chapter 1 health insurance specialist career Flashcards
AAPC
PROFESSIONATL ASSOCIATION PREVIOUSLY KNOWN AS THE AMERICIAN ACADEMY OF PROFESSIONAL CODERS ESTABILISHED TO PROVID SUPPORT THE NATIONAL AND LOCAL MEMERSHIP BY PROVIDING EDUCATIONAL PRODUCTS AND OPPORTUNITIES TO NETWORKS AND TO INCREASE AND PROTE NATIONAL RECOGNITION AND AWARENESS OF PROFESSIONAL CODING
AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS AAMA
ENBLES MEDICAL ASSISTING PROFESSINALS TO ENHANCE AND DEMOSTRATE THE KNOWLEDGE SKILLS AND PROFESSIONALISM REQUIRED BY EMPLOYERS
AMERICAN HEALTH INFORMATION MANAGEMNT ASSOCIATION
IMPROVE THE QUALITY OF MEDICAL RECORDS AND CURRENTLY ADVANCE THE HEALTH INFORMATION MANAGMENT
BONDING INSURANCE
AN INSURANCE AGREEMENT THAT GUARANTEES REPAYMENT FOR FINCIAL LOSSSES RESULTHING FROM THE ACT OR FALIURE TO ACT OF AN EMPLOYEE
CENTERS FOR MEDICARE AND MADICAID SERVICES
FORMELY KNOWN AS THE HEALTH CARE FINACING ADMINISTRATION, AN ADMINSTRATIVE AGENCY WITHIN THE FEDERAL DEPARTMETN OF HEALTH AND HUMAN SERVICES
CLAMIS EXAMINER
THIRD PARTY PAYERS TO REVIEW HEALTH RELATED CLAIMS TO DETERMINE WHEATHER THE CHARGES ARE REASONABLE AND MEDICALLY NECESSARY BASED ON THE PATIENTS DIAGNOSIS
BUSINESS LIABILITY INSURANCE
PROTECTS BUSINESS ASSETS AND COVERS THE COST OF LAWSUITS RESULTING FROM BODILY INJURY PERSONAL INJURY AND FALSE ADVERTISING
CODING
PROCESS OF REPORTING DIAGNOSED PROCEDURE AND SERVICES AS NUMERIC AND ALPHANUMERIC CHARACTERS ON THE INSURANCE CLAIM
CURRENT PROCEDURAL TERMINOLOGY
FIVE DIGIT NUMERIC CODES AND DESCRIPTORS FPR PROCEDURES AND SERVICES PERFORMEND AND PROVIDERS
EMBEZZLE
ILLEGAL TRANSFER OF MONEY OR PROPERTY AS A FRAUDULENT ACTION
errors and omission isurance
are professional liability insurance
ethics
principle of right or good conduct
explanation of benefits
report that details the results of processing a claim
HCPCS LEVEL II CODES
NATIONAL CODES PUBLISHED BY CMS WHICH INCLUDE FIVE DIGIT ALPHANUMERIC CODE FOR PROCEDURES SERVICES AND SUPPLUES
HEALTH CARE PROVIDER
PHYSICIAN OR OTHER HEALTH CARE PRACTITIONER
HEALTH INFORMATION TECHNICIAN
PROFESSIONALS WHO MANAGE PATIENT HEALTH INFORMATION AND MEDICAL RECORDS ADMINISTER COMPUTER INFORMATON SYSTEMS AND CODE DIAGNOSES
HEALTH INSURANCE CLAIM
DOCUMENTATION SUNMITTED TO AN INSURANCE PLAN REQUESTION REIMBURSENT FOR HEATH CARE SERVICES
HEALTH INSURANCE SPECIALIST
PERSON WHO REVIEWS HEALTH RELATED CLAIMS TO MATCH NECESSITY TO PROCEDURES OR SERVICES PERCORMED BEFORE PAYMENT
HEALTHCARE COMMON PROCEDURE CODING SYSTEM
CODING SYSTEM THAT CONSITS OF CPT
HOLD HARMLESS CLAUSE
POLICY THAT THE PATIENT IS NOT RESPONSIBLE FOR PAYING WHA TTHE INSURANCE PLAN DENIES
INDEPENDENT CONTRACTIOR
PERSON WHO PERFORMES SERVICES FOR ANOTHETRR UNDER AN EXPRESS OR IMPLIED AGREEMENT AND WHO IS NOT SUBJECT TO THE OTHERS CONTROL OR RIGH CONTROL OF THE MEANNER ANED MEANS OF PERFORMING THE SERVICES
INTERNATION CLASSIFICATION OF DISEASE 10TH REVISION CLINICLA MODIFICATION
CODING SYSTEM TO BE IMPLEMENTED ON OCT 1,2015 AND USED TO REPORT DISEASE INJUREIES AND OTHER REASONS FOR INPATIENT AND OUTPATIENT ENCOUNTERS
INTERNATIONAL CLASSIFICATION OF DISEASE
USED TO REPORT PROCEDURES AND SERVICES ON INPATIENT CLAIMS
INTERNSHIP
NONPAID PROFESIONAL PRACTICE EXPERIENCE THAT BENEFITS STUDENTS AND FACILITIES THAT ACCEPT STUDENTS FOR PLACEMENT
MEDICAL ASSISTANT
EMPLOYED BY A PROVIDER TP PERFORM ADMINISTRATIVE AND CLINCLA TASKS THAT KEEP THE OFFICE OR CLINIC RUNNING SMOOTHY
MEDICIAL MALPRACTICE INSURANCE
TYPE OF LIABILITY INSURANCE THAT COVERS PHYCIIANS AND OTHER HEALTH CARE PROFESSIONALS FOR LIABILITY CLAIMS ARISING FOR PATIENT TREATMENT
MEDCIAL NECESSITY
LINKING EVERY PROCEDURE OR SERVICE CODE REPORTED ON AN INSURANCE CLAIM TO A CONDITION
NATIONAL CODES
INCLUDE FIVE DIGIT ALPHANUMERIC CODES FOR PROCEDURES SERVIES AND SUPPLIES THAT ARE NOT CLASSIFIED IN CPT
PTOFESSIONAL LIABILITY INSURANCE
PROTECTION FORM LIABILITY AS A RESULT OF REEORS AND OMISSIONS WHEN PERFORMING THEIR PROFESSIONAL SERVICES
PROFESSIONALISM
CONDUCT OR QUALITIES THAT CHARACTRERIZE A PROFESSIONAL PERSON
PROPERTY INSURANCE
PROTECTS BUSINESS CONTENTS
REIMBURSEMENT SPECIALIST
HEATH INSURANCE SPECIALIST
REMITTANCE ADVICE
ELECTRONIC OR PAPER BASED REPORT OF PAYMENT SENT BY THE PAYERE TO THE PROVIDER
RESPONDEAT SUPERIOR
LEGAL DOCTRINE HOLDING THAT THE EMPLOYER IS LIABLE FOR THE ACTIONS AND OMISSION OF EMPLOYEES PERFORMEND AND COMMITTED WITHIN THE SCOPE OF EMPLOYMENT
SCOPE OF PRACTICE
HEALTH CARE SERVICE DETERMINED BY THE STATE
WORKERS COMPENSATION INSURANCE
REQUIRES EMPLOYERS TO COVER MEDICAL EXPENSES AND LOSS WAGES FOR WORKERS WHO ARE INJURED ON THE JOB
HEALTHCARE COMMON PROCEDURE CODING SYSTEM
CONSITS OF CPT NATIONAL CODES LEVEAL II AND LOCAL CODES
HEALTH INSURANCE SPECIALISTS
PERSON WHO REVIEWS HEALTH RELATED CLAIMS TO MATCH MEDICLA NECESSITIY
REIMBURSEMENT SPECIALISTS
HEALTH INSURANCE SPECIALIST
HEALTH INFORMATION TECHNICIANS
MANAGE PATIE NT HEALTH INFORMATION AND MEDICAL RECORDS ADMINISTER COMPUTER INFORMATION SYSTEMS AND CODE DIAGNOSES AND PROCEDURE FOR HEALTH CARE SEVIECES
REMITTANCE ADVICE
ELECTRONIC OR PAPER BASED REPORT SENT BY THE PAYER TO TEH PROVIDER
