Terms : Hide Images
| 4515836902 | American Academy of Professional Coders (AAPC) | Professional association established to provide a national certification ad credentialing process | 0 | |
| 4515842369 | American Health Information Management Association (AHIMA) | Founded in 1928 to improve the quality of medical records and currently advances the health information management profession toward an electronic and global environment, including implementation of ICD 10 CM and ICD 10 PCS | 1 | |
| 4515889413 | American Medical Billing Association (AMBA) | Offers the Certified Medical Reimbursement Specialists (CMRS) exam, which recognizes competency of members who have met high standards of proficiency | 2 | |
| 4515843465 | Centers for Medicare and Medicaid Services | Formerly known as the Health Care Financing Administration (HCFA): an administrative agency within the federal Department of Health and Human Services (DHHS) | 3 | |
| 4515843466 | Claims examiner | Employed by third party payers to review health related claims to determine whether the charges are reasonable and medically necessary based on the patient's diagnosis | 4 | |
| 4515843467 | Coding | Process of reporting diagnoses, procedures, and services as numeric and alphanumeric characters on the insurance claims | 5 | |
| 4515845095 | Current Procedural Terminology (CPT) | Published by the American Medical Association included five digit numeric codes and descriptors for procedures and services performed by providers | 6 | |
| 4515852859 | Embezzle | The illegal transfer of money or property as a fraudulent action | 7 | |
| 4515855561 | Ethics | Principle of right or good conduct: rules that govern the conduct of members of a profession | 8 | |
| 4515855562 | Explanation of benefits (EOB) | Report that details the results of processing a claim | 9 | |
| 4515859297 | HCPCS Level II codes | National codes published by CMS, which include five digit alpha numeric codes for procedures, services and supplies not classified in CPT | 10 | |
| 4515861916 | Health care provider | Physician or other health care practitioner | 11 | |
| 4515861917 | Heath information technician | Professionals who manage patient health information and medical records administer computer information systems and code diagnoses and procedures for health care services provided to patients | 12 | |
| 4515863437 | Health insurance claim | Documentation submitted to an insurance plan requesting reimbursement for health care services provided | 13 | |
| 4515863438 | Health insurance specialist Reimbursement specialist | Person who reviews health related claims to determine the medical necessity for procedures or services performed before payment is made to the provider | 14 | |
| 4515866978 | ICD 10 CM | Developed by the federal government, outpatient diagnoses that have been approved for use by hospital/providers in coding and reporting hospital based outpatient services and provider based office visits | 15 | |
| 4515870710 | Medical assistant | Employed by a provider to perform administrative and clinical tasks that keep the office or clinic running smoothly | 16 | |
| 4515874067 | Medical Association of Billers (MAB) | Created in to provide medical billing and coding specialists with a reliable source for diagnosis and procedure coding education and training | 17 | |
| 4515875757 | Medical malpractice insurance | A type of liability insurance that covers physicians and other health care professionals for liability claims arising from patient treatment | 18 | |
| 4515875758 | Medical necssity | 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 | 19 | |
| 4515875759 | 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 | 20 | |
| 4515877445 | Preauthorization | Prior approval | 21 | |
| 4515878226 | Professionalism | Conduct or qualities that characterize a professional person | 22 | |
| 4515878228 | Remittance advice | Electronic or paper based report of payment sent by the payer to the provider; includes patient name, health insurance claim number (HIC), facility provider number/name, dates of service, type of bill, charges, payment information and reason and or remark codes | 23 | |
| 4515879670 | Respondent suprerior | 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 employement | 24 | |
| 4515881187 | Worker's compensation insurance | Insurance program, mandated by federal and state governments, that requires employers to cover medical expenses and loss of wages for workers who are injured on the job or who have developed job related disorders | 25 |
