Term
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Definition
| type of soft tissue injury that is often referred to as a scrape or the rubbing away of the skin |
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Term
| Evaluation and Management (E&M) codes |
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Definition
| involve 5 components and 2 contributory components. The major components are examination, problem severity, and medical decision making. The contributory components are the coordination of care and time. |
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Definition
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| toxemia of pregnancy, with high BP, albuminuria, oliguria, seizures, and sometimes coma. |
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Term
| Diagnostic related groups (DRG’s) |
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Definition
| Are groups that determine hospital payment by comparing patients with medically related diagnosis or treatments. |
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Term
| Six Rights of Drug Administration |
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Definition
Right Dose
Right Drug
Right Route
Right Time
Right Patient
Right Documentation |
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Term
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Definition
| one cubic centimeter (cc) |
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Definition
| small, sterile, prefilled glass container that holds a hypodermic solution. It contains a unit dose of medication. (1 dose) (Gardicil) |
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Definition
| Small, sterile prefilled glass bottle containing a hypodermic solution. It usually contains multiple dose medication. (Flu Shots) |
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Term
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Definition
| The injection of a liquid substance into the body via a route other than the alimentary canal (digestive tract). |
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Definition
given at a 90 degree angle.
Given in the gluteal area or the deltoid muscle or in the vastus lateralis. |
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Term
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Definition
| Given at an 45 degree angle. Chicken Pox (Varicella) is given SC. Can be given on the underside of the upper arm,rectus abdominis (insulin can be given here) and other areas. |
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Term
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Definition
| Given at a 10-15 degree angle, within the epidermal layer. Given in the inner forearm and the middle of the back. TB tests are given ID. |
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Term
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Definition
| Kidney, ureter and bladder |
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Term
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Definition
| Copper, Fluoride, Iodine, and Iron are essential trace elements |
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Term
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Definition
| the thing speaks for itself |
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Term
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Definition
| laws dealing with accidental/intentional harm to a person/property resulting from the wrong doing of others. (division of civil law) |
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Term
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Definition
| laws dealing with requirements and standards of government agencies. |
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Term
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Definition
| payment made to a provider based on a fixed amount per enrollee assigned to that provider regardless of services provided. |
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Term
| The liver makes four substances important for body functioning: |
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Definition
| bile, fibrinogen, prothrombin, heparin, and blood proteins |
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Term
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Definition
| caused by insufficient blood volume in the circulatory system. |
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Term
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Definition
| also known as hunchback, as excessive curvature in the thoracic portion of the vertebral column. |
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Term
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Definition
| abnormal later curvature of the spine and often times will appear to have an "S" or "C" shape. |
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Term
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Definition
| Largest lymphatic organ. Located in the upper left hypochondriac region of the abdomen under the diaphragm. Cleans blood, destroys old RBC's produces RBC's before birth, and reserves blood for emergencies. |
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Term
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Definition
| Produced by the body's own production of anitbodies |
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Term
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Definition
| Type of Long Term Immunity. Acquired from exposure to disease causing organisms. |
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Term
| Artificial Active Immunity |
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Definition
| Type of Long Term Immunity. Acquired from immunization with killed or attenuated organisms, toxins or recombinant DNA |
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Term
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Definition
| produced by introducing antibodies manufactured outside the body. |
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Term
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Definition
| acquired from maternal antibodies while in the uterus or breast-feeding |
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Term
| Artificial Passive Immunity |
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Definition
| acquired from immunization with antibodies or globulins of disease causing organisms. |
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Term
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Definition
| substance (bacteria/viruses, bacterial/viral toxins, foreign blood cells) that causes the formation of antibodies. {An intruder} |
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Term
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Definition
| substance produced in the body in response to the presence of an antigen; antibodies enhance activities of leukocytes and produce globulins protecting the body against further assault from the specific antigen. |
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Term
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Definition
| the study of characteristics of natural drugs and their sources |
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Term
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Definition
| What the body does to a drug |
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Term
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Definition
| the process of converting a drug from its dose form, such as a tablet or capsule, into a form the body can use |
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Term
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Definition
| Process of transporting a drug from its administration site to the site of action. |
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Term
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Definition
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Term
| •active artificially acquired immunity |
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Definition
| Immunity gained following a vaccination is active artificially acquired immunity |
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Term
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Definition
| Advanced Beneficiary Notice -formal notification to the patient that certain services may not be covered by their insurance. (ex shots) |
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Term
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Definition
| Advanced Beneficiary Notice -formal notification to the patient that certain services may not be covered by their insurance. (ex shots) |
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Term
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Definition
| Diagnostic-Related groups - classification of diagnoses used to determine hospital payments for Medicare payments. |
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Term
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Definition
| chronic malignant lymphomas with enlarged spleen; treated by chemotherapy and radiation; generally seen in young men |
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Term
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Definition
| Widespread malignant disease in lymph tissues; responds poorly to therapy; generally seen in older adults |
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Term
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Definition
| Clients words, clear, concise, complete, Chronological order, Confidential |
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Term
| SOMR - Source oriented Medical Record |
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Definition
| Source Oriented Medical Record - this file is divided into sections by guides, such as a section for progress notes or diagnostic reports; may be used in conjunction with other charting methods. |
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Term
| POMR - Problem Oriented Medical Record |
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Definition
| Problem Oriented Medical Record - the patient's problems are numbered and listed on a problem list that is placed at the front of the chart. Usually contains the following: Database, Treatment Plan, and Progress Notes |
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Term
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Definition
| S= Subjective O= Objective A= Assessment P= Plan |
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Term
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Definition
| covers hospital inpatient costs, hospice,limited nursing facility stays, and home heatlh |
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Term
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Definition
| Optional benefit; requires premiums, deductibles and coinsurance; covers physician costs, outpatient services, durable medical equipment, and medical supplies |
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Term
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Definition
| Formerly called Medicare + Choice, now referred to as medicare Advantage; requires participants to be covered under both Medicare Part A and Medicare Part B; allows participant to choose a Medicare Advantage Plan, which is HMO type coverage |
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Term
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Definition
| optional benefit; covers approved pharmaceuticals |
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Term
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Definition
| Resource-based relative value system or scale (RBRVS) - method used to establish physician fees for specific medical services by assigning worth the a relative value unit (RVU) |
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Term
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Definition
| Relative Value Unit - the component that is multiplied by a factor to determine the relative value ($) |
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Term
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Definition
| Relative Value Studies - relative values listed by health care procedure codes; allow comparison of reimbursement for different codes. |
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Term
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Definition
| universal health care insurance form. |
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Term
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Definition
| ICD-9 codes identifying health care visits for reasons other than illness. |
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Term
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Definition
| supplemental ICD-9 codes that are used to code external injuries rather than diseases. |
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Term
| The ICD-9-CM consists of three volumes |
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Definition
Volume 1: Contains diagnosis codes. Contains a Tabular Listing
Volume 2: Contains diagnosis codes. Is an Index to Diseases.
Volume 3: Procedure codes. Tabular List of Diseases. |
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Term
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Definition
| Condition characterized by weak bones.The disease usually is seen in infancy and childhood. Bones do not form properly because they are soft and pliable. Deformities may include bowlegs and knock-knees. Proper amounts of Vitamin D can prevent this disease. |
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Term
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Definition
| Also known as Ascorbic Acid. Water Soluble Vitamin. Prevents Scurvy. |
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Term
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Definition
| Vitamins A, D, E, K; Stored in the Body |
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Term
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Definition
| Vitamins B and C. Need to be replaced regularly. |
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Term
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Definition
| Found Solid at room temperature, increases cholesterol levels in blood. |
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Term
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Definition
| Usually liquid at room temperature; helpful in decreasing blood cholesterol. |
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Term
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Definition
| process of taking nutrients into the body. |
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Term
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Definition
| Process of breaking down nutrients for absorption into the bloodstream. |
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Term
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Definition
| Synthesizing of nutrients from the bloodstream,producing energy. |
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Term
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Definition
| Used to treat RBC deficiencies such as pernicious anemia. Promotes production of RBC's. Found in organ meats and diary products. |
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Term
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Definition
| Deep heat therapy using a mechanical energy source |
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Term
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Definition
| Dry heat. Heat produced by wavelengths in various lamp-like structures |
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Term
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Definition
| Cold to prevent swelling and to reduce pain by casing blood vessels to constrict (vasoconstriction) |
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Term
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Definition
| 5.0 - 8.0 One the pH scale 7.0 represents a neutral reading. Readings lower than 7.0 are acidic and higher than a 7.0 are basic. The normal range or urine is from slightly acidic to slightly basic. |
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Term
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Definition
| 5.0 - 8.0 One the pH scale 7.0 represents a neutral reading. Readings lower than 7.0 are acidic and higher than a 7.0 are basic. The normal range or urine is from slightly acidic to slightly basic. |
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Term
| Specific Gravity Range for Urine |
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Definition
| The normal specific gravity is 1.005 - 1.030 |
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Term
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Definition
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Term
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Definition
| Yellow (blood cultures), light blue, Red/ tiger tube, green, lavender, gray |
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Term
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Definition
| identifies gram positive bacteria |
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Term
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Definition
| identifies gram negative bacteria |
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Term
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Definition
| certain bacteria are not susceptible to color staining; these bacteria are called acid-fast |
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Term
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Definition
| disease received from the place that medical care was received. |
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Term
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Definition
| Pupils equal, round, reactive to light and accommodation |
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Term
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Definition
| Damages, direct cause, duty and dereliction |
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Term
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Definition
| Severe hyperglycemia; TOO MUCH SUGAR and TOO LITTLE INSULIN in the blood and body cells don't get enough nourishment. S&S: Fruity smelling breath, thirst, dehydration, drowsiness, confusion, deep and fast breathing, change in LOC. |
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Term
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Definition
| TOO MUCH INSULIN in the body; rapidly reduces level of sugar in the blood and brain cells suffer. Give them something sugary ASAP!!! S&S: fast breathing, fast pulse, dizziness, weakness, change in LOC, vision difficulties, sweating, headache, numb hands/feet, and hunger. |
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Term
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Definition
| RBC's; mature erythrocytes do NOT have a nucleus. |
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Term
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Definition
| failure to act when there was a duty to act, resulting in or causing harm |
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Term
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Definition
| performing an improper act causing harm |
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Term
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Definition
| improper performance of an act causing harm. |
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Term
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Definition
| payment made to a provider based on a fixed amount per enrollee assigned to that provider regardless of services provided. |
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Term
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Definition
| Money that is owed to the practice for services rendered. |
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Term
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Definition
| Largest lymphatic organ; located in the ULQ, filled with blood, macrophages and lymphocytes. |
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Term
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Definition
| Unnecessary or excessive referrals of patients to other providers and then back to the PCP |
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Term
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Definition
| the scheduling of a patient for unnecessary follow up procedures |
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Term
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Definition
| fraudulent practice of billing for services or supplies not provided. |
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Term
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Definition
| used to identify the external causes of injuries and poisonings. These codes would be used in the case of coding for a transportation accident, falls or fires. |
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Term
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Definition
| an ICD-9 code used to identify health care visits for any other reason than illness. |
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Term
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Definition
| contracts the opposing muscles without the mu[image]scles shortening |
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Term
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Definition
performed with counter pressure applied to increase the effectiveness and to determine improvement. Also called strength training, increases muscle strength and mass.
[image] |
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Term
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Definition
| Defense mechanism that redirects unacceptable behaviors or thought to positive ones. Ex turning a generally high degree of aggression into professional football |
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Term
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Definition
| is a defense mechanism that involves taking our own unacceptable qualities or feelings and ascribing them to other people. For example, if you have a strong dislike for someone, you might instead believe that he or she does not like you. |
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