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Exam (elaborations)

AMCA MAA BILLING & CODING

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Co-Payment - answer-Some contract insurance plans require a "fixed amount" be paid for the office visits. This amount is usually collected at the time of the visit. Term Deductible - answer-Amount of money that the insured must incur before the policy begins to pay. Network - answer-When mult...

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  • October 28, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AMCA MAA BILLING & CODING
  • AMCA MAA BILLING & CODING
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AMCA MAA BILLING & CODING
Co-Payment - answer-Some contract insurance plans require a "fixed amount" be
paid for the office visits. This amount is usually collected at the time of the visit.

Term Deductible - answer-Amount of money that the insured must incur before the
policy begins to pay.

Network - answer-When multiple computers are linked together and share
information

Informed Consent - answer-Giving the patient adequate information concerning the
method, risk and consequences prior to a procedure

Assignment of Benefits - answer-A statement authoring the insurance company to
pay benefits to the physician

Chief Complaint - answer-The symptoms a patient is currently seen for

STAT - answer-If the doctor wants test done immediately, the test is said to be
ordered on a "___" basis

Patient's Bill of Rights - answer-Health policies concerning the patient's
constitutional right to privacy, confidentiality, and informed consent

Physician ends relationship with a patient - answer-Thorough documentation, in
writing to the patient, the reason for withdrawing from the case and offer specified
number of days to seek a new physician

Appendix E - answer-List of Three Digit Categories in the ICD-9

NEC - answer-Indicates the use of a code assignment for "other" when a more
specific code does not exist

Malignant - answer-Used to describe a cancerous tumor that grows worse over time.

In Situ - answer-Malignancy that is located within the original site of development

CHAMPVA - answer-Veterans with service related to disabilities are eligible for care
under this program

Dependents - answer-Family members, such as spouse or children, who are covered
under the member's insurance policy

Electronic Medical Records or E M R - answer-Computerized records of one
physician's encounter with a patient over time.

Electronic Health Record or E H R - answer-Reflects the data from all sources that
have treated the individual.

, Personal Health Record or P H R - answer-Maintained and owned by the patient.
Patient makes the decision to share contents with the Physician

Acute Care - answer-Most often refers to hospitals, treats patients with urgent
problems that cannot be handled.

Ambulatory Care - answer-Refers to treatment without admission to hospital.

Clinical Templates - answer-Allows doctors to document patient encounters into an
E H R on a structured form.

R A D T - answer-Refers to Registration, Admissions, Discharge and Transfer

Unique Patient Identifier or U P I - answer-links all clinical observations, tests,
procedures, complaints, evaluations, and diagnoses to the patient.

Clinical Vocabularies - answer-Set of common definitions for medical terms that
ease communication by decreasing uncertainty.

SNO MED C T - answer-Clinical vocabulary designed to encompass all terms used in
medicine

LO INC - answer-Terms and codes used for electronic exchange of lab results and
clinical observations.

U M L S - answer-Thesaurus database of medical terms

Fixed Appointment Scheduling - answer-One patient is scheduled for a specific
appointment time.

Cluster Scheduling - answer-To schedule a group of patients around the same block
time who are coming in to receive the same type of service

Double Booking - answer-When two patients are scheduled to see the same
physician at once.

Wave Scheduling Method - answer-To accommodate a large amount of patients.
Patients are scheduled the first half of each hour and are seen in the order in which
they arrive.

Alphabetical Filing System - answer-Filed according to patient's last name

Cross Referencing - answer-Blank file for each last name for patient's with a
hyphened last name directing them to the patient's actual file.

Numeric Filing System - answer-Information regarding each patient is stored using a
number instead of the patient's last name. A method which helps to mask the
patient's identity.

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