INSURANCE AND BILLING Flashcards

CHAPTER TWO VOCABULARY

1
Q

numeric codes developed by the American Medical Association (AMA) to standardize medical services and procedures

A

(CPT) CURRENT PROCEDURAL TERMINOLOGY CODES

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2
Q

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

A

ENCOUNTER FORM

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3
Q

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

A

FACE SHEET

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4
Q

a numeric and alphabetic coding system used for billing and pricing of procedures, medical supplies, medications, and durable medical equipment

A

(HCPCS) HEALTHCARE COMMON PROCEDURE CODING SYSTEM

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5
Q

coding and classification systems that group diseases, disorders, and procedures into standardized codes

A

(ICD-10-CM) INTERNATIONAL CLASSIFICATION OF DISEASES, TENTH REVISION, CLINICAL MODIFICATION CODES

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6
Q

process used to make sure the service received by the patient is approved and paid for by the insurance company

A

INSURANCE VERIFICATION

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7
Q

a unique 10 digit number assigned to providers in the US to identify themselves in all HIPAA transactions

A

(NPI) NATIONAL PROVIDER IDENTIFIER

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8
Q

a software designed to assist in the office workflow by streamlining scheduling, insurance information, patient demographics, and billing

A

PRACTICE MANAGEMENT SYSTEM

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9
Q

a separate business that handles a specific task for a facility; common-third party vendors include billing companies, transcription companies, and coding firms

A

THIRD-PARTY VENDOR

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