A payment method used by many managed car organizations in which a fixed amount of money is reimbursed to the provider for patients enrolled during a specific period of time
What is Capitation?
100
Converting verbal or written descriptions into numeric and alphanumeric designations.
What is Coding?
100
The maximum amount of money many third-party payers allow for a specific procedure or service.
What is an Allowed charge?
100
Procedures, services, or diagnoses named after people, such as Crohn's Disease.
What is Eponyms?
100
The cause of a disorder.
What is Etiology?
200
An outline or summary of the diagnostic statement &/or procedures and services performed.
What is an assessment?
200
Two character code additions that explain circumstances that alter a provided service or provide additional clarification or detail about a procedure or service.
What is Modifiers?
200
An umbrella term for all healthcare plans that provide healthcare in return for preset monthly payments and coordinated care through a defined network of PCPs and hospitals.
What is Managed care plans?
200
Volume One; contains all the diagnostic codes, which are grouped in to 17 chapters of disease and injury.
What is the Tabular index?
200
A five-digit primary or service code found when performing insurance billing or statistical research.
What is a Category I code?
300
The reason the patient has sought medical care.
What is Chief Complaint?
300
Informaton about a patient's diagnosis or diagnoses that has been extracted from the medical documentation.
What is a Diagnostic statement?
300
The signs and symptoms of a disease.
What is a Manifestation?
300
An individual or organization covered by an insurance policy according to the policy terms, usually the individual or group that pays the premiums.
Who is the Insured?
300
Also called a participant, subscriber, dependent, enrollee, or member.
What is a Beneficiary?
400
Terms that are always written in italics and the word often is enclosed in a box to draw particular attention to these instructions.
What is Excludes?
400
Includes a preliminary, interim, or final diagnosis.
What is an Abstract?
400
The primary or keywords abstracted from a medical record that are used to begin the code search in the alphabetic index.
What is a Main term?
400
Indented one level below a subsection in the CPT coding manual; usually refers to a specific anatomic site or procedures and/or services.
What is Categories?
400
Volume 2 of ICD-9-CM manual; lists conditions, injuries, illnesses, and diseases in alphabetical order by main terms, modifying terms, and sub terms.
What is the Alphabetic index?
500
The person responsible for paying a medical bill.
What is Guarantor?
500
Special codes that can help providers track revenue and reimbursement.
What is a Category II code?
500
Initial identification of the codition or complaint that the patient expresses in the outpatient medical setting.
What is a Principal diagnosis?
500
The concise, technical description of the cause, nature, or manifestations of a condition or problem.
What is the Diagnosis?
500
Codes for a new or expirimental procedure or service.