chapter 1 health insurance specialist career Flashcards
AAPC
PROFESSIONATL ASSOCIATION PREVIOUSLY KNOWN AS THE AMERICIAN ACADEMY OF PROFESSIONAL CODERS ESTABILISHED TO PROVID SUPPORT THE NATIONAL AND LOCAL MEMERSHIP BY PROVIDING EDUCATIONAL PRODUCTS AND OPPORTUNITIES TO NETWORKS AND TO INCREASE AND PROTE NATIONAL RECOGNITION AND AWARENESS OF PROFESSIONAL CODING
AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS AAMA
ENBLES MEDICAL ASSISTING PROFESSINALS TO ENHANCE AND DEMOSTRATE THE KNOWLEDGE SKILLS AND PROFESSIONALISM REQUIRED BY EMPLOYERS
AMERICAN HEALTH INFORMATION MANAGEMNT ASSOCIATION
IMPROVE THE QUALITY OF MEDICAL RECORDS AND CURRENTLY ADVANCE THE HEALTH INFORMATION MANAGMENT
BONDING INSURANCE
AN INSURANCE AGREEMENT THAT GUARANTEES REPAYMENT FOR FINCIAL LOSSSES RESULTHING FROM THE ACT OR FALIURE TO ACT OF AN EMPLOYEE
CENTERS FOR MEDICARE AND MADICAID SERVICES
FORMELY KNOWN AS THE HEALTH CARE FINACING ADMINISTRATION, AN ADMINSTRATIVE AGENCY WITHIN THE FEDERAL DEPARTMETN OF HEALTH AND HUMAN SERVICES
CLAMIS EXAMINER
THIRD PARTY PAYERS TO REVIEW HEALTH RELATED CLAIMS TO DETERMINE WHEATHER THE CHARGES ARE REASONABLE AND MEDICALLY NECESSARY BASED ON THE PATIENTS DIAGNOSIS
BUSINESS LIABILITY INSURANCE
PROTECTS BUSINESS ASSETS AND COVERS THE COST OF LAWSUITS RESULTING FROM BODILY INJURY PERSONAL INJURY AND FALSE ADVERTISING
CODING
PROCESS OF REPORTING DIAGNOSED PROCEDURE AND SERVICES AS NUMERIC AND ALPHANUMERIC CHARACTERS ON THE INSURANCE CLAIM
CURRENT PROCEDURAL TERMINOLOGY
FIVE DIGIT NUMERIC CODES AND DESCRIPTORS FPR PROCEDURES AND SERVICES PERFORMEND AND PROVIDERS
EMBEZZLE
ILLEGAL TRANSFER OF MONEY OR PROPERTY AS A FRAUDULENT ACTION
errors and omission isurance
are professional liability insurance
ethics
principle of right or good conduct
explanation of benefits
report that details the results of processing a claim
HCPCS LEVEL II CODES
NATIONAL CODES PUBLISHED BY CMS WHICH INCLUDE FIVE DIGIT ALPHANUMERIC CODE FOR PROCEDURES SERVICES AND SUPPLUES
HEALTH CARE PROVIDER
PHYSICIAN OR OTHER HEALTH CARE PRACTITIONER
HEALTH INFORMATION TECHNICIAN
PROFESSIONALS WHO MANAGE PATIENT HEALTH INFORMATION AND MEDICAL RECORDS ADMINISTER COMPUTER INFORMATON SYSTEMS AND CODE DIAGNOSES