Term
| Americans with Disabilities Act (ADA) |
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Definition
| Federal act that provides equal accessability to services by disabled persons |
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| goods that are durable and are expected to last a few years; often expensive |
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| expendable or consumable supplies that are used and then discarded |
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| Health Insurance Portability and Accountability Act (HIPAA) |
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Definition
| Federal act of 1996 that mandates patient rights in health care and provides guidelines for maintaining confidentiality of patient information by health care providers and insurance carriers |
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Definition
| manual that explains the policies used in the day-to-day operations of the medical office and provides general information that affects all employees |
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| medical report that provides details about the details about the cause of a person's illness and death through both internal and external examination findings |
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| special mail-handling method used to prove an item was mailed and recieved |
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| patient who has receved professional services from the physician or the medical office in the past 3 years |
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| medical report that provides a comprehensive review of a patient's hospital stay |
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| history and physical (H&P) report |
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Definition
| medical report that consists of a patient's subjective (medical history) and objective (physical examination) data |
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| patient who has not recieved professional services from the physician or the medical office in the past 3 years |
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| written findings of a patients condition |
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| medical report that describes the findings and interpretations of a radiologist |
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| special mail-handling method used when the contents have a declared monetary value |
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Definition
| appointment acheduling technique that divides an hour block into average appointment time slots |
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| process of documenting events and services concerning a patient's care |
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| process of underlining a key word to indicate how a document should be filed |
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| filing system that requires knowing only the patient's name to initiate or locate the file |
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| files of patients who have not been seen within a certain time span set by the medical practice (e.g, 3 years) |
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| concrete and factual; can be seen or measured |
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| action created to solve a problem, as in a patient treatment plan |
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| data concerning a patient's medical care and its results |
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| health care facility (e.g, medical office) or the personnel (e.g, physician, medical assistant) rendering medical treatment to a patient |
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Definition
| type of chart format that divides each patient problem into Subjective data, Objective data, Assessment, and Plan for treatment |
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| information supplied by the patient that cannot be proven |
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| reminder aid that organizes events by date |
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| record of patient transactions showing an amount due |
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| report on the financial condition of a business on a certain date |
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| document that lists all the banking activities for a set period |
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| fixed percentage of a medical cost that is paid by the patient |
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| fixed fee that is paid by the patient at each office visit |
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Definition
| journal for recording the day's activities |
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| person for whom another person is financially responsible |
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| money placed in an account of a financial institution |
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| listing all cash and checks to be deposited to a certain account of a business's financial institution |
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| Employee's Withholding Allowance Certificate (Form W-4) |
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Definition
| form that each new employee fills out to declare exemption from tax withholding for earnings |
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Definition
| to sign or place (e.g, a stamp) a signature on the back of a check that transfers the rights of ownership of funds to a financial institution |
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| amount of money earned that is not taxable |
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| legislation providing the standards for payment of hourly and salaried employees |
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Term
| Federal Employees' Compensation Act |
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Definition
| legislation that covers federal government workers for work-related injuries |
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Term
| Federal Insurance Contributions Act (FICA) |
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Definition
| legislation that provides funds to support retirement benefits, dependents of retired workers, ad disability benefits |
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Term
| Federal Truth in Lending Act |
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Definition
| legislation rewuiring a disclosure statement that informs a patient of a procedure's total cost, including finance charges; required when the patient will make more than four payments |
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| Federal Unemployment Tax Act (FUTA) |
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Definition
| legislation that requires employers to pay tax based on employee's earnings to cover benefits if the employee becomes unemployed |
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Definition
| listing of a physician's charges for services |
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Term
| non-sufficient funds (NSF) |
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Definition
| indication that the payer did not have sufficient funds in the bank to cover the amount of a check written |
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Definition
| amount of cash kept on hand to be used for making payments for incidental supplies |
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| check signed over to another party, who is not the original payee |
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| financial activity of a business |
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Definition
| paper showing the date, amount of transaction, what was purchased, and who purchased the item |
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Definition
| money paid for work done by an employee and calculated by multiplying the hourly wage rate times the number of hours worked |
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| system that provides insurance to the employer for a worker injured on the job |
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Definition
| amount of money not able to be collected |
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| occuring now; of short-term duration |
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| statement in the patient's own words that describes the reason for the office visit; should be documented in the patient's own words |
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| occuring over the long term or recurring frequently |
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Definition
| deternmination of a nature of a disease based on signs, symptoms, and laboratory findings |
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Definition
| ICD-9-CM supplementary codes for external causes of injury and poisoning |
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Definition
| information about past events |
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| history of present illness (HPI) |
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Definition
| chronological description of the patient's present illness from the first sign or symptom to the present |
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| person who has been admitted to the hospital for continued care |
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| documentation that verifies a procedure is needed |
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| means by which the reporting physician can indicate that a service or procedure performed has been altered by some specific circumstance, but its definition or code has not changed |
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Definition
| rate of disease or illness or proportion of diseased persons in a given population or location |
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Definition
| person who is being treated in the hospital or medical center and who will be discharged within 24 hours |
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| condition considered as the patient's major health problem; used in outpatient coding |
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Definition
| transfer of a patient's care to another health care provider at the request of a member of the health care team |
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Definition
| an inventory of body systems ns seeking to obtained through a series of questions seeking to identify signs and symptoms that the patient may be experiencing or has experienced |
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Term
| secondary condition (diagnosis) |
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Definition
| condition (or diagnosis) that the patient experiences at the same time as the primary diagnosis |
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Definition
| ICD-9-CM supplementary codes for factors influencing health status and reasons for contact with health services when a diagnosis needs further explanation or when he patient has no disease process for coding |
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Definition
| insurance rule that states the policy of the parent whose birthday is first in the calender year holds the primary insurance for any dependent |
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Definition
| managed health care plan that pays a predetermined amount to a provider over a set time regardless of the number of services rendered to their subscribers in that period |
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Term
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Definition
| loss of speech, loss of hearing in both ears, loss of sight in both eyes, or loss of use of two limbs |
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Term
| Consolidated Omnibus Reconciliation Act (COBRA) |
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Definition
| federal legislation that requires employers with 20 or more employees to continue to offer health coverage to former emplyees for up to 18 months |
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Term
| coordination of benefits (COB) |
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Definition
| insurance term stating that total reimbursement from primary and secondary insurance companies will not exceed the total cost os the charges |
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Term
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Definition
| yearly amount that the patient must pay "out of pocket" before the insuance will pay on any claims |
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Term
| explanation of benefits (EOB) |
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Definition
| form sent by the insurance carrier to the patient and medical practice that explains the amount of reimbursement or the reason for denial of a submitted claim |
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Term
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Definition
| primary care physician designated by an HMO to provide ongoing care to a patient and to authorize referrals to specialists when deemed necessary |
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Term
| health maintenance organization (HMO) |
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Definition
| organization that provides comprehensive health care services for plan participants at a fixed periodic payment |
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Definition
| contract between two or more individuals based on some action |
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Term
| indemnity (fee-for-service) plan |
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Definition
| insurance plan in which patients pay the providor and submit a claim for the reimbursement from their insurance company |
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Term
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Definition
| insurance policy purchased by individuals who are not members of any designated group |
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Term
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Definition
| network of health care services and benefits designed for a group of individuals who pay premiums to join the insurance plan |
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Term
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Definition
| federal- and state-finded assistance program that provides medical care for needy populations |
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Term
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Definition
| federal government health insurance program for people aged 65 and older |
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Term
| non-participating provider (non-PAR) |
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Definition
| physician who has not signed a contract with an insurance company o participate in health care for the insured |
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Term
| participating provider (PAR) |
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Definition
| physician who has signed a contract with an insurance company to provides services to the insured |
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Term
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Definition
| authorization for a payment sought in advance from the insurance company for a patient's specific procedure or treatment |
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Term
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Definition
| method used for determining in advnace how much the patient's insurance policy will reimburse for a particular service or procedure |
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Term
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Definition
| documented medical condiion that is present in the patient before the insurance policy goes into effect |
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Term
| preferred provider organization (PPO) |
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Definition
| health care system that provides a list f providers who have signed a contract with the insurance carrier to provide services to the insures |
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Term
| Social Security Disability Income Insurance (SSDI) |
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Definition
| federal program for individuals who become disabled as a result of injury or illness not related to their employment |
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Definition
| person ot company involved in the physician-patient relationship but not part of implied contract |
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Definition
| state in which an individual is unable to perform the requirements of any employment |
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Definition
| retired person of the U.S. military services |
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Definition
| insurance program that requires employers to pay the medical expenses and lost wages for workers who |
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Term
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Definition
| insurance program that requires employers to pay the medical expenses and lost wages for workers who are injured on the job or have a job-related illness |
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