Chapter 10 Quiz Flashcards
A vocabulary of clinical and medical terms is called a
a. coding system
b. medical nomenclature
B
. Which organizes a medical nomenclature according to similar conditions, diseases, procedures, and services and establishes numeric and alphanumeric and alphanumeric characters for each?
a. classification systems
b. medical nomenclature
A
Which is used to report diagnoses?
a. ABC
b. CPT
c. HCPCS
d. ICD
D
A third party payer is an organization that
a. acts on behalf of insurance companies to process insurance claims.
b. processes claims for reimbursement covered by a health are plan.
B
Health care facilities analyze their case mix to:
a. determine whether a facility is serving caseloads that include disproportionate shares of patients with above-average (or below average) care needs.
b. forecast health care trends unique to their individual settings, ensure that they continue to provide appropriate services to their patient populations, and recognize that different patients require different resources for care.
B
Severity of illness is the physiologic complexity that comprises the extent and interactions of a patient’s disease as presented to medical personnel. Severity of illness scores are based on:
a. ICD codes
b. physiologic measures and ICD codes
B