AMCA MAA BILLING & CODING
QUESTIONS & ANSWERS(RATED
A+)
Co-Payment - ANSWERSome contract insurance plans require a "fixed amount" be
paid for the office visits. This amount is usually collected at the time of the visit.
Malignant - ANSWERUsed to describe a cancerous tumor that grows worse over
time.
In Situ - ANSWERMalignancy that is located within the original site of development
CHAMPVA - ANSWERVeterans with service related to disabilities are eligible for
care under this program
Term Deductible - ANSWERAmount of money that the insured must incur before the
policy begins to pay.
Network - ANSWERWhen multiple computers are linked together and share
information
Informed Consent - ANSWERGiving the patient adequate information concerning the
method, risk and consequences prior to a procedure
Assignment of Benefits - ANSWERA statement authoring the insurance company to
pay benefits to the physician
Chief Complaint - ANSWERThe symptoms a patient is currently seen for
STAT - ANSWERIf the doctor wants test done immediately, the test is said to be
ordered on a "___" basis
Patient's Bill of Rights - ANSWERHealth policies concerning the patient's
constitutional right to privacy, confidentiality, and informed consent
Physician ends relationship with a patient - ANSWERThorough documentation, in
writing to the patient, the reason for withdrawing from the case and offer specified
number of days to seek a new physician
Appendix E - ANSWERList of Three Digit Categories in the ICD-9
NEC - ANSWERIndicates the use of a code assignment for "other" when a more
specific code does not exist
, Dependents - ANSWERFamily members, such as spouse or children, who are
covered under the member's insurance policy
Electronic Medical Records or E M R - ANSWERComputerized records of one
physician's encounter with a patient over time.
Electronic Health Record or E H R - ANSWERReflects the data from all sources that
have treated the individual.
Personal Health Record or P H R - ANSWERMaintained and owned by the patient.
Patient makes the decision to share contents with the Physician
Acute Care - ANSWERMost often refers to hospitals, treats patients with urgent
problems that cannot be handled.
Ambulatory Care - ANSWERRefers to treatment without admission to hospital.
Clinical Templates - ANSWERAllows doctors to document patient encounters into an
E H R on a structured form.
R A D T - ANSWERRefers to Registration, Admissions, Discharge and Transfer
Unique Patient Identifier or U P I - ANSWERlinks all clinical observations, tests,
procedures, complaints, evaluations, and diagnoses to the patient.
Clinical Vocabularies - ANSWERSet of common definitions for medical terms that
ease communication by decreasing uncertainty.
SNO MED C T - ANSWERClinical vocabulary designed to encompass all terms used
in medicine
LO INC - ANSWERTerms and codes used for electronic exchange of lab results and
clinical observations.
U M L S - ANSWERThesaurus database of medical terms
Fixed Appointment Scheduling - ANSWEROne patient is scheduled for a specific
appointment time.
Cluster Scheduling - ANSWERTo schedule a group of patients around the same
block time who are coming in to receive the same type of service
Double Booking - ANSWERWhen two patients are scheduled to see the same
physician at once.
Beneficiary Pays - ANSWERdeductible, premiums, co-insurance 20% non covered
services
Medicare Pays - ANSWERcovered services 80%
QUESTIONS & ANSWERS(RATED
A+)
Co-Payment - ANSWERSome contract insurance plans require a "fixed amount" be
paid for the office visits. This amount is usually collected at the time of the visit.
Malignant - ANSWERUsed to describe a cancerous tumor that grows worse over
time.
In Situ - ANSWERMalignancy that is located within the original site of development
CHAMPVA - ANSWERVeterans with service related to disabilities are eligible for
care under this program
Term Deductible - ANSWERAmount of money that the insured must incur before the
policy begins to pay.
Network - ANSWERWhen multiple computers are linked together and share
information
Informed Consent - ANSWERGiving the patient adequate information concerning the
method, risk and consequences prior to a procedure
Assignment of Benefits - ANSWERA statement authoring the insurance company to
pay benefits to the physician
Chief Complaint - ANSWERThe symptoms a patient is currently seen for
STAT - ANSWERIf the doctor wants test done immediately, the test is said to be
ordered on a "___" basis
Patient's Bill of Rights - ANSWERHealth policies concerning the patient's
constitutional right to privacy, confidentiality, and informed consent
Physician ends relationship with a patient - ANSWERThorough documentation, in
writing to the patient, the reason for withdrawing from the case and offer specified
number of days to seek a new physician
Appendix E - ANSWERList of Three Digit Categories in the ICD-9
NEC - ANSWERIndicates the use of a code assignment for "other" when a more
specific code does not exist
, Dependents - ANSWERFamily members, such as spouse or children, who are
covered under the member's insurance policy
Electronic Medical Records or E M R - ANSWERComputerized records of one
physician's encounter with a patient over time.
Electronic Health Record or E H R - ANSWERReflects the data from all sources that
have treated the individual.
Personal Health Record or P H R - ANSWERMaintained and owned by the patient.
Patient makes the decision to share contents with the Physician
Acute Care - ANSWERMost often refers to hospitals, treats patients with urgent
problems that cannot be handled.
Ambulatory Care - ANSWERRefers to treatment without admission to hospital.
Clinical Templates - ANSWERAllows doctors to document patient encounters into an
E H R on a structured form.
R A D T - ANSWERRefers to Registration, Admissions, Discharge and Transfer
Unique Patient Identifier or U P I - ANSWERlinks all clinical observations, tests,
procedures, complaints, evaluations, and diagnoses to the patient.
Clinical Vocabularies - ANSWERSet of common definitions for medical terms that
ease communication by decreasing uncertainty.
SNO MED C T - ANSWERClinical vocabulary designed to encompass all terms used
in medicine
LO INC - ANSWERTerms and codes used for electronic exchange of lab results and
clinical observations.
U M L S - ANSWERThesaurus database of medical terms
Fixed Appointment Scheduling - ANSWEROne patient is scheduled for a specific
appointment time.
Cluster Scheduling - ANSWERTo schedule a group of patients around the same
block time who are coming in to receive the same type of service
Double Booking - ANSWERWhen two patients are scheduled to see the same
physician at once.
Beneficiary Pays - ANSWERdeductible, premiums, co-insurance 20% non covered
services
Medicare Pays - ANSWERcovered services 80%
