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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. |
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Patient visit that occurs yearly and includes a complete physical examination |
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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) |
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looking for improper use of diagnostic and procedure codes. |
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used to review and manage appointments |
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The reason a patient scheduled an appointment to see the physician |
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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 |
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charting for a patient occurs; recording vital signs, lab results, etc. |
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process of entering ICD and procedure codes in patient's chart and creating claims to send to patient's insurance for payment |
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any communication with a patient; letter, email, mailing, etc. |
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Current Procedure Terminology for procedure codes |
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records services and charges associated with patient care for a specific day |
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term used for a patient's visit with the physician; includes date & time |
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A patient that has been seen in the medical office within the last three years |
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A list of the amounts charged for services and supplies in a medical office (like a menu at a restaurant) |
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follow up/established patient |
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Patient visit for a patient following up on a previously diagnosed condition |
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where all of the administrative functionality performed in a medical office |
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individual legally responsible for a patient's bill |
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International Classification of Diseases 10th revision used to code diseases |
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The policy holder (person who pays) for the health insurance policy |
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a list of all charges, payments and adjustments for a patient |
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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 |
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patient name, DOB, insurance card information, gender, etc. |
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used to document a patient phone call |
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section of the patient record where new information for each patient visit is recorded using the SOAPE format |
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indicates that the medical office has the patient’s signature on file and allows the release of information to an insurance carrier |
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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. |
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electronic form that acts as the first step in completing the billing process for a patient visit |
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Patient visit type for a patient with a serious condition who must see the physician on the same day they request an appointment. |
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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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