Ethics
Vocabulary
Coding/Insurance
100
Ethics are
What is standards of conduct?
100
Define payer
What is a private or government organization that insures or pays for health care.
100
The Medical Billing Process includes how many steps?
What is 10
200
Earliest written code of ethics
What is Code of Hammurabi?
200
Define NPP's
What is physician assistant, nurse practitioner, physcial therapist, CNA, Medical assistant
200
The most commonly used system of medical procedure codes is found in the .
What is CPT?
300
ethical behavior is
What is integrity, decency, honesty, competence, consideration, respect, fairness, trust, and courage.
300
Define Policyholder.
What is an individual who has insurance coverage
300
Diagnosis codes are found in the
What is the ICD-9-CM - International Classification of Diseases, Ninth Revision, Clinical Modification
400
When a physician is legally responsible for an employee's conduct
What is vicarious liability?
400
Define Capitation
What is a set amount of money to be paid per claim in advanced for health care services.
400
Third-party payers include
What is Medicare, Medicaid, Tricare, private insurances, workman comp, Motor Vehicle Insurance...
500
Customs, courtesy, and mannors
What is medical Etiquette?
500
Define EOB
What is a document issued by payers or insurance companies stating the status of the claim.
500
Daily Double........ Name three illegal or unethical coding practices.
See page 17