82
Q

Q8H

A

Every 8 hours

83
Q

Sig

A

Directions

84
Q

PRN

A

Whenever necessary

85
Q

Buccal Route

A

Relating to, near, involving, supplying a cheek

86
Q

Sublingual

A

Medication is placed under the tongue

87
Q

Subcutaneous

A

Beneath, under all the layers of the skin

88
Q

Lozenge

A

Tablet that is slowly dissolved in the mouth

89
Q

Ligitation

A

Process of taking legal action

90
Q

Civil Law

A

The system of law concerned with private relations between members of the community

91
Q

Confidentiality

A

Indicating confidence or intimacy , entrusted with secrets

92
Q

Malpractice

A

Negligent professional activity by a medical practitioner

93
Q

Negligence

A

Failure to take proper care in doing something

94
Q

Fraud

A

Wrongful deception intended to result in financial gain

95
Q

Abuse

A

Use something to bad effect for a bad purpose

96
Q

Subpoena

A

ordering a person to attend court

97
Q

Summons

A

Urgently call to be present as a witness in a law court

98
Q

Deposition

A

The action of deposing someone

99
Q

Electronic Data Interchange

A

Transfer of data from one computer to another by standardized message formatting

100
Q

Code Sets

A

Set of codes used for encoding elements

101
Q

T.P.O

A

Treatment ,payment , operation; patients rights related to use and disclosure of individuals health information

102
Q

Designated Record Set

A

A group of records maintained by / for a covered entity that is the medical and billing records about individuals

103
Q

HMO

A

( health maintenance organization ) structured, once you pick your primary care physician, you can’t change

104
Q

PPO

A

( preferred provider organization ) managed care where you pick your primary care physician and you can change

105
Q

POS

A

(Point of Service )managed care, you can stay inside the plan but if you go to another doctor , you pay a higher price than your co-pay

106
Q

EPO

A

(Exclusive Provider Organization) have to use exclusively use that doctors network

107
Q

Group Health Plan

A

When your employer gives you a health insurance

108
Q

Private Health Insurance

A

Employer only offers one health insurance coverage

109
Q

Beneficiary

A

A person that is dependent on someone else’s coverage

110
Q

Participating Provider

A

A person or group in who’s name the insurance policy is held in

111
Q

Policy Holder

A

Primary person who pays for the policy

112
Q

Fee Schedule

A

A complete listing of fees by Medicare to pay doctors, providers, & suppliers ( RVRBS )

113
Q

Coordination of Benefits

A

A process where they determine which of your insurance will pay first due to the fact you have 2 insurances

114
Q

Dependent

A

An insured person who is legible for insurance coverage

115
Q

Self Insure

A

Employer Pays directly for your health insurance

116
Q

Medicare

A

Health insurance for people who are 65 and older

117
Q

Medicaid

A

Health insurance for low-income families

118
Q

TRICARE

A

Health care insurance for Active Military

119
Q

CHAMPVA

A

Program for disabled veterans & their families

120
Q

Workers Compensation

A

Insurance you receive once you’ve injured yourself at work

121
Q

Sliding Fee Scale/Schedule

A

variable prices based on a customers ability to pay

122
Q

Deductible

A

A amount you have to pay every year towards your medical bill

123
Q

Approved Amount

A

He money paid by Medicare to a healthcare provider

124
Q

UCR - Usual

A

The amount paid for a medical service In a geographic area based on what they’re usually charged

125
Q

Coinsurance

A

Refers to money that an individual is required to pay for services, after deductible has been paid

126
Q

Medicare’s Criteria

A
  • US CITIZEN / Resident for 5 continous years
  • 65 and older , eligible for security
  • disabled
  • have end stage renal disease
  • Lou Gehrig’s disease

Medical Billing & Coding 101 (1 decks)

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