INSURANCE AND BILLING Flashcards
CHAPTER TWO VOCABULARY
numeric codes developed by the American Medical Association (AMA) to standardize medical services and procedures
(CPT) CURRENT PROCEDURAL TERMINOLOGY CODES
a form the provider fills out as she sees the patient; lists the service charges and how much the patient paid for the services; can be submitted for billing
ENCOUNTER FORM
a standard structured document that contains patient information, such as name, date of birth, insurance information, reason for seeking medical care, and religious preference; medical staff uses the document to quickly see the relevant points for patient care
FACE SHEET
a numeric and alphabetic coding system used for billing and pricing of procedures, medical supplies, medications, and durable medical equipment
(HCPCS) HEALTHCARE COMMON PROCEDURE CODING SYSTEM
coding and classification systems that group diseases, disorders, and procedures into standardized codes
(ICD-10-CM) INTERNATIONAL CLASSIFICATION OF DISEASES, TENTH REVISION, CLINICAL MODIFICATION CODES
process used to make sure the service received by the patient is approved and paid for by the insurance company
INSURANCE VERIFICATION
a unique 10 digit number assigned to providers in the US to identify themselves in all HIPAA transactions
(NPI) NATIONAL PROVIDER IDENTIFIER
a software designed to assist in the office workflow by streamlining scheduling, insurance information, patient demographics, and billing
PRACTICE MANAGEMENT SYSTEM
a separate business that handles a specific task for a facility; common-third party vendors include billing companies, transcription companies, and coding firms
THIRD-PARTY VENDOR
