R-W

Question 1

RA

Answer 1

Remittance Advice – sent to the provider with payment (check)for services
rendered

Question 2

RBC

Answer 2

red blood cell- doctor - hematologist

Question 3

RBRVS

Answer 3

– fee schedules – Resource Based relative value scale – system that provides
uniform payment after adjustments across all practices throughout the country – fee
schedules

Question 4

Reconcile

Answer 4

– (to make sure cash and check equal to bank deposit) it is an
accounting process that uses two sets of records to ensure figures are correct, it
confirms whether money leaving an account matches the money deposited and
that both balance at the end of the day

Question 5

Referral –

Answer 5

authorizing a patient to see another doctor or have procedure done like
PET or CAT scan, need referral for HMO insurance plans

Question 6

Reimbursement

Answer 6

payment from insurance companies – to reimburse a patient they
need a copy of the encounter form

Question 7

Renal

Answer 7

-pertaining to the kidney

Question 7

Retention schedule

Answer 7

– how long a state mandates a medical record be kept

Question 8

Rhino

Answer 8

-nose – Example: rhinoplasty (nose job)

Question 9

Role based access-

Answer 9

designated staff have a password to access PHI and financial
accounts - – this is how they can view who accessed computer – creating an audit
trail

Question 10

ROI

Answer 10

• Release of Information - the form needed to be signed by the patient in order
  to release PHI to a designated provider and or person -the practice has to respond
  to requests for a medical record within thirty days. A practice may obtain a one -
  time extension if the practice provides a written explanation to the patient
  explaining the reason and the expected date of completion.

Question 11

-rrhea

Answer 11

– discharge Example: rhinorrhea (runny nose)

Question 12

RX

Answer 12

prescription

Question 13

Scanning

Answer 13

using a scanner to send handwritten materials or other documents to
another office or location

Question 14

Scope of Practice

Answer 14

what you have been professionally trained and skilled in

Question 15

SH

Answer 15

– social history – patient’s “lifestyle” smoking, alcohol, substance abuse and sex

Question 16

Sigmoidoscopy -

Answer 16

-tube in rectum for diagnosis -gastroenterologist / gastroenterology
department

Question 17

SNF

Answer 17

skilled nursing facility = nursing home – When a patient is transferred from a
hospital to SNF this is considered continued care. When a patient remains in the
hospital but uses different departments (example PT, ST, OT) this is considered
continuity of care

Question 18

Sphygmomanometer

Answer 18

blood pressure cuff

Question 19

Spirometer

Answer 19

-an instrument to measure the air capacity of the lungs

Question 20

Stat

Answer 20

emergent situation

Question 21

Stenosis

Answer 21

narrowing – “spinal stenosis”

Question 22

Stool

Answer 22

– medical term for bowel movement

Question 23

Sub

Answer 23

Below

Question 24

Sublingual

Answer 24

– under the tongue – used to give medications - Example-: (nitroglycerin for angina)

Question 25

Subscriber number

Answer 25

r -patient’s insurance number

Question 26

Syncope

Answer 26

- fainting

Question 27

Systolic

Answer 27

-the top number when taking a blood pressure

Question 28

Tachy -

Answer 28

rapid, fast

Question 29

Tachycardia

Answer 29

– fast heart rate

Question 30

Thoracentesis

Answer 30

removal of fluid from the lungs (pleural effusion)

Question 31

TIA

Answer 31

– transient ischemic attack – mini stroke

Question 32

Tickler file

Answer 32

used as reminders and are based on patient’s needs given at the end of the visit - reminds staff of date specific tasks

Question 33

TPO

Answer 33

– Treatment, Payment and Health Care Options. In general, a provider may use or disclose protected health information without authorization for treatment, payment and health care operational activities, so you do not need ROI

Question 34

Triage Nurse (clinical person) –

Answer 34

person trained to handle emergencies and usually calls to an office is given to this individual for that purpose. Any calls about intermittent fever and patient had kidney transplant go to the triage person

Question 35

Truth in Lending

Answer 35

-has finance/interest charges Example: 9.5 % APR - -cosmetic or dental procedures – (Fair Trade Credit Debit Act) paid in installments (payments sent to provider) procedure usually not medically necessary just cosmetic.

Question 36

TX

Answer 36

Treatment

Question 37

UA

Answer 37

– urinalysis – usually done for UTI (urinary tract infections) see a urologist

Question 38

UB04

Answer 38

– used for institutional claims (Example: hospitals billing) – also called CMS 1450

Question 39

Utilization Review

Answer 39

is a review of individual cases by a committee to make sure services are medically necessary and study how providers use medical care resources

Question 40

UCR

Answer 40

– Usual Customary and Reasonable – the amount paid for a medical service in a geographical area based on what providers in the area usually charge for the same or similar medical service – this is the most insurance companies will consider for reimbursement

Question 41

Unilateral

Answer 41

One side

Question 42

Universal precautions

Answer 42

an approach to infection control to treat all human blood and certain body fluids as if they are known to be infectious for blood borne pathogens

Question 43

UPIN

Answer 43

number is provider had Medicare patients

Question 44

Urethral dilation

Answer 44

done by Urologist – widening of the urethra

Question 45

* UTI –

Answer 45

urinary tract infection – see a urologist

Question 46

Vitiligo

Answer 46

white patches on the skin – absence of melanin on skin (Integumentary system – largest system)

Question 46

Vascu/o

Answer 46

– vessel

Question 47

Waiting period –

Answer 47

a period of time when you are not covered by insurance for a particular problem

Question 48

WBC

Answer 48

white blood cell – if elevated or decreased may see a Hematologist

Question 49

Workman’s Compensation –

Answer 49

insurance provided by the employer and used when an employee gets hurt at work – the employee is then given a carrier number - this is a third party payer