Anatomy & Physiology Terminology
Bleeding, Blood Loss is categorized as this physiological condition.
What is "Hemorrhage"?
The timeframe within which a claim must be submitted to a payer is referred to as this.
What is a timely filing limit? Different payers will have different timely filing limits.
This document provides details on payment for medical service.
What is an EOB (Explanation of Benefits)?
Immunization category Z28.82 defines this factor influencing health status and contact with health services.
What is the ICD-10 Code for Immunization not carried out for other reason-caregiver refusal?
Inflammation of liver is categorized as this disease or disorder.
What is Hepatitis?
By law needs to be signed by patient before claim can be processed
What is the Release of Information form?
A business that consolidates claims and transmits to the 3rd party payer is know as this entity.
What is a clearing house?
Modifier 25 is used for this critical scenario when a procedure is also performed.
What is Code 99291, Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes, and -25 appended to indicate that a significant, separately identifiable E/M service was provided.
This condition is a result of overuse of antibiotics.
What causes antibiotic-resistant bacteria?
The study of disease is defined as this term.
What is Pathology?
CMS 1500 form filled out without mistakes
What is a clean claim?
The arrangements made by the patient to allow direct payment to the provider.
What is assignment of benefits (AOB)?
This code is used to report a telehealth service code for Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes, while provider is abroad.
What is 99406, Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes also used for telehealth while provider is out of the country? (CPT assistant April 2024)
This insect transmits Lyme disease.
What is a deer tick?
The medical term for Right sided paralysis.
What is Hemiplegia?
Can be filed if heath care professional or patient feels claim is wrongfully denied
What is an appeal?
This process is used to determine which payer is primary or secondary
What is Coordination of Benefits?
Another code is added to 91320 Severe acute respiratory syndrome coronavirus 2 vaccine, intramuscular administration.
What is 90480, intramuscular administration? (Jan 2024 CPT Assistant)
A disease that occurs suddenly and spreads rapidly to many people
What is an epidemic disease?
Brain disorder marked by gradual and progressive mental deterioration, personality changes, and impairment of daily function
What is Alzheimer Disease (AD)?
The term "OON" relating to insurance coverage.
Out-of-network (OON) providers are the doctors and facilities that do not have a direct affiliation with your health insurance company.
The Claim form approved by AMA council and adopted by all government health care programs is referred to as this.
What is the CMS 1500?
This ICD-10 code identifies constant sighing like my husband does when I ask him to do something he doesn't want to do.
What is Code R06.89 defined as sighing and categorized as other abnormality of breathing?
Leukemia is known as this disease.
What is blood cancer?