Terms : Hide Images
| 13246901143 | American Association of Medical Assistants (AAMA): | Enables medical assisting professionals to enhance and demonstrate the knowledge, skills, and professionalism required by employers and patients; as well as protect medical assistants' right to practice. | 0 | |
| 13246909150 | Centers for Medicare and Medicaid Services (CMS) | Formerly known as the Health Care Financing Administration (HCFA); an administrative agency within the federal Department of Health and Human Services (DHHS). | 1 | |
| 13246918898 | Coding | Process of reporting diagnosis, procedures, and services as numeric and alphanumeric characters (called codes) on the insurance claim | 2 | |
| 13246928107 | Current Procedural Terminology (CPT) | Published by the American Medical Association; includes five-digit numeric codes and descriptors for procedures and services performed by providers. | 3 | |
| 13246936923 | Department of Health and Human Services (DHHS) | The United States government's principal agency for "protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves | 4 | |
| 13246943248 | Embezzle | The illegal transfer of money or property as a fraudulent action; to steal money from an employer. | 5 | |
| 13246950961 | Ethics | Principal of right or good conduct; rules that govern the conduct of members of a profession | 6 | |
| 13246959948 | Explanation of benefits (EOB) | Report that details the results of processing a claim. | 7 | |
| 13246968818 | HCPCS level II codes | : National codes published by CMS, which include five-digit alphanumeric codes for procedures, services, and supplies not classified in CPT. | 8 | |
| 13246976915 | Health insurance claim | documentation of submitted to an insurance plan requesting reimbursement for health care services provided. | 9 | |
| 13246986941 | Hold harmless cause | Policy that the patient is not responsible for paying what the insurance plan denies. | 10 | |
| 13246995576 | International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) | Coding system to be implemented October 1, 2015, and used to report diseases, injuries, and other reasons for inpatient and outpatient encounters | 11 | |
| 13247008202 | International Classification of Diseases, 10th Revision, Procedural Coding System (ICD-10-PCS): | Coding system to be implemented on October 1, 2015 and used to report procedures and services on impatient claims. | 12 | |
| 13247015761 | Medical Malpractice Insurance | A type of liability insurance that covers physicians and other health care professionals for liability claims arising from patient treatment. | 13 | |
| 13247023393 | Medical necessity | involves linking every procedure or service code reported on an insurance claim to a condition code that justifies the need to perform that procedure or service. | 14 | |
| 13247029791 | National Codes | Commonly referred to as HCPCS level II codes; include five-digit alphanumeric codes for procedures, services, and supplies that are not classified in CPT. | 15 | |
| 13247036272 | Preauthorization | Health plan review that grants prior approval health care services | 16 | |
| 13247042285 | Professionalism | Conduct or qualities that characterize a professional person | 17 | |
| 13247051887 | Remittance advice (remit) | Electronic or paper-based report of payment sent by the payer to the provider; includes patient name, patient health insurance claim (HIC) number, facility provider number/name, dates of service (from date/thru date), type of bill (TOB), charges, payment information, and reason and/or remark codes | 18 | |
| 13247056561 | Respondeat Superior | Latin for "let the master answer"; legal doctrine holding that the employer is liable for the actions and omissions of employees performed and committed within the scope of their employment | 19 | |
| 13247063068 | Scope of Practice | Health care services, determined by the state, that an NP and PA can perform. | 20 |
