Shared Flashcard Set

Details

SimChart
SimChart Glossary
30
Medical
Not Applicable
08/28/2020

Additional Medical Flashcards

 


 

Cards

Term
ADJMT
Definition
Adjustment found on the Ledger and Day Sheet;a change to a patient’s account that is neither a charge for services nor a payment.
Term
annual exam
Definition
Patient visit that occurs yearly and includes a complete physical examination
Term
assignment of benefits
Definition
Release a patient signs that gives the insurance carrier permission to pay the medical office directly instead of sending the payment to the patient. (assigning permission to the health insurance to pay medical office)
Term
audit
Definition
looking for improper use of diagnostic and procedure codes.
Term
calendar
Definition
used to review and manage appointments
Term
chief complaint (cc)
Definition
The reason a patient scheduled an appointment to see the physician
Term
claim
Definition
the 5010 CMS Claim is submitted electronically to the insurance carrier and generated for a specific encounter; contains information the insurance carrier needs to process the charges associated with the patient visit and make a payment to the medical office
Term
clinical care
Definition
charting for a patient occurs; recording vital signs, lab results, etc.
Term
coding & billing
Definition
process of entering ICD and procedure codes in patient's chart and creating claims to send to patient's insurance for payment
Term
correspondence
Definition
any communication with a patient; letter, email, mailing, etc.
Term
CPT
Definition
Current Procedure Terminology for procedure codes
Term
day sheet
Definition
records services and charges associated with patient care for a specific day
Term
encounter
Definition
term used for a patient's visit with the physician; includes date & time
Term
established patient
Definition
A patient that has been seen in the medical office within the last three years
Term
fee schedule
Definition
A list of the amounts charged for services and supplies in a medical office (like a menu at a restaurant)
Term
follow up/established patient
Definition
Patient visit for a patient following up on a previously diagnosed condition
Term
front office
Definition
where all of the administrative functionality performed in a medical office
Term
guarantor
Definition
individual legally responsible for a patient's bill
Term
ICD-10
Definition
International Classification of Diseases 10th revision used to code diseases
Term
insured
Definition
The policy holder (person who pays) for the health insurance policy
Term
ledger
Definition
a list of all charges, payments and adjustments for a patient
Term
new patient
Definition
A patient who is seeing the physician for the first time or who has not been to the medical office within the last three years
Term
patient demographics
Definition
patient name, DOB, insurance card information, gender, etc.
Term
phone consultation
Definition
used to document a patient phone call
Term
progress note
Definition
section of the patient record where new information for each patient visit is recorded using the SOAPE format
Term
signature on file
Definition
indicates that the medical office has the patient’s signature on file and allows the release of information to an insurance carrier
Term
SOAPE
Definition
Format used in the Progress Note to record new information for the patient visit. The information is recorded in the appropriate category: S for subjective, O for objective, A for assessment, P for plan, and E for evaluation.
Term
superbill
Definition
electronic form that acts as the first step in completing the billing process for a patient visit
Term
urgent visit
Definition
Patient visit type for a patient with a serious condition who must see the physician on the same day they request an appointment.
Term
wellness exam
Definition
Visit type for a patient who needs to see the doctor but is not sick. This visit type encompasses preventive services such as a colonoscopy, smammogram, or bone density study.
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