Shared Flashcard Set

Details

Mod H Unit 3
CPT Coding/Military Insurance/Worker's COmp
47
Health Care
Not Applicable
02/14/2013

Additional Health Care Flashcards

 


 

Cards

Term
Category III Codes
Definition
A set of temporary codes for emerging technologies, services, and procedres. Found after the 6 sections listed in the main body of the CPT manual.
Term
chief complaint (CC)
Definition
The reason the patient is seeing the physician, usually in their own words.
Term
consultation
Definition
When the attending health care provider recommends that the patient see another physician for a problem usually associated with one major body system.
Term
counseling
Definition
A discussion with the patient or the patient's family or both.
Term
critical care
Definition
The constant attention by a physician in a medical crisis.
Term
established patient
Definition
An individual who has been treated previously by the health care provider, regardless of location of service, within the past 3 years.
Term
Evaluation & Management (E/M) codes
Definition
Designed to classigy services provided by a health care provider and are use primarily in outpatient settings.
Term
face-to-face time
Definition
The time the health care provider spends in direct contact with a patient during an office visit.
Term
inpatient
Definition
A patient who has been formally admitted to a hospital.
Term
Level I codes
Definition
Contain the AMA Physicians' CPT codes. They are 5 digit codes.
Term
Level II codes
Definition
HCPCS codes used to report medicalservices, supplies, drugs, and durable medical equipment.
Term
Level III codes
Definition
Codes and descriptors developed by local Medicare contractors for use by physicians, practitioners, providers, & suppliers.
Term
modifying term
Definition
A subterm that can effect the selection of the appropriate procedural code.
Term
neonates
Definition
Newborns 28 days old or younger.
Term
new patient
Definition
An individual who is new to the practice.
Term
observation
Definition
A classification for a patient who is not sick enough to qualify for the acute inpatient status, but requires hospitalization for a brief time.
Term
outpatient
Definition
A patient who has not been officially admitted to a hospital.
Term
review of systems (ROS)
Definition
A series of questions the provider asks the patient to identify what body parts or body systems are involved.
Term
special report
Definition
A report that accompanies a rarely used, unusual, variable, or new service or procedure code.
Term
stand-alone code
Definition
Contains the full description of the procedure without additional explanation.
Term
subjective information
Definition
Information based on what the patient tells the health care provider.
Term
CHAMPVA for Life (CFL)
Definition
Designed for spouses or dependents of veterans who are age 65 or older.
Term
Defense Enrollment Eligibility Reporting System (DEERS)
Definition
A computerized data bank that lists all active and retired military service members.
Term
Military Health System
Definition
The name for the total health care system of the U.S. uniformed services.
Term
nonavailability statement (NAS)
Definition
If treatment is unavailable at a military treatment facility, the individual must obtain this form indicating that care is unavailable from the MTF.
Term
other health insurance (OHI)
Definition
Health care coverage other than TRICARE/CHAMPVA.
Term
reserve components (RCs)
Definition
Family members of military service personnel in the Army Reserves and National Guard.
Term
sponsor
Definition
The service member, whether in active duty, retired, or deceased.
Term
TRICARE
Definition
A regionally based managed health care program for active duty and retired members of the uniformed services, their families, and survivors.
Term
TRICARE Extra
Definition
PPO.
Term
TRICARE for Life (TFL)
Definition
A comprehensive health benefits program available to uniformed services retirees, their spouses, and their survivors who are age 65 or older.
Term
TRICARE Prime
Definition
HMO
Term
TRICARE Prime Remote
Definition
Provides health care coverage through civilian networks or TRICARE authorized providers for uniformed service members and heir families who are on remote assignment.
Term
TRICARE Standard
Definition
A fee-for-service option that has basically the same benefits as the original CHAMPUS program.
Term
casual employee
Definition
One who is not entitled to paid holiday/sick leave, no expectation of ongoing employment, and each engagement with the employer requires a separate contract.
Term
earned income
Definition
Income from employment.
Term
financial means test
Definition
A detailed and comprehensive questionnaire that establishes financial need.
Term
Longshore and Harbor Workers' Compensation Act
Definition
Provides workers' compensation to specified employees of private maritime employers.
Term
ombudsman
Definition
An individual responsible for investigating and resolving workers' complaints against the employer or insurance company that is denying the benefits.
Term
vocational rehabilitation
Definition
Used to return an injured worker to some sort of suitable, gainful employment that he or she can reasonbly achieve.
Term
workers' compensation
Definition
A type of insurance regulated by state laws that pays medical expenses and partial loss of wages for workers who are injured on the job or become ill as a result of job-related circumstances.
Term
permanent disability
Definition
The ill or injured employee's condition is such that it is impossible to return to work.
Term
permanent partial disability
Definition
Prevents an individual from performing one or more occupational functions but does not impair his or her capability of performing less demanding employment.
Term
permanent total disability
Definition
The employee's ablility to work at any occupation is totally and permanently lost.
Term
temporarily disabled
Definition
An individual is unable to work for a short time because of sickness or injury (excluding job-related illnesses or injuries).
Term
temporary partial disability
Definition
An injury or illness impairs an employee's ability to work for a limited time.
Term
temporary total disability
Definition
A worker's ability to perform his or her job responsibilities is totally lost but on a temporary basis.
Supporting users have an ad free experience!