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Basic ICD-10-CM and ICD-10-PCS Coding > Coding Career (Personal Research) > Flashcards

Coding Career (Personal Research) Flashcards

1
Q

Quality Improvement Organization (QIO)

A

formerly known as Peer Review Organization; it is a group of practicing doctors and other health care experts paid by the federal government to check and improve the care given to Medicare patients. QIOs must review your complaints about the quality of care you get and appeals for care in inpatient hospitals, hospital outpatient care departments, hospital emergency rooms, skilled nursing facilities (SNFs), home health agencies (HHAs), Private Fee-for-Service (PFFs) plans, and ambulatory surgical centers.

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2
Q

quality assurance (QA)

A

the maintenance of a desired level of quality in a service or product, especially by means of attention to every stage of the process of delivery or production

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3
Q

OSHA

A

acronym for Occupational Safety and Health Administration, a federal organization that protects workers from health and safety hazards on the job

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4
Q

NDCMedisoft

A 
NDC = National Drug Codes
Medisoft = accounts receivable, insurance billing, and practice management software, designed for all types of healthcare practices
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5
Q

accounts receivable

A

the balance of money due to a firm for goods or services delivered or used but not yet paid for by customers. Accounts receivables are listed on the balance sheet as a current asset. AR is any amount of money owed by customers for purchases made on credit.

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6
Q

IBM: SPSS Statistics

A

a software package used for interactive, or batched, statistical analysis

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7
Q

batch processing

A

the running of “jobs that can run without end user interaction, or can be scheduled to run as resources permit.”

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8
Q

Minitab

A

a statistics software package developed at the Pennsylvania State University

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9
Q

SAS (previously “Statistical Analysis System”)

A

a statistical software suite developed by SAS Institute for data management, advanced analytics, multivariate analysis, business intelligence, criminal investigation, and predictive analytics.

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10
Q

StataCorp: Stata

A

According to StataCorp (2016), Stata is “a complete, integrated statistical software package that provides everything you need for data analysis, data management, and graphics”.

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11
Q

IBM Cognos Impromptu

A

A database reporting tool. You use Impromptu to easily create queries, run them against your relational database, and format the results

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12
Q

MicroStrategy

A

a company that provides business intelligence, mobile software, and cloud-based services

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13
Q

Qlik Tech: QlikView

A

Qlik is a software vendor specializing in data visualization, executive dashboards and self-service business intelligence products. Qlik’s primary product, QlikView, supports visual data discovery, self-service BI reporting, and the development and sharing of data dashboards.

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14
Q

Tableau

A
  1. a graphic description or representation : picture

2. a software program used to visualize data

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15
Q

MD Synergy

A

a company that provides a suite of apps for healthcare professionals, physicians, patients, billing companies, IPA, REC and HIE (health information exchange)

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16
Q

independent physician association (IPA)

A

a business entity organized and owned by a network of independent physician practices for the purpose of reducing overhead or pursuing business ventures such as contracts with employers, accountable care organizations (ACO) and/or managed care organizations (MCOs).

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17
Q

Regional Extension Center (REC)

A

an organization that has received funding under the Health Information Technology for Economic and Clinical Health Act (HITECH Act) to assist health care providers with the selection and implementation of electronic health record (EHR) technology

18
Q

Siemens

A

A German company that is a prominent maker of medical diagnostics equipment.

19
Q

3M: Encoder

A

The 3M Encoder is known as a flagship in the industry of coding software, partly because it’s so easy to use. Another reason for its popularity is that this software has a lot of features to help the coder make quick and accurate code assignments. One example of this is the use of coding “decision trees” to help guide the coder to an accurate code selection.

20
Q

flagship

A

(1) the ship in a fleet which carries the commanding admiral

(2) the best or most important thing owned or produced by a particular organization

21
Q

CodeManager

A

software produced by the American Medical Association to help medical coders

22
Q

Teradata Corporation

A

a provider of database and analytics-related software, products, and services

23
Q

SQL

A

stands for Structured Query Language. SQL is used to communicate with a database. According to ANSI (American National Standards Institute), it is the standard language for relational database management systems.

24
Q

SAP: Crystal Reports

A

Software that helps analyze data by creating richly formatted multi-page reports from virtually any data source, delivered in over a dozen formats. SAP is the maker.

25
Q

3M: ChartRelease

A

software that helps with release of information (ROI) requests

26
Q

Eko

A

a company that produces medical equipment

27
Q

Hyland Software

A

the developer of the enterprise content management (ECM) and process management software suite called OnBase. Applications of the suite are used in healthcare, financial institutions, insurance, government, higher education and manufacturing

28
Q

enterprise content management

A

an umbrella term for the technology, strategy and method used to capture, manage, access, integrate, measure and store information

29
Q

business process management

A

the discipline in which people use various methods to discover, model, analyze, measure, improve, optimize, and automate business processes. Any combination of methods used to manage a company’s business processes is BPM.

30
Q

IDX Systems Corporation (IDX)

A

a healthcare software technology company

31
Q

Henry Schein: Dentrix

A

dental practice management software, developed by Henry Schein

32
Q

erwin Data Modeler

A

erwin Data Modeler (stylized as erwin but formerly as ERwin) is computer software for data modeling

33
Q

MediChart Express

A

software for use in creating and maintaining medical records of individuals and for scheduling
Owned by: Cyber Records, Inc

34
Q

Scantron (company)

A

Scantron deals with forms printing and scanner manufacturing. It operates in 98% of the US school districts, 56 countries, 48 ministries of education, and 94 of the top 100 US universities. They are best known for their machine-readable paper forms on which students mark answers to multiple-choice test questions and the optical mark recognition (OMR) and imaging scanners that read them.

35
Q

BI reporting

A

Business intelligence reporting, or BI reporting, is the process of gathering data by utilizing different software and tools to extract relevant insights. Ultimately, it provides suggestions and observations about business trends, empowering decision-makers to act.

36
Q

Microsoft Exchange Server

A

a mail server and calendaring server developed by Microsoft. It runs exclusively on Windows Server operating systems.

37
Q

OIG

A

The Office of Inspector General (OIG) for the United States Department of Health and Human Services is responsible for oversight of the HHS’s approximately $2.4 trillion portfolio of programs.

38
Q

reconciliation (accounting)

A

the process of ensuring that two sets of records are in agreement

39
Q

Epic

A

Epic Systems Corporation, or Epic, is a privately held healthcare software company. According to the company, hospitals that use its software held medical records of 54% of patients in the United States and 2.5% of patients worldwide in 2015.

40
Q

Certified Professional Medical Auditor (CPMA)

A

a medical auditing credential given by the AAPC

41
Q

medical auditing

A

like all audits, it is the process of examining and reviewing documents and records to ensure accuracy. Medical auditing takes it a step further and examines medical records to ensure that doctors and medical facilities are in compliance with the rules and regulations of the medical field.

42
Q

National Correct Coding Initiative

A

The CMS developed the National Correct Coding Initiative (NCCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment in Part B claims. The Centers for Medicare & Medicaid Services (CMS) owns the NCCI program and is responsible for all decisions regarding its contents.

Basic ICD-10-CM and ICD-10-PCS Coding (5 decks)

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