Medical Coding
–Process of assigning alphanumeric characters that represent the diagnoses patients have and services they receive
What is •Medical coding?
This prefix indicates removal.
What is ectomy?
The position most appropriate for the patient to ensure proper access and comfort during an examination of the abdomen.
What is supine?
•Goal of this is to help decrease number of uninsured Americans and reduce overall costs of health care
What is Patient Protection and Affordable Care Act (P P A C A), also referred to as Affordable Care Act (A C A)?
–Describe services performed for patients
What is •Procedure codes?
This is the abbreviation ABG.
What is arterial blood gas?
Patient is face down with head turned to one side.
What is prone?
–fixed dollar amounts that patients pay at time of service
What is copay?
–Identify the reasons that health care services were provided
What is •Diagnosis codes?
This suffix is used to indicate swelling or hernia.
What is -cele?
This position is used to evaluate vaginal vault or rectal tone.
What is lithotomy?
any condition a patient was diagnosed with or treated for before beginning coverage with new insurance plan
What is Preexisting condition?
–Mistakenly accepting payment for items or services that should not be paid as a result of improper coding and billing
What is •Abuse?
Condition of a blood clot
What is thrombus?
Position to increase blood pressure.
What is trendelenburg?
–Process of establishing medical need for services
–When billing, every procedure code billed must be associated with one or more diagnostic codes that support the need for the procedure
What is •Medical Necessity?
–Knowingly billing for services that were never given or billing for a service that has a higher reimbursement than service provided
What is •Fraud?
Refers to a woman in her fourth pregnancy.
What is para 4
Position to maintain a patient's airway.
What is fowlers, high fowlers or raise HOB?
A claim that was processed and found to be ineligible for payment?
What is Denied claim?