Chapter 23 Terminology

Question 1

ambulatory payment classifications
classification system of patients based on the International Classification of Diseases, diagnosis codes, procedure terminology, management codes, visit disposition. Used for insurance reimbursements for out patients

Answer 1

APC

Question 2

Current Procedural Terminology…list of med terms and codes for physician reimbursements

Answer 2

CPT

Question 3

Diagnosis related groups….patients categorized into payment groups for treatment/diagnosis

Answer 3

DRG

Question 4

Electronic Health Record…portal for patients health records (clinical, financial, admin, research)

Answer 4

EHR

Question 5

Healthcare Facilities Accreditation Program…program of the american osteopathic association that accredits healthcare facilities in US

Answer 5

HFAP

Question 6

Health Insurance Portability and Accountability Act of 1996…federal legislation to protect privacy, security and establish standards for electronic transmission of health info.

Answer 6

HIPAA

Question 7

International Classification of Diseases 10th ed. Clinical Modification…coding and reporting diagnoses and procedures in US

Answer 7

ICD-10-CM

Question 8

The Joint Commission….organization that accredits hospitals and institutions. Used to be JCAHO

Answer 8

TJC

Question 9

Prospective Payment System…medicare system for predetermined reimbursement

Answer 9

PPS