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Flashcards in clinical vocabulary Deck (25):
1

Alphabetic index

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

2

ICD-10-CM

Tenth revision of the ICD code set

3

Insurance reimbursement

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

4

Nomenclature

An organized system of words used in a particular field

5

Tabular list

A category grouping of items

6

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

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

7

Procedure code

A code assigned to a particular medical service or procedure

8

International Classification of Diseases for Oncology (ICD-O)

An extension of the ICD for use in classifying neoplasms

9

Oncology

The medical specialty that focuses on cancer

10

Neoplasm

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

11

Health Care Procedure Coding System (HCPCS)

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

12

HCPCS Level I

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.

13

HCPCS Level II

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

14

Systemized Nomenclature of Medicine Clinical Terminology (SNOMED CT)

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

15

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

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

16

Mental disorder

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

17

Substance abuse

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

18

Nursing vocabulary

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

19

Medical transcriptionist

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

20

Medical coding

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

21

Medical coder

A specialist in medical coding

22

Medical billing

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

23

Medical biller

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

24

Medical claims examiner

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

25

Explanation of benefits

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