A physician dictates notes and patient care and notes are then transcribed.
Narrative style
Is coding without being specific enough
truncated coding
Is a government funded insurance for low-income families/person
Medicaid
RADT
registration, admission, discharge, transfer
is a fracture characterized by crushed bones
Comminuted
These are "covered entities" under HIPAA
Health Plans
Healthcare clearinghouse
Healthcare providers
coding that reports what is NOT documented
Assumption coding
Is a government funded insurance for over 65 and end-stage renal disease
Medicare
SOAP
Subjective, objective, assessment, and plan
Is a common fracture in a child; partially broken bone or partially bent
Greenstick fracture
This is the utilization of certified EHR technology to improve quality, efficiency and patient safety in healthcare documentation
Meaningful Use
Are codes that designate procedures that were done on patient
CPT codes
Is a clinical vocabulary to encompass all terms in medicine
Is a muscle movement that "increases" the angle of a joint
Extension
Allows providers to share information through organized networks
Health Information Exchange (HIE)
Are codes that are disease-related
ICD-10-DM
Is the form used to submit hospital claims
UB-04 form
Terms and codes used for electronic exchange of lab results
LOINC
These are joints that have free movement
diathroses
Consists of patient records from ALL healthcare providers, not just primary care physician
Electronic Health Record
Are codes that designated external causes of morbidity (disease)
V-codes
Is what patient pays out of pocket at doctor's visit
Co-pay
is a unique patient identifier like a record # or DOB
UPI
Is the combining form for "clot"
Thromb/o-