clinical vocabulary

Question 1

Alphabetic index

Answer 1

A content list for a reference work organized by the first letter of each entry

Question 2

ICD-10-CM

Answer 2

Tenth revision of the ICD code set

Question 3

Insurance reimbursement

Answer 3

The process of receiving payment from an insurance company for a covered benefit

Question 4

Nomenclature

Answer 4

An organized system of words used in a particular field

Question 5

Tabular list

Answer 5

A category grouping of items

Question 6

International Classification of Diseases-10th Revision-Procedure Classification System (ICD-10-PCS)

Answer 6

A separate procedure code system in the ICD-10 clinical vocabulary system

Question 7

Procedure code

Answer 7

A code assigned to a particular medical service or procedure

Question 8

International Classification of Diseases for Oncology (ICD-O)

Answer 8

An extension of the ICD for use in classifying neoplasms

Question 9

Oncology

Answer 9

The medical specialty that focuses on cancer

Question 10

Neoplasm

Answer 10

An abnormal growth that may or may not form a tumor and may or may not be malignant/cancerous

Question 11

Health Care Procedure Coding System (HCPCS)

Answer 11

A diagnosis and procedure code nomenclature used for outpatient billing in the US

Question 12

HCPCS Level I

Answer 12

A clinical coding system used to describe medical and surgical procedures performed by healthcare providers that is identical to the Current Procedural Terminology (CPT) system of the American Medical Association.

Question 13

HCPCS Level II

Answer 13

A collection of codes for services that are not found in the CPT system, including, for example, non-physician services

Question 14

Systemized Nomenclature of Medicine Clinical Terminology (SNOMED CT)

Answer 14

A multinational, multilingual, comprehensive medical nomenclature covering all aspects of medicine

Question 15

Diagnostics and Statistical Manual of Mental Disorders-5th Edition (DSM-5)

Answer 15

The current version of the DSM, a publication of the American Psychiatric Association (APA) used as the primary resource in the US to classify and diagnose mental disorders

Question 16

Mental disorder

Answer 16

A condition in which a person’s thoughts, feelings, and/or behaviors cause distress or impair the ability to function

Question 17

Substance abuse

Answer 17

A pattern of use of medications or substances that are not part of an approved medical plan or treatment

Question 18

Nursing vocabulary

Answer 18

A nomenclature system used to communicate nursing strategies, protocols, and procedures

Question 19

Medical transcriptionist

Answer 19

A specialist who creates text-based medical records from a voice recording

Question 20

Medical coding

Answer 20

The process of assigning nomenclature codes to patient data obtained by examining medical records

Question 21

Medical coder

Answer 21

A specialist in medical coding

Question 22

Medical billing

Answer 22

The process of generating claim forms that list diagnosis and procedure codes, charges and patient demographic information for reimbursement purposes.

Question 23

Medical biller

Answer 23

A professional who prepares and submits insurance claims for a provider based on a medical coder’s work

Question 24

Medical claims examiner

Answer 24

A health insurance professional who examine submitted medical claims to ensure that they are valid and qualify for payment

Question 25

Explanation of benefits

Answer 25

A form created by the insurance company to explain what charges were covered, denied, or need more documentation based on the claim submitted by the physician’s office