Terms : Hide Images
| 12420579806 | EIN | Employer identification number | 0 | |
| 12420588363 | LOS | length of stay | 1 | |
| 12420593163 | PF | problem focused | 2 | |
| 12420601720 | SOF | signature on file | 3 | |
| 12420606804 | allowed charge | the maximum amount dollar amount an insurance will cover for provided service | 4 | |
| 12420664859 | Coordination of Benefits (COB) | explains how an insurance policy will pay if more than one policy applies | 5 | |
| 12420683810 | fee profile | charges a physician usually charges | 6 | |
| 12420688007 | Fee scheduler | Insurance allows to pay | 7 | |
| 12420696905 | fiscal agent | an organization that processes claims for a government program | 8 | |
| 12420707345 | Guarantor | insured or subscriber of the account . | 9 | |
| 12420715756 | Preauthorization | Prior approval for treatment and procedures | 10 | |
| 12420715757 | Precertification | amount pay for the treatment thats need to be approved | 11 | |
| 12420734088 | professional courtesy | reduction or absence of fees to professional associates | 12 | |
| 12420743226 | rider | an addition done to an insurance usually first 6 months | 13 | |
| 12420758801 | UCR | usual, customary, and reasonable | 14 | |
| 12420793857 | HMO (Health Maintenance Organization) | Health insurance that requires a PCP and wants you to use only in-network doctors | 15 | |
| 12420798617 | PPO (Preferred Provider Organization) | Health insurance that makes it easier to see out-of-network doctors. | 16 | |
| 12420804445 | EPO | in network only, out of network only in case of emergency | 17 | |
| 12420831500 | IPA | Formally organized groups of MDs working independently, mds paid by subscriber, | 18 | |
| 12420852357 | Medicare | 65 years old, with minimum of 10 year of medicare approved, disabled, end-stage of kidney , kidney donor, retire railway employee | 19 | |
| 12420892489 | Level 1 codes | CPT CODES (numbers) | 20 | |
| 12420897295 | Level II CODES | National codes (letters) | 21 | |
| 12420912985 | Category 1 codes | procedures/services identified by a 5 digit CPT code and descriptor nomenclature; | 22 | |
| 12420916670 | Category II | Supplemental codes that can be used for performance measurements | 23 | |
| 12420923260 | Category III Codes | temporary codes for emerging technology, services, and procedures | 24 | |
| 12420933931 | 99 CODES | Special report must come with the submission | 25 | |
| 12420948143 | modifier | do not change code just add any specifics | 26 | |
| 12420957603 | Bundling | one CPT code is used in place of multiple | 27 | |
| 12422579489 | establish pt | seeing within 3 years | 28 | |
| 12422582630 | New pt | After 3 yrs. of not seen in the office. | 29 | |
| 12422624716 | the internal classification of disease , tenth revision (icd-10) | inpatient procedure codes | 30 | |
| 12422629535 | National Center for Health Statistics (NCHS) | outpatient diagnostic care | 31 | |
| 12422655861 | NEC | Specific code not available | 32 | |
| 12422657892 | NOS | unspecified | 33 | |
| 12422674725 | late effects | No time limit requires two codes. acute condition caused another is now done. | 34 | |
| 12422682421 | principal diagnosis code | reason why pt was admitted to hospital. inpatient setting | 35 | |
| 12422745782 | cycle billing | pts A-F billed the same time of thee month, more cash flow | 36 | |
| 12422759087 | types of payments | at time of visit, bill with credit extension, insurance, outside collection agency | 37 | |
| 12422769779 | collection agency | keeps 40 to 60%, last resort | 38 | |
| 13097534427 | HSA (Health Savings Account) | used in association with a medical plan that carries a high deductible | 39 | |
| 13097536472 | indemnity | specific dollars amount paid for each service | 40 | |
| 13097553930 | TRICARE | Covers families of military active personnel and retirees. | 41 | |
| 13097558868 | Tricare Options | Prime,(HMO) extra(Managed care network providers), standard(fee for service plan) | 42 | |
| 13097565513 | CHAMPVA | Covers disabled veterans, covers families who lost relative | 43 | |
| 13097584989 | two sections for CPT,ICD codes | alphabetic index, tabular index | 44 | |
| 13097590089 | Evaluation and Management | 99201-99499 | 45 | |
| 13097592559 | anesthesiology codes | 00100-01999,99100-99140 | 46 | |
| 13097594486 | Surgery Codes | 10021-69990 | 47 | |
| 13097596447 | Radiology Codes | 70010-79999 | 48 | |
| 13097597281 | Pathology and Laboratory codes | 80049-89400 | 49 | |
| 13097600067 | Medicine codes | 90281-99199 | 50 | |
| 13097632577 | ICD Codes (International Classification of Diseases) | made up of numbers and letters. 4-7 | 51 | |
| 13097659805 | place holder | X character | 52 | |
| 13097663224 | primary diagnosis code | chief complain outpatient setting | 53 | |
| 13097874025 | HCPCS codes | for injections, meds to medicare pts | 54 | |
| 13097882987 | Parentheses | enclosed extra information | 55 | |
| 13097892989 | ICD Codes | a-z except U | 56 | |
| 13097902817 | CODES A-B | Infections | 57 | |
| 13097904431 | Codes C-D | Neoplasm | 58 | |
| 13097906156 | Codes D-D | Blood, immune | 59 | |
| 13097909031 | Codes E-E | Endocrine, Nutrional, Metabolic | 60 | |
| 13097914937 | Code F-F | Mental and Behavior disorder | 61 | |
| 13097921229 | Code G-G | Nervous system | 62 | |
| 13097927990 | Code H-H | Eye, Ear, Masteoid | 63 | |
| 13097931211 | Code I-I | Circulatory System | 64 | |
| 13097932874 | Code J-J | Respiratory | 65 | |
| 13097933945 | Code K | Digestive | 66 | |
| 13097934903 | CODE L | SKIN | 67 | |
| 13097937348 | CODE M | MUSCULAR and connective | 68 | |
| 13097942133 | Code N | Genitourinary | 69 | |
| 13097945606 | Code O | Pregnancy, childbirth | 70 | |
| 13097948234 | Code P | Perinatal period | 71 | |
| 13097951640 | Code Q | congenital Malformation deformation | 72 | |
| 13097954724 | Code R | symptoms, signs, and abnormal clinic | 73 | |
| 13098004821 | Code S-T | Injury and poisoning | 74 | |
| 13098007447 | Code V-Y | External causes of mobility | 75 | |
| 13098009995 | Code Z-Z | Health services | 76 | |
| 13098012275 | Medicare Part B | voluntary | 77 | |
| 13098015616 | medicare Part A | Automatic enrollment | 78 | |
| 13098022633 | medicare D | Prescription drug coverage | 79 |
