AMA Nationals73 cards

Tagged as: software, computer science, accounting, medical, medicine, economics, act, criminal justic, law, history, psychology, physics, nursing, finance, language, government, chemistry

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1

Primary Care Physician PCP

AKA gate keeper. Dr. responsible for primary care.

2

Collection Agency

Agency that collects past due accts when provider fails to.

3

Scrubber program

Software that corrects claim errors prior to submission.

4

Electronic claims

Claims submitted electronically

5

Absolute accuracy

Claims w/o any errors. 100% accurate.

6

Daily journal

Daily accounting of A/R

7

Patient ledger cards

Pt demo, services rendered, charges, pymts, & balance. PPM

8

HIdden job market

Less obvious job market

9

Chronological resume

Traditional resume. In time order, newest to oldest

10

Professional reference

Reference from professional associate

11

SOAP

Subjective, objective, assessment, plan. Easiest, common chart note form

12

Premium

Insurance pymt that must be met before a plan is active.

13

The birthday rule

Rule stating the parent that has the first birth DATE's insurance is primary

14

Fee for services

The fee for the charge

15

Good samaritan act

Act protecting an individual from being sued when they take extreme mesures to save some.

16

Malpractice

Act that a responsible dr wouldn't do

17

Litigation

Bringing of a law suit against an individual

18

Subpoena

Legal document ordering all materials to be delivered to court.

19

Encoding

Applying a code to a message

20

Decoding

Taking the code off a message

21

End notes

Reference page

22

Numeric filing

Assigning a number to a pt to file in numeric order.

23

Family history

The medical history of the family.

24

Micrographics

Storage system, image documents, stored on a flash drive

25

Review of systems ROS

Dr's exam, by body system

26

CHEDDAR

CC, Hx, evaluation, detail of CC, drug data, assessment & return visit/referral

27

Agenda

Schedule for a meeting.

28

Patient info brochure

brochure regarding practice

29

Policies & Procedures manual

Employee manuals

30

Authoritarian/autocratic ruling

Definitive leadership style

31

Stress

Emotional/physiological reaction to pressure

32

Coordination of benefits COB

Insurance clause stating if 2 policies they cannot pay more than 100% in total

33

Accepting assignment

Agreeing to allowables

34

Participating provider

Contracted, in network, credentialed.

35

Insurance billing

sending stmts to insurance in order to collect funds

36

Insurance billing cycle

Frequency of billing

37

Clean claims

Claim free of errors

38

Adjustments

Credits & write offs to pts acct

39

NSF

Non-sufficient funds - When an acct doesn't have enough money

40

Refund

To return over payed money

41

42

Electronic Remittance Advice ERA

Report of reimbursement, type of EOB

43

AAMA

American Association of Medical Assistance - Nat association provides CE's networking opportunities and cert exams

44

IAAP

World wide org sponsors ce's and cert exams for CPS's Formerly known as professional secretaries international

45

AHDI

Assoc for Health Documentation Integrity Nat org that promotes professional standards and growth for the field of med transcription

46

HIPAA

Health Insurance Portability & Accountability Act - est. 1996, measures to protect PHI

47

Contributory Negligence

Failure of pt to follow dr's advice and instructions

48

Capitation

Pymt made by insurance prior to services rendered. A lump some for a certain amount of pts

49

Red Flap requirements

Mandated fed regulations that must be implemented by creditors to protect covered financial accounts from ID theft.

50

Cycle billing

The frequency billing is done

51

Procedures day sheet

Numeric listing the all procedures performed on a given day, including pt name, doc #, POS

52

Pt aging report

Billing report of past due accounts, usually seen as 30, 60, 90, 120... days

53

Practice Analysis report

Report that analyzes the revenue at any given time, shows all charges and pymts

54

Medicare

Fed health plan that provides insurance to individuals over 65 w disabilities and dependent widows

55

TRICARE

Insurance for military and their family. Active and retired and dependent of military killed in duty.

56

Electronic Health/Medical Records

EHR Electronic health records, complied data of pt care. Est 1960's, worldwide in '90's.

57

Clearing house

A 3rd party that collects electronic claims and fwds claims to the appropriate insurance carriers

58

PPO Preferred Provider Organization

Managed care plan. Dr's are contracted to perform services

59

CCHIT

Certification Commission for Healthcare Information technology. Independent non-gov org that seeks to accelerate the adoption of EHR's w a credible cert program.

60

Addendum

Med note added subsequently to the original note that will supplement the clinical info.

61

ROI

return on investment - Measure, expressed as a %, amount earned on a co.'s total purchase or investment calculated by divide total capital into earnings or financial benefits.

62

CCR Continuity of Care Records

Care set of provider oriented health data reflecting the most relevant and timely facts about a pts health care.

63

SNOMED-CT

Systematized Nomenclature or Medicine Clinical Terms - Provides common language that enables a consistent way to capturing, sharing, & aggregating health data across specialties and sites of care.

64

Metric unit

Weights and measurements AKA international system of units.

65

CHI Consolidated health informatics

Fed initiative that seeks to provide adoption of health info interoperability standards for health vocab & messaging.

66

IEEE Institute of Electrical & Electronic Engineers

Advancement of tech tlated to electricity. Sees electronic standards to allow connection of med devices to info & computer systems, allowing providers to monitor into from remote locations.

67

IEEE Institute of Electrical & Electronic Engineers

Advancement of tech tlated to electricity. Sees electronic standards to allow connection of med devices to info & computer systems, allowing providers to monitor into from remote locations.

68

Institute of Medicine IOM

Gives advice and info about government policies that affect human health. Est '91

69

Drug formulary

Database of approved meds in drug therapy categories and include info re: preparation, safety, effectiveness and cost.

70

Medicare Part B

Insurance program that covers physician's supervision, out pt hosp care, dx tests, ambulance services and other ambulatory services

71

Analyte

Blood test compound that is the subject to its own specific chemical analysis. Lab panel is composed of multiple analytes that will undergo analysis.

72

Telehealth

Use of electronic and communicaion tech to deliver med into and services over lg and sm distances thru a standard phone line.

73

Health level 7 HL7

International comp language by which various health care systems can communicate