chptr 1 intro

Question 1

classification systems

Answer 1

the term used in health care to identify ICD10 CM ICD10 PCS and HCPCS level II code sets

Question 2

condition

Answer 2

the state of abnormality or dysfunction

Question 3

diagnosis

Answer 3

a physicians determination of a patients condition, illness, or injury

Question 4

eponym

Answer 4

a disease or condition named for a person

Question 5

external cause

Answer 5

an event, outside the body, that causes injury, poisoning, or an adverse reaction

Question 6

inpatient

Answer 6

an individual admitted for an overnight or longer stay in a hospital

Question 7

medical necessity

Answer 7

the assessment that the provider was acting according to standard practices in providing a procedure or service for an individual with a specific diagnosis.

Question 8

nonessential modifiers

Answer 8

descriptors whose inclusion in the physicians notes are not absolutely necessary and that are provided simply to further clarify a code description; optional terms

Question 9

outpatient

Answer 9

a patient who receives services for a short amount of time (less than 24 hours) in a physicians office or clinic, without being kept overnight. an outpatient facility includes a hospital er, ambulatory care center, same day surgery, walk in clinic

Question 10

procedure

Answer 10

action taken, in accordance with the standards of care, by the physician to accomplish a predetermined objective (result) ; a surgical operation

Question 11

reimbursement

Answer 11

the process of paying for health care services after they have been provided

Question 12

services

Answer 12

spending time with a patient and/or family about health care situations

Question 13

treatment

Answer 13

the provision of medical care for a disorder or disease