Mrcs 105 Chapter 7-13 Vocab

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Mrcs 105 Chapter 7-13 Vocab

  
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  • 1. 
    Chapter 7
    • A. Classification system that was utlized to collect data regarding the cause of death for statistical purposes
    • A.
    • B. used to describe the process of listing the codes in an order that accurately describes conditions treated and that affect treatment
    • B.
    • C. Describes the special terms, punctuation marks, abbreviations, or symbols used as shorhand in a coding system to communicate special instructions effeciently to the coder
    • C.
    • D. Major most significant reason why the patient is seeking health care services
    • D.
    • E. Unexpected condition that occurs in reaction to a medication that is properly prescribed and administered
    • E.
    • F. Refers to patients illness or disease
    • F.
    • G. Secondary condition that coesists with the condition for which the patient is seeking health care services
    • G.
    • H. Process of translating written descriptions of signs, symptoms, illness, injury, disease, and other reasons for health care services
    • H.
    • I. Condition determined after study
    • I.

  • 2. 
    Chapter 8
    • A. Process of translating written descriptions of procedures, services, supplies, drugs, and equipment from the patients record into numeric or alphanumeric codes
    • A.
    • B. One that is surgical in nature, carries a procedural risk, carries and anesthetic risk, requires specialized training
    • B.
    • C. One performed for definitive treatment of the principal diagnosis or the procedure that most closely relates to the principle diagnosis
    • C.
    • D. One or twodigit code utilized with an HCPCS level I or II procedure code to describe existing circumstances that are not explained in the procedure code description
    • D.
    • E. coding system that contains a set of codes, descriptions, and guidelines intended to describe procedures and services performed by physicians and othe rhealth care providers
    • E.

  • 3. 
    Chapter 9
    • A. Utliizing a higher level code to describe a service or procedure that is not supported by the documentation
    • A.
    • B. Describes services that are included when performing surgical procedures
    • B.
    • C. Represents the technical and professional portion of a procedure or service
    • C.

  • 4. 
    Chapter 10
    • A. A group of claims that are prepared and submitted together
    • A.
    • B. Standard unique health identifier for health care providers to use in filing and processing health care claims and other transactions
    • B.
    • C. Unique code assigned to each business within the US
    • C.
    • D. unique number assigned to the provider by the medicare fiscal intermediary
    • D.

  • 5. 
    Chapter 11
    • A. Process of determing primary, secondary, or tertiary responsiblity when the patient is under multiple plans
    • A.
    • B. defines which insurance plan is considered primary when children are listed as dependents on multiple health insurance plans
    • B.
    • C. process required by a managed care plan to obtain approval for a service before the service is rendered
    • C.
    • D. a medical condition that was diagnosed or treated before coverage began under the current plan or insurance contract
    • D.
    • E. total amount of all charges incurred during the patient visit
    • E.

  • 6. 
    Chapter 12
    • A. Episode of care that begins on the first day a patient is admitted to the hospital and ends when the patient has not been in the hospital for 60 consecutive days
    • A.
    • B. Obtained from the military hospital that is unable to provide care required and it provides certification that the hospital is unable to provide the care
    • B.
    • C. Term used to describe individuals with high medical expenses and low income who meet specific elegibility requirement
    • C.
    • D. Group of individuals who are in need of medicaid benefits such as the aged, blind, or disabled or children and families who meet specific elegibility requirements
    • D.

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