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Medical Billing Ch. 15 Patient Billing and Collections Flashcards

9399778454	Account Ledger	Account Statement	0
9399778455	Accounts Receivable	Money that is flowing into a business	1
9399778456	Adjudication	A series of steps that determine whether a claim should be paid.	2
9399778457	Adjustment	Changes to a patients accounts that alter the amount charged or paid.	3
9399778458	Advisory Opinions	Opinion issued by CMS or OIG that becomes legal advice.	4
9399778459	Appellant	The person filing the appeal (provider or patient) aka claimant.	5
9399778460	Audit	A formal review designed to judge whether the practice complies with billing and coding regulations.	6
9399778461	Bad Debt	An account deemed uncollectible	7
9399778462	Balance Billing	Collecting the difference between a provider's usual fee and a payer's lower allowed charge from the insured.	8
9399778463	Bankruptsy	Legal declaration that a person is unable o pay his or her debts.	9
9399778464	Billing/Collections Manager	A physician, practice administrator, office manager, or collections manager that create and implement collections policies, and monitor results of collections activities.	10
9399778529	Bundled codes		11
9399778465	CCI Edits	Apply to medicare claims that bill for more than one procedure performed on the same patient; the same date of service.	12
9399778466	Claim Adjustment group code	Codes used by a payer on an RA to indicate the general type of reason code for an adjustment.	13
9399778467	Downcode	payer's review and reduction of a procedure code.	14
9399778468	bad debt	an account deemed uncollectible	15
9399778469	bankruptcy	legal declaration that a person is unable to pay his or her debts	16
9399778470	collection agency	outside firm hired by a practice or facility to collect overdue accounts from patients	17
9399778471	collections	the process of following up on overdue accounts	18
9399778472	collections specialist	administrative staff member with training in proper collections techniques	19
9399778473	credit bureau	organizations that supply information about consumers' credit history and relative standing	20
9399778474	credit reporting	analyzing a person's credit standing during the collections process	21
9399778475	cycle billing	type of billing in which patients with current balances are divided into groups to even out statement printing and mailing throughout a month, rather than mailing all statements once a month	22
9399778476	day sheet	in a medical office, a report that summarizes the business day's charges and payments, drawn from all the patient ledgers for the day	23
9399778477	embezzlement	stealing of funds by an employee or contractor	24
9399778478	Equal Credit Opportunity Act (ECOA)	law that prohibits credit discrimination on the basis of race, color, religion, national origin, sex, marital status, age, or because a person receives public assistance	25
9399778479	Fair and Accurate Credit Transaction Act (FACTA)	law designed to modify the Fair Credit Reporting Act to protect the accuracy and privacy of credit reports	26
9399778480	Fair Debt Collection Practices Act (FDCPA) of 1977	law regulating collection practices	27
9399778481	guarantor billing	billing system that groups patient bills under the insurance policyholder; the guarantor receives statements for all patients covered under the policy	28
9399778482	means test	process of fairly determining a patient's ability to pay	29
9399778483	nonsufficient fund (NSF) check	a check that is not honored by the bank because the account lacks funds to cover it; also called a "bounced", "returned", or "bad" check	30
9399778484	patient aging report	a report grouping unpaid patients' bills by the length of time that they remain due, such as 30, 60, 90, or 120 days	31
9399778485	patient refunds	monies that are owed to patients	32
9399778486	patient statement	a report that shows the services provided to a patient, total payments made, total charges, adjustments, and balance due	33
9399778487	payment plan	patient's agreement to pay medical bills over time according to an established schedule	34
9399778488	prepayment plan	payment before medical services are provided	35
9399778489	retention schedule	a practice policy that governs which information from patients' medical records is to be stored, for how long it is to be retained, and the storage medium to be used	36
9399778490	skip trace	the process of locating a patient who has not paid on an outstandingbalance	37
9399778491	Telephone Consumer Protection Act of 1991	federal that regulates consumer collections to ensure fair and ethical treatment of debtors; governs calling hours and methods	38
9399778492	Truth in Lending Act	federal law requiring disclosure of finance charges and late fees for payment plans	39
9399778493	uncollectible accounts	monies that can not be collected from the practice's payers or patients and must be written off	40
9399778494	The Financial Policy	A written document that both staff members and patients can follow: -Clear, thoroughly written -Explains pt responsibility -Signed by new pts -Explained to to employees & pts	41
9399778495	Financial Polices	Addresses all possible scenarios: -Financial arrangements and payment plans -Payments not covered by insurance -Various special circumstances	42
9399778496	Patient Financial Education	-Post signs -Hand outs (brochures/flyers) -Verbal discussions	43
9399778497	Patient Statements	Notices sent to patients explaining balance due via mail or email. -Automatically generated by PMP when insurance payments are done -Charges SHOULD be clearly itemized -Co-pay, deductible, co-insurance, non-covered services, fees (returned checks, missed appointments, forms)	44
9399778498	Cycle Billing	Type of billing that divides patients w/ current balances into groups to even out monthly statement printing & mailing.	45
9399778499	Guarantor Billing	Billing system that groups patients' bills according to the responsible party.	46
9399778500	Patient Accounts Receivable	Collections (Patient A/R) Balance = Nice (Patient Satisfaction) Mean (Cash Flow)	47
9399778501	Collections Specialists	Staff members trained in proper collections techniques. May receive bonuses for reducing patient A/R numbers.	48
9399778502	Reasons for Non-Payment	-Can't -Broke -Forgot / Don't feel like it -Dissatisfied -Misunderstand their obligations	49
9399778503	Embezzlement	Stealing by employees.	50
9399778504	Avoiding Embezzlement	-Divide up the work -Bond insurance against theft	51
9399778505	Consumer Collection Laws	The FTC enforces the FDCPA of 1977 and the TCPA of 1991. -NJ State / www.njconsumeraffairs.gov	52
9399778506	Fair Trade Commission	FTC	53
9399778507	Fair Debt Collection Practices Act	FDCPA (1977)	54
9399778508	Telephone Consumer Protection Act	TCPA (1991)	55
9399778509	FTC RULES	-1 Phone call per day -Between 8am - 9pm -No threats or profanity -3 voicemails per week (do not mention debt) -Identifiy the caller, practice & purpose of the call (no misleading patient) -Do not duscuss patient's debt w/ another person -If a patient requests no more calls, do not call (Instead, contact them via mail) -If a patient wants calls to be made to attorney, do not contact the patient directly again unless the attorney says to or can not be reached. -No Mail Postcards (duh)	56
9399778510	Collection Procedures	Medical office tracks overdue bills by reviewing the patient aging report. Each practice follows a different process for collections. -Current or up-to-date: 30 days (bill patient) -Past due: 31-60 days (reminder notice, phone calls) -Past due: 61-90 days (collection letters) -Past due: More than 90 days (turn over to collections)	57
9399778511	Patient Aging Report	Primary collections tool - Lists outstanding balances by length of time due	58
9399778512	Collection Ratio	Average number of days it takes to convert outstanding accounts to paid accounts. Lower = Better	59
9399778513	Phone Call Strategies	-Document all calls -Don't be robotic sounding -Don't use a script -Make calls in private -Maintain a positive & professional attitude -Never lose your cool	60
9399778514	Payment Plans	Patient's agreement to pay medical bills according to a schedule. Practices have guidelines for appropriate time frames and minimum payment amounts for payment plans. (Prepayment or past due balances)	61
9399778515	Equal Credit Opportunity Act	ECOA	62
9399778516	ECOA	Prohibits credit discrimination on the basis of: race, color, religion, national origin, sex, marital status, age, or because a person receives public assistance.	63
9399778517	Legal Reasons to Determine Credit Worthiness	-Income Amount -Expenses -Credit History	64
9399778518	Federal Truth in Lending Act	Applies to payment plans for over 4 installments or plans w/ finance charges/interest. Requires Signed disclosure -APR (annual percentage rate) -Finance Charge (in dollar amount) -Amount Finances -Total of Payments -Payment Schedule	65
9399778519	Collection Agencies	Outside firm (external company) hired to collect overdue accounts. Should be written into the financial policy. Cease all collection activities once collection agency takes over. -Most are paid a percentage of collected amounts. -Can buy unpaid accounts. -Credit Reporting	66
9399778520	Credit Reporting	Analysis of a person's credit standing during the collections process (3 bureaus who track debts)	67
9399778521	Skip Trace	Process of locating a patient who has an outstanding balance	68
9399778522	Tracing a Debtor	-Contact the post office -Search telephone directories for relatives -Search the web at one of the free person-finding services -Examine publicly available state & federal records for contact info.	69
9399778523	Uncollectible Accounts	Money that can not be collected and must be written off. -Small Balances -Old Balances -Very Poor Patients -Write Off Balances Classified as "Bad Debt" -Means Test It is fraud to write off balances for patients who do have the ability to pay	70
9399778524	Means Test	Process of fairly determining a patient's ability to pay.	71
9399778525	Patient Dismissals	Telling the patient they can no longer come to the practice. Dismissal Reason Examples: -Non-payment -Not Following Medical Instructions -Lying -Becomes Violent	72
9399778526	Patient Dismissal Requirements	-Send a certified letter -Give 30 day notice -Provide referrals to other doctors -Be Tactful	73
9399778527	Bankruptcy	A legal declaration of a person's inability to pay their debts.	74
9399778528	Fair Credit Reporting Act	FCRA	75
9399778530	Patient billing and collections, last step in billing and reimbursement process involves:	- Generating and mailing patient statements showing patient balances owed. - Posting patients' payment' - Examining aging reports for patients' accounts & handling collections	76
9399778531	Patient Financial Responsibility - defined in the Financial Policy of the Medical practice - they address all scenarios including:	- financial arrangements & payment plans - payments not covered by insurance - various special circumstances	77
9399778532	Policies should handle:	- collection of copayments, deductibles & past-due balances - financial arrangements for unpaid balances - charity care or use of sliding scale for those w/ low incomes - payments for services not covered by insurance - prepayment for services - day-of-service discounts/ discount to those in financial need - acceptance of cash, checks, money orders & credit or debit cards - special circumstances for auto accidents & nonassigned insurance	78
9399778533	Effective patient billing includes:	educating patinets from the start of the billing & reimbursement process.	79
9399778534	Patient Information Form	often presents a statement about payment responsibility (see pg 563)	80
9399778535	Encounter to Claim amount due process	Patient Encounter visit charges (transactions) entered in patient ledger patient's balance is updated claim is filed resulting payment from patient's insurance carrier is posted, based on the RA/EOB	81
9399778536	Resulting info. from RA/EOB	1. payer's payment for each procedure is entered 2. Amount patient owes for each reported procedure is calculated 3. If any part of a charge needs to be written off d/t payer's required adjustment, this amount is also entered.	82
9399778537	PMP uses the RA/EOB information to	update the day sheet and patient ledger	83
9399778538	Day sheet	report summarizing the business day's charges and payments (recorded in the PMP)	84
9399778539	Patient Statements	printed bills that show the amount each patient owes; computer generated from day sheet and patient ledger / both of these records have screens in the Practice's PMP	85
9399778540	Patient Ledger Cards	manually generated bills that show the amount each patient owes;	86
9399778541	Patient statements must be:	accurate and easy to read... clearly stating: - general info about the practice - cost breakdown of all services provided - date of statement & due date of payment (sometimes) - balances owed - Accepted methods of payment Clear and accuracy ensure patients pay on time	87
9399778542	payment Cards	accepted from patient at time of service... patient then receives a zero balance statement	88
9399778543	Guarantor Billing	grouping patient billing under the insurance policyholder. i.e. all of the family's recent charges can be categorized and sent together on one statement. (good for families w/ minor children)	89
9399778544	Cycle billing	used to assign patient accounts to a specific time of the month and to standardize the times when statements will be mailed and payments will be due. i.e. if cycle is weekly, the patient accounts are divided into four groups / 1/4 of the bills go out each week.	90
9399778545	Advantages/ Disadvantages of Guarantor Billing	- reduces amt. of time & $ spent on billing by reducing paper & mailing costs & reducing time spent on billing follow-up for those w/ overdue bills; fewer bills to track - Can become difficult & cumbersome when family members have various health plans and / or secondary plans	91
9399778546	Collections	all the activities related to patient accounts and follow-up; they should achieve a suitable balance between maintaining patinet satisfaction & generating cash flow	92
9399778547	Billing Collectors may have these job functions:	- Billing / collections manager - patient account representative (bookkepper) - Collections specialist	93
9399778548	Billing / Collections Manager	- responsible for establishing office policies & enabling collections specialists to successfully perform their jobs. Create, implement, monitor, organize & develop, assist with, train, supervise & evaluate all that has to do with collections.	94
9399778549	Collection Specialists	staff member with training in proper collections techniques, trained to work directly with the pratice's patients to resolve overdue bills. Must always act ethically, professionally... they represent the practice.	95
9399778550	Embezzlement	stealing of funds by an employee or contractor - Dividing collections tasks among several people with helps reduce chances of employee errors or embezzlement	96
9399778551	Avoiding opportunities for fraud	dividing tasks and responsibilities among several different people	97
9399778552	Fair debt Collection practices Act (FDCPA) of 1977	laws regulating collection practices Regulated by the Federal Trade Commission	98
9399778553	Telephone Consumer Protection Act of 1991	law regulating consumer collections to ensure fair and ethical treatment of debtors Regulated by the Federal Trade Commission	99
9399778554	Collections from patients are	1. classified as consmer collections 2. regulated by federal and state laws	100
9399778555	FTC Guidelines outlined in FDCPA and Telephone Consumer Protection Act:	- contact patients 1x/day only; leave no more than 3 messages per week - do not call before 8am or after 9pm - do not threaten or use foul language - identify the caller, practice & purpose of call; don't mislead the patient - don't discuss debt with anyone but patient - no messages or emails detailing the debt owed - contact via email if patient requests calls stop - make calls to attorney if patient wishes,	101
9399778556	patient aging reports	- contains patient's name - most recent payment - remaining balance DIVIDES information into categores based on each statement's beginning date: 1. Current or up to date (36 days) 2. Past Due (31-60 days) 3. Past Due: (61-90 days) 4. Past Due (90+ days)	102
9399778557	Claims Under Appeal	denied claim that's being appealed may not convert the account to 'past-due' status until the final appeal decision has been received.	103
9399778558	Each practice sets its own procedures for collections process.	30 days.............bill patient 45 days.............call patient regarding bill 60 days.............letter 1 75 days.............letter 2 & call 80 days ............letter 3 90 days..............turn over to collections	104
9399778559	Collections Letters	professional courteous, breif & to the point; Letter is first notice that their bill is past due. Gradually become more aggressive in wording.	105
9399778560	Methods of Collections	Collections Letter (s) Collections Calls Documentation (specialists use abbreviations for common call results & situations)	106
9399778561	Credit Arrangements & Payment Plans	Two federal laws govern payment arrangements: 1. Equal Credit Opportunity Act (ECOA) 2. Truth in Lending Act	107
9399778562	Equal Credit Opportunity Act (ECOA)	prohibits credit discrimination on the basis of race, color, religion, national oirgin, sex, marital status, age, or because a person receives public assistance. (enforced by FTC)	108
9399778563	Truth in Lending Act	law requiring disclosure of finance charges and late fees for payment plans;	109
9399778564	Payment Plan	A practice may decide to extend credit to patients thu a PAYMENT PLAN that lets patients pay bills over time, rather than in a single payment.... practices may charge interest on these plans... terms must be agreed on by both parties.	110
9399778565	Truth in Lending Act as it applies to Payment Plans	all terms must be disclosed and agreed upon before arragnement is finalized. If interest charged, or 4+ payments to be made plan is governed by TRUTH in LENDING ACT... part of the consumer Credit protection Act.	111
9399778566	Credit Counseling & Debt Management programs	nonprofit organizations that can assist patients who are struggling to pay their bills or who have a great number of different bills; they contact creditors to work out payment plans at reduced costs to patients.... only 1 monthly payment made & then divided among creditors as agreed.	112
9399778567	Payment Plan Design	practices have guidelines for appropriate time frames and minimum payment amounts for payment plans.	113
9399778568	prepayment Plans	payment before major expensive procedures are performed... downpayment made & then monthly postpayments set up.	114
9399778569	Collection Agencies and PHI	agencies must agree to follow practice's security & privacy policies to protect patients' PHI. - Employees of Coll. Agencies must sign confidentiality agreements regarding PHI	115
9399778570	When to Use a Collection Agency	- All attempts to contact patient have been unsuccessful & patient hasn't responded to letters or calls - patient says they won't pay a bill - bad check for lack of funds - defaults on payment plan - outdated patient contact info./ can't be located - patient receives payment for service from insurance company & hasn't paid provider	116
9399778571	Notice of Privacy Practices (NPP)- and Collections	explains practice's policy on when accounts are sent to an outside collector.	117
9399778572	Collection Agency....	be careful choosing... they represent the Practice. Choose a fair, ethical agency. ; Cost efficient way to retrieve some/all unpaid balances to cover some of practice's fees.	118
9399778573	Types of Collection Agencies	Local, regional or national scale; Local or regional understand patient's demographic surroundings National has more tools to locate/contact debtors, often at lower cost	119
9399778574	Credit Reporting	analysis of a person's credit standing during the collections process.... supplied by credit bureau for a cost.... shows record of unpaid bills/debt regulated by law under the Fair Credit Reporting Act (FCRA) and the Fair and Accurate Credit Transaction (FACTA)	120
9399778575	Credit Bureaus	organizations that supply information about consumers' credit history	121
9399778576	Fair Credit Reporting Act (FCRA)	law requiring consumer reporting agencies to have reasonable and fair procedures	122
9399778577	Fair and Accurate credit Transaction Act (FACTA)	laws designed to protect the accuracy and privacy of credit reports. Amended FCRA in 2003.	123
9399778578	FCRA and FACTA	designed to protect privacy of credit report information.	124
9399778579	Red Flags Rule	law stating that health care entitles must estabilsh reasonable policies and procedures for implementing the identity theft guidelines.	125
9399778580	Examples of red flags	alerts or warnings from consumer reporting agencies, suspicious personal identifying information and documents (photo ID),	126
9399778581	Skip Tracing	process of locating a patient who has an outsanding balance.	127
9399778582	Methods of Skip Tracing	Tracing a Debtor (practice searches) Professional Skip Tracing Assistance (for large practices) Computerized Skip Tracing (online directories & databases- less expensive) Effective Skip Tracing Calls	128
9399778583	Bad Debt	Patient Account deemed uncollectible...	129
9399778584	Uncollectible Account / Write-off account	monies that cannot be collected and must be written off / practice must determine which debts to write off in the PMP and whether to continue to treat the patients.	130
9399778585	Means Test	process of fairly determining a patient's ability to pay... patient fills out a form and their income tax forms are reviewed, along with credit reports.	131
9399778586	Bankruptcy	declaration that a person is unable to pay his or her debts / another reason for write-off.	132
9399778587	Dismissing patients who do not pay	physician has the right to terminate the physician-patient relationship for any reason under the regulations of each state.	133
9399778588	Patient Refunds	money that needs to be returned to patients when the practice has overcharged a patient for a service;	134
9399778589	Patients' refunds or credit balances	are handled differently than insurance overpayments, which must be refunded to the payer.	135
9399778590	Retention Schedule	protects both the provider & the patient; record must be available for anyone within or outside of the practice who is caring for the patient. - kept in case of legal proceedings	136
9399778591	Practice Briefs	American Health Info. Management Assoc. publishes guidelines called practice briefs on many topics including retention of health information.	137

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MEDICAL BILLING & CODING ACRONYMS Flashcards

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13352949189	Acct.	Account	0
13352949190	A/P	ACCOUNT Payable	1
13352949191	A/R	Account Receivable	2
13352949192	AMA	American Medical Association	3
13352949193	ADJ	Adjustment	4
13352949194	ABN	Advanced Beneficiary Notice	5
13352949195	AHIMA	American Health Information Management Association	6
13352949196	AEVS	Automated Eligibility Verification System (health coverage information)	7
13352949197	AVRS	Automated Voice Response System	8
13352949198	ALOS	Average Length Of Stay	9
13352949199	AUTH	Authorization	10
13352949200	BR	Breast	11
13352949201	BC	Body Composition , Blood Cells , Birth Control	12
13352949202	BS	Blood Glucose, Bowel Sounds	13
13352949203	BC/BS	Blue Cross/Blue Shield	14
13352949204	CC	Chief Complaint	15
13352949205	C/C	Credit Card	16
13352949206	CAL-MAX	Calendar Max	17
13352949207	CERT	Claims Eligible Real Time System, Community Emergency Response Team	18
13352949208	CSP	Community Support Program , Compulsive Skin Picking	19
13352949209	CFL	Calcaneofibular Ligament	20
13352949210	CHIP	Child Health Insurance Program , Catastrophic Health Care Program	21
13352949211	CHAMPUS	Civilian Health & Medical Programs of the Uniformed Services (Now TRI-CARE)	22
13352949212	CHAMPVA	Civilian Health & Medical Program of the Veterans Administration	23
13352949213	CMS 1500	Medical claim form established by CMS to submit paper claims to Medicare and Medicaid. Most commercial insurance carriers also require paper claims be submitted on CMS-1500's. The form is distinguished by it's red ink.	24
13352949214	CO-PAY	Co-Payment	25
13352949215	CO-INS	CO-Insurance	26
13352949216	COBRA	Consolidated Omnibus Budget Reconciliation Act (of 1985)	27
13352949217	COB	Coordination of Benefits COB Coordination of Benefit	28
13352949218	COBC	Coordination of Benefits Contractor	29
13352949219	CPT	Current Procedural Terminology	30
13352949220	CCS	Community Care Setting , Cardiovascular Society , Child Care Services, Corticosteroids	31
13352949221	CPC	Certified Professional Coder	32
13352949222	Cont. Obj.	Contractual Obligation	33
13352949223	DED	Date of expected delivery	34
13352949224	DOS	Date of Service , Date of Surgery	35
13352949225	DL	Drivers License , Dose Level	36
13352949226	DRG	Diagnosis Related Groups , Diagnostic Related Group (patients with similar illness)	37
13352949227	DOI	Died Of Injuries	38
13352949228	DOB	Date of Birth	39
13352949229	DDE	Direct Data Entry	40
13352949230	DME	Durable Medical Equipment (Medical supplies such as wheelchairs, oxygen, catheter, glucose monitors, crutches, walkers, etc.)	41
13352949231	DED	Death Effect or Domain	42
13352949232	DEERS	Defense Enrollment Eligibility Reporting System (DOD, CHAMPUS)	43
13352949233	DX	Diagnosis	44
13352949234	Dr.	Doctor	45
13352949235	ECS	Extended Care Services , Electronic Certification System	46
13352949236	EDC	Estimated Date Of Confinement	47
13352949237	EFT	Electronic Funds Transfer	48
13352949238	EMC	Electronic Media Claim	49
13352949239	EMR	Electronic Medical Record System , Emergency Room	50
13352949240	ERA	Electronic Remittance Advice. This is an electronic version of an insurance EOB that provides details of insurance claim payments. These are formatted in according to the HIPAA X12N 835 standard.	51
13352949241	ERN	Electronic Remittance Notice	52
13352949242	ER	Emergency Rooms , Extended Release	53
13352949243	EMG	Electromyogram , Electromyographic	54
13352949244	E/M	Evaluation & Management	55
13352949245	EIN	Employer Identification Number	56
13352949246	ESRD	End Stage Renal Disease	57
13352949247	EOB	- Explanation of Benefits. One of the medical billing terms for the statement that comes with the insurance company payment to the provider explaining payment details, covered charges, write offs, and patient responsibilities and deductibles.	58
13352949248	EOMB	Executive Office of Management & Budget General EOMB Explanation of Medical Benefits	59
13352949249	EDI	Electronic Data Interchange	60
13352949250	EHR	Electronic Health Record EHR Embryonic Heart Rate	61
13352949251	EPO	Exclusive Provider Organization	62
13352949252	EPF	Early pregnancy factor	63
13352949253	FECA	Federal Employee Compensation Act	64
13352949254	FH	Family History	65
13352949255	FPL	Federal Poverty Level	66
13352949256	FFS	Fee for Service	67
13352949257	FI	Fiscal Intermediary- A Medicare representative who processes Medicare claims	68
13352949258	FSA	Family Services Administration , Family Support Administration	69
13352949259	GRP	Group	70
13352949260	HCFA	Health Care Financing Administration (renamed CMS effective July 1, 2001)	71
13352949261	HIM	Health Insurance Manual	72
13352949262	HPI	History of Present Illness	73
13352949263	HC	...Hardcopy Claims	74
13352949264	HCPCS	...Healthcare Common Procedure Coding System	75
13352949265	HICN	...Health Insurance Claim Number (Medicare Number)	76
13352949266	HMO	...Health Maintenance Organization. A type of health care plan that places restrictions on treatments.	77
13352949267	HIPPA	Health Insurance Portability and Accountability Act 1996. Several federal regulations intended to improve the efficiency and effectiveness of health care and establish IPA privacy and security laws for medical records.	78
13352949268	IPA	Independent Practice Association , Individual Practice Association	79
13352949269	ICD-9-CM	International Classification of Diseases 9th Edition Clinical Modification A system used to assign codes to patient diagnosis. This is a 3 to 5 digit number.	80
13352949270	ICD-10-CM	International Classification of Diseases - 10th revision - Clinical Modification Uses 3 to 7 digit. Includes additional digits to allow more available codes. The U.S. Department of Health and Human Services has set an implementation deadline of October, 2013 for ICD-10.	81
13352949271	INS	Insurance	82
13352949272	ID	Identification Number	83
13352949273	ICF	Intermediate Care Facility	84
13352949274	LMP	Last Menstrual Period	85
13352949275	LC	Low Complexity	86
13352949276	LT	Laboratory test	87
13352949277	MCR	Medicare	88
13352949278	MCD	Medicaid	89
13352949279	MCL	Median Collateral Ligament	90
13352949280	MEDI-MEDI	Eligible for both Medicare and Medicaid	91
13352949281	M/M	Major Medical , Male/Male	92
13352949282	MSA	Medical Savings Accounts , Medical Savings Account Major Service Area	93
13352949283	MN	Medical Necessity	94
13352949284	MN	Medically Needy	95
13352949285	MRN	Medical Record Number	96
13352949286	MSN	Medicare Summary Notice	97
13352949287	MSP	Medicare Secondary Payor	98
13352949288	MC	Managed Care	99
13352949289	MD	Medical Director MD Mood Disorders	100
13352949290	MDM	Medium	101
13352949291	MCR	Medicare Cost Report , Management Control Review Medical Cost Ratio	102
13352949292	NON-PAR	Non-Participating When a healthcare provider chooses not to accept Medicare-approved payment amounts as payment in full.	103
13352949293	NC	No complaints , No changes, Not Completed , Not Classified	104
13352949294	NPI	National Provider Identifier , NPI Number - National Provider Identifier. A unique 10 digit identification number required by HIPAA and assigned through the National Plan and Provider Enumeration System (NPPES). NO PRESENT ILLNESS	105
13352949295	NCICS	National Certified Insurance & Coding Specialist	106
13352949296	NCCT	National Center for Competency Testing	107
13352949297	NP	New Patient	108
13352949298	NEC	No essential changes, Not elsewhere classifiable	109
13352949299	NOS	Not Otherwise Specified. Used in ICD for unspecified diagnosis.	110
13352949300	NUBC	National Uniform Billing Committee (AHA)	111
13352949301	NUCC	National Uniform Claim Committee (AMA)	112
13352949302	NC	Not Classified Not Completed No changes No complaints	113
13352949303	NOC	Not Otherwise Classified NOC Nocturnal NOC Nursing Outcome Classification	114
13352949304	NF	Nursing Facility NF Necrosis Factor NF Newly formed	115
13352949305	O/V	Office Visit	116
13352949306	OCR	Open Care Records, Outstanding Claims Reserve, Own Credit Risk, Optical Character Recognition	117
13352949307	OPPS	Outpatient Prospective Payment System	118
13352949308	OR	Operation Room	119
13352949309	OSHA	Occupational Safety and Health Administration	120
13352949310	PAR	Participating Provider, Patient Account Representative, Pain Relief	121
13352949311	Pt	Patient	122
13352949312	PT	Physical therapist	123
13352949313	PRO	Patient Reported Outcome , Peer Review Organization (renamed to QIO)	124
13352949314	POS	Point-of-Service plan. Medical billing terminology for a flexible type of HMO (Health Maintenance Organization) plan where patients have the freedom to use (or self-refer to) non-HMO network providers. When a non-HMO specialist is seen without referral from the Primary Care Physician (self-referral), they have to pay a higher deductible and a percentage of the coinsurance.	125
13352949315	POS	(Used on Claims) - Place of Service. Medical billing terminology used on medical insurance claims - such as the CMS 1500 block 24B. A two digit code which defines where the procedure was performed. For example 11 is for the doctors office, 12 is for home, 21 is for inpatient hospital, etc.	126
13352949316	POS	Provider Organizations	127
13352949317	POS	Posterior	128
13352949318	Pre-Cert	Pre-Certification - Sometimes required by the patients insurance company to determine medical necessity for the services proposed or rendered. This doesn't guarantee the benefits will be paid.	129
13352949319	PRE-AUTH	Pre-Authorization certain services and items must be prior authorized	130
13352949320	PRE-EX	A pre-existing condition is a medical condition that started before a person's health insurance went into effect. Before 2014 some insurance policies would not cover expenses due to pre-existing conditions.	131
13352949321	PPO	Preferred Provider Organization. Commercial insurance plan where the patient can use any doctor or hospital within the network. Similar to an HMO.	132
13352949322	PCP	Primary Care Physician (or Provider)	133
13352949323	PPS	Prospective Payment System (Medicare Part A)	134
13352949324	Phys	Physical (body)	135
13352949325	Prov.	Provider	136
13352949326	PF	Pulmonary Fibrosis	137
13352949327	PD	Physical Database , Personality Disorders	138
13352949328	PH	Partial Hospitalization	139
13352949329	PH	Physical Health	140
13352949330	PH	Pulmonary Arterial Hypertension	141
13352949331	PE	Practice Expense, Physical Examination, Premature Ejaculation	142
13352949332	PX	Physical Examination, prescription, prognosis, physical history	143
13352949333	PA	Physical Activity Physician Assistants Panic Attacks	144
13352949334	PC	Personal Care	145
13352949335	PHI	Private Health Insurance Personal Health Information Premium Hospital Insurance Protected Health Information	146
13352949336	QMBs	Qualified Medicare Beneficiaries	147
13352949337	RA	Risk Assessment , Rheumatoid Arthritis	148
13352949338	RBRVS	Resource-based relative value scale Managed Care A 'work unit' used to determine the value of various physicians' labor. See Medicare, Physician reimbursement.	149
13352949339	RVS	Relative Value Scale (or Schedule)	150
13352949340	RVS	Relative Value Study	151
13352949341	RVU	Relative Value Unit	152
13352949342	ROS	Review of Systems	153
13352949343	RHIA	Registered Health Information Administrator	154
13352949344	REP	Representative, Rab Escort Protein, Reperfusion	155
13352949345	RT	Right, Recovery Time, Respiratory Therapy, Reverse transcribed, Radiation therapy	156
13352949346	RVS	Reverse, Rhus verniciflua Stokes	157
13352949347	SF	Short Form Sugar-Free	158
13352949348	SDI	State Disability Insurance Survey Diagnostic Instrument	159
13352949349	SNF	Skilled Nursing Facility	160
13352949350	SOC	Start of Care, Standard of Care	161
13352949351	SSN	Social Security Number	162
13352949352	SSDI	Social Security Disability Insurance	163
13352949353	SSI	Supplemental Security Income	164
13352949354	SOF	Signature on File , Synthetic Oviduct Fluid, Study of Osteoporotic Fractures	165
13352949355	TC	To Contain Tobacco Control	166
13352949356	TIN	Tax Identification Number	167
13352949357	TIN	Tax Identification Number. Also known as Employer Identification Number	168
13352949358	EIN	TIN Three times a night	169
13352949359	TD	to Deliver	170
13352949360	TPP	Third Party Processors	171
13352949361	TANF	Temporary Assistance for Needy Families	172
13352949362	TPL	Third Party Liability	173
13352949363	TFL	TRICARE for Life (health care system for retired military)	174
13352949364	UB-04	The UB-04 is the red-ink on white paper standard claim form used by institutional providers for claim billing. Although it was developed by The Centers for Medicare and Medicaid (CMS), it has become the standard form used by all insurance carriers.	175
13352949365	UCR	Usual, Customary & Reasonable (Charges)	176
13352949366	UA	Urinalysis , Urine Analysis	177
13352949367	UR	Upon Receipt , Urinary retention , Urine , Upper Respiratory, Under	178
13352949368	W/O	Write Off ,Week of, Without	179
13352949369	WC	Workers Compensation	180
13352949370	WP	Work Place	181
13352949371	Clavicle	collarbone	182
13352949372	Scapula	shoulder bone/shoulder blade	183
13352949373	Humerus	upper arm bone	184
13352949374	Ulna	forearm bone little finger side	185
13352949375	Radius	forearm bone in line with the thumb	186
13352949376	Carpals	wrist bones 2 rows of four	187
13352949377	Metacarpals	five bones of the palm of the hand	188
13352949378	Phalanges	five finger bones	189
13352949379	Pelvic Girdle	pelvis	190
13352949380	Femur	only bone in the thigh	191
13352949381	Patella	kneecap	192
13352949382	Tibia	shinbone second largest bone in the body	193
13352949383	Fibula	calf bone	194
13352949384	Tarsals	in feet / ankle bones / 7 in each foot / hind foot bones	195
13352949385	Metatarsals	5 long bones in foot / mid foot bones	196
13352949386	Phalanges of the toes	bones of the toes	197
13352949387			198

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sound-Beyer Flashcards

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16311654880	REFLECTION	Energy waves bouncing off surface of an object (mirrors or echoes return energy back to their source)	0
16311654881	ECHO	Reflected sound wave	1
16311654882	LOUDNESS	Characteristic of sound produced by amplitude (intensity) of sound wave.	2
16311654883	PITCH	Perceived highness and lowness of a sound, depending on frequency of the waves	3
16311654884	FREQUENCY	Number of vibrations occurring in a 1 second interval	4
16311654885	COMPRESSION	Part of a longitudinal wave where the particles of the medium are close together	5
16311654886	RAREFACTION	Part in a longitudinal wave where particles are spread apart	6
16311654887	INTERFERENCE	When two waves meet while traveling along same medium	7
16311654888	DIFFRACTION	Occurs when an object causes a wave to change direction and bends around it	8
16311654889	SPEED OF SOUND	depends on state of matter and temperature of medium	9
16311654890	AMPLITUDE	Loudness, for a wave, measures energy in a wave	10
16311654891	LONGITUDINAL (Compressional) WAVE	Wave that causes particles of medium to vibrate parallel to direction the wave travels	11
16311654892	VIBRATION	Repeated back and forth or up and down motion.	12
16311654893	HERTZ	unit of frequency	13
16311654894	MEDIUM	Substance through which a wave can travel (Railroad workers put their ear to track to listen for oncoming trains)	14
16311654896	High pitch	High frequency	15
16311654897	Low Pitch	Low frequency	16
16311654898	Increase in frequency	Caused by decrease in wavelength	17
16311654899	Doppler Effect	A change in sound frequency caused by motion of the sound source, motion of the listener, or both.	18
16311654900	sound	A disturbance that travels through a medium as a longitudinal wave; caused by vibrations	19
16311654901	mechanical wave	a wave that requires a medium through which to travel	20

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Electromagnetic Spectrum-Beyer Flashcards

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16311663455	Electromagnetic Spectrum	the range of all electromagnetic frequencies, including radio waves, microwaves, infrared waves, visible light, ultraviolet light, x-rays and gamma rays	0
16311663456	visible light	the part of the electromagnetic spectrum that consists of waves detectable by the human eye	1
16311663457	electromagnetic wave	A fancy word for light. It does not require a medium to travel	2
16311663458	radio waves	the part of the electromagnetic spectrum that consists of waves with the lowest frequencies and energy. Longest wavelength	3
16311663459	microwaves	part of the electromagnetic spectrum that consists of waves with higher frequencies than radio waves, but lower than infrared waves	4
16311663460	ultraviolet	part of the electromagnetic spectrum that consists of waves with frequencies higher than those of visible light and lower than those of x-rays	5
16311663461	infrared	part of the electromagnetic spectrum that consists of waves with frequencies between those of microwaves and visible light	6
16311663462	x-rays	part of the electromagnetic spectrum that consists of waves with high frequencies an high energies	7
16311663463	gamma rays	part of the electromagnetic spectrum that consists of waves with the highest frequencies and energy. Shortest wavelength.	8
16311663464	gamma rays use	Kill cancer cells, sterilize medical equipment	9
16311663465	x-rays use	Detect broken bones, airport luggage security, view inside pipes and engines	10
16311663466	ultraviolet use	Purify drinking water, DNA analysis, detective work	11
16311663467	visible light use	Allows us to see things	12
16311663468	infrared use	Detect heat signatures for motion detectors, security, night vision. Also keep food warm.	13
16311663469	microwaves use	heat food, radar guns, map the earth, satellite communication	14
16311663470	radio waves use	communication (radio, TV, cellphones, satellite) MRI technology	15

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Physics Final: Conceptual Questions Flashcards

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16311754921	A dog is standing in the bed of a pickup truck. The bed is coated with ice, causing the force of friction between the dog and the truck to be zero. The truck is initially at rest, and then accelerates to the right, moving along a flat road. As seen from a stationary observer (watching the truck move to the right), the dog	Does not move left or right, but the back of the truck moves toward the dog.	0
16311762094	A puck attached to a string undergoes circular motion on an air table. If the string breaks at the point indicated in the figure, is the subsequent motion of the puck best described by path A, B, C, or D?	B	1
16311795335	During the snow storm, you saw a girl standing still holding her sled, which was initially at rest. She then accelerated forward, pulling her sled along with her until she and the sled reached a constant speed. Which of the following statements about the magnitude of the forces between the sled and the girl are true during this process?	The girl's pull on the sled was always equal to the sled's pull on the girl.	2
16311807946	Assuming the positive direction points North, which of these situations results in a positive velocity and a negative acceleration?	A plane flying North and slowing down.	3
16311819563	A ball is thrown and follows the parabolic path shown. Point Q is the highest point on the path and points P and R are the same height above the ground. How do the magnitudes of the velocity of the ball at the three points compare? Air resistance is negligible.	│vQ │ < │vP │= │vR │	4
16311825635	A ball is thrown and follows the parabolic path shown. Point Q is the highest point on the path and points P and R are the same height above the ground. How do the magnitudes of the acceleration of the ball at the three points compare? Air resistance is negligible.	│aP │ = │aQ │= │aR │	5
16311841565	The figure depicts the trajectory of a cannonball undergoing projectile motion as it is shot from the top of a hill. If air resistance can be neglected, which of the following is false? The x-component of the velocity is constant throughout the motion. The y-component of the velocity is zero at the top of the trajectory. The speed of the cannonball reaches its maximum value at the time of its launch. The speed of the cannonball reaches its maximum value just before it lands. The acceleration of the cannonball is constant throughout its motion. All of the above statements are true. Two or more of the statements a) - e) are false	The speed of the cannonball reaches its maximum value at the time of its launch.	6
16311882868	Jan and Len throw identical rocks off a tall building at the same time. The ground near the building is flat. Jan throws her rock straight downward. Len throws his rock downward and outward such that the angle between the initial velocity of the rock and the horizon is 30°. Len throws the rock with a speed twice that of Jan's rock. If air resistance is negligible, which rock hits the ground first?	They hit at the same time.	7
16311896555	A pilot drops a package from a plane flying horizontally at a constant speed. Neglecting air resistance, when the package hits the ground the horizontal location of the plane will	be over the package.	8
16311926675	You are standing on a skateboard, initially at rest. A friend throws a very heavy ball towards you. You can either catch the object or deflect the object back towards your friend. What should you do in order to MINIMIZE your speed on the skateboard?	catch the ball	9
16311936252	You slam on the brakes of your car in a panic, and skid a certain distance on a straight, level road. If you had been traveling twice as fast, what distance would the car have skidded, under identical conditions?	It would have skidded 4 times farther.	10
16311959561	An insurance company is testing air bag safety. Car A has front air bags and Car B does not. In both cases, the cars are driven into a brick wall with the same momentum. In Car A, the dummy survives, but in Car B, the dummy does not. In terms of impulse and force, please explain this result.	The dummy in Car B experienced the same impulse but a greater force than in Car A.	11
16311971817	In a collision between two objects having unequal masses, how does the magnitude of the impulse imparted to the lighter object by the heavier one compare with the magnitude of the impulse imparted to the heavier object by the lighter one?	both objects receive the same impulse	12
16311986324	Three identical rocks are thrown from the top of a building. Rock #1 is thrown horizontally with a speed of 12 m/s. Rock #2 is thrown straight upward with a speed of 12 m/s. Rock #3 is thrown straight downward with a speed of 12 m/s. There is no air resistance and none of the rocks come into contact with anything before they hit the ground at the base of the building. Compare the rocks' speeds just before they strike the ground at the base of the building by ranking them from fastest to slowest.	all three rocks have the same final speed	13
16312003012	You stand at the top of a cliff and lower a first aid kit (attached to a rope) down the cliff to an injured hiker at a constant speed. What can you say about the work done by the rope and the work done by gravity on the kit as it is lowered?	The work done by the rope is negative and the work done by gravity is positive.	14

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Interactions of waves-Beyer Flashcards

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16311675264	reflection	The bouncing back of a wave when it hits a surface through which it cannot pass.	0
16311675265	refraction	bending of a wave due to its change in speed	1
16311675266	diffraction	Occurs when an object causes a wave to change direction and bend around it	2
16311675267	interference	The interaction between waves that meet.	3
16311675268	constructive interference	The interference that occurs when two waves combine to make a wave with a larger amplitude	4
16311675269	destructive interference	Addition of two waves when the crest of one overlaps the trough of another, so that their individual effects cancel each other. The result is a wave of decreased amplitude.	5
16311675270	standing wave	a wave that appears to stand in one place, even though it is really two waves interfering as they pass through each other	6

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Waves Flashcards

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16311683546	A Wave	is a disturbance that transfers energy from place to place	0
16311683547	Vibration	A repeated back and forth or up and down motion.	1
16311683548	Medium	The material through which a wave travels is called a Gases (air), liquids, solids	2
16311683549	Mechanical Waves	Waves that REQUIRE a MEDIUM to transfer energy.	3
16311683550	Electromagnetic waves	Waves that can travel and transfer energy WITHOUT a medium.	4
16311683551	Perpendicular	2 lines that cross at a right angle (90 degrees)	5
16311683552	Transverse Waves	Waves that move the medium at right angles (perpendicular) to the direction in which the waves travel	6
16311683553	Crest	The high part of a transverse wave	7
16311683554	Trough	The low part of a transverse wave is called a	8
16311683555	Longitudinal waves	Waves move the medium parallel to the direction in which the waves travel.	9
16311683556	Parallel	2 lines that will never cross.	10
16311683557	Compression	Area of longitudinal wave where the coils are close together	11
16311683558	Rarefaction	Area of longitudinal wave where the coils are spread out, or rarefied	12
16311683559	Amplitude	the maximum distance the particles of the medium carrying a wave move away from their rest position.	13
16311683560	Wavelength	the distance between two corresponding parts of a wave.	14
16311683561	Frequency	the number of complete waves that pass a given point in a certain amount of time.	15
16311683562	Speed	how far the wave travels in one unit of time.	16
16311683563	Amplitude (Measure)	Measure rest to crest OR rest to trough	17
16311683564	Wavelength (Measure)	Measure starting point to starting point, crest to crest, OR trough to trough.	18
16311683565	Frequency (Measure)	Count number of waves and divide it by seconds.	19
16311683566	Wave Speed (Measure)	Frequency x wavelength units: cm/sec or mm/sec	20
16311683567	Sound	a longitudinal wave	21