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Advance Beneficiary Notice (ABN) ๐ธ๐ธ๐ธ : A form provided to the patient when the provider believes Medicare will probably not pay for services received Allowed Amount ๐ธ๐ธ๐ธ : The maximum amount a third-party payer will pay for a particular procedure or service Copayment ๐ธ๐ธ๐ธ : a small fixed fee paid by the patient at the time of an office visit Coinsurance ๐ธ๐ธ๐ธ : a provision under which both the insured and the insurer share the covered losses, typically 80: deductible ๐ธ๐ธ๐ธ : specific amount of money a patient must pay out of pocket before the insurance carrier begins paying
Explanation of Benefits ๐ธ๐ธ๐ธ : a form created by the insurance company to explain what charges were covered, denied, or need more documentation based on the claims submitted by the physician's office Participating provider (PAR) ๐ธ๐ธ๐ธ : Providers who agree to write off the difference between the amount charged by the provider and the approved fee established by the insurer Medicare ๐ธ๐ธ๐ธ : A federal program of health insurance for persons 65 years of age and older by Part A (hospitalization) or Part B (routine medical office visits) Tricare ๐ธ๐ธ๐ธ : U.S. government health insurance plan for all military personnel CHAMPVA ๐ธ๐ธ๐ธ : covers surviving spouses and dependent children of veterans who died as a result of service-related disabilities Medicaid
CMS-1500 Section 3 ๐ธ๐ธ๐ธ : Physician/Supplier Section: contains information about the physician or supplier: boxes 14 - 33 Supine Position ๐ธ๐ธ๐ธ : Dorsal Recumbent Position ๐ธ๐ธ๐ธ : Sims' Position ๐ธ๐ธ๐ธ : Knee-elbow position ๐ธ๐ธ๐ธ : Fowler's Position ๐ธ๐ธ๐ธ : Lithotomy Position ๐ธ๐ธ๐ธ :
Epidural Injection ๐ธ๐ธ๐ธ : epidural space of the spine Intra-arterial Injection ๐ธ๐ธ๐ธ : injection into an artery (to break up clots) Intra-articular Injection ๐ธ๐ธ๐ธ : injection into joint space Intradermal Injection ๐ธ๐ธ๐ธ : Skin of the upper chest, forearms, upper pack. 5 - 15 ยบ angle intramuscular injection ๐ธ๐ธ๐ธ : deltoid, vastus lateralis, ventrogluteal muscles Intraosseous Injection ๐ธ๐ธ๐ธ : Bone marrow Intraperitoneal Injection ๐ธ๐ธ๐ธ : within the peritoneal cavity Intrapleural Injection
Sagittal Plane ๐ธ๐ธ๐ธ : divides body into left and right Coronal Plane ๐ธ๐ธ๐ธ : divides body into front and back Transverse Plane ๐ธ๐ธ๐ธ : horizontal division of the body into upper and lower portions Right Upper Quadrant (RUQ) ๐ธ๐ธ๐ธ : Right lobe of liver, gallbladder, right kidney, portions of stomach, small and large intestine Left Upper Quadrant (LUQ) ๐ธ๐ธ๐ธ : Left lobe of liver, stomach, pancreas, left kidney, spleen, portions of large intestine Right Lower Quadrant (RLQ) ๐ธ๐ธ๐ธ : cecum, appendix, right ovary and tube, right ureter, right spermatic cord Left Lower Quadrant (LLQ)
๐ธ๐ธ๐ธ : contains parts of the small and large intestines, left ovary, left fallopian tube, left ureter Epigastric Region ๐ธ๐ธ๐ธ : located above the stomach Umbilical Region ๐ธ๐ธ๐ธ : hypogastric region ๐ธ๐ธ๐ธ : Right Hypochondriac Region ๐ธ๐ธ๐ธ : right lateral region just below the ribs Left Hypochondriac Region ๐ธ๐ธ๐ธ : left upper region below the rib cartilage Right lumbar Region ๐ธ๐ธ๐ธ : right middle region near the waist Left Lumbar Region
๐ธ๐ธ๐ธ : 1 kg = 2.2 lbs Trendelenburg position ๐ธ๐ธ๐ธ : Intradermal needle gauge ๐ธ๐ธ๐ธ : 27 - 28 Intradermal Needle Length ๐ธ๐ธ๐ธ : 3/8 in Subcutaneous Needle Gauge ๐ธ๐ธ๐ธ : 25 - 26 Subcutaneous Needle Length ๐ธ๐ธ๐ธ : 1/2 to 5/8 inch Intramuscular Needle gauge ๐ธ๐ธ๐ธ : 20 - 23 Intramuscular Needle Length ๐ธ๐ธ๐ธ : 1 - 3 inches
Smaller ๐ธ๐ธ๐ธ : the higher the needle gauge number, the ___ the diameter Precertification ๐ธ๐ธ๐ธ : A process required by some insurance carriers in which the provider must prove medical necessity before performing a procedure. EMR ๐ธ๐ธ๐ธ : electronic medical record suffix ๐ธ๐ธ๐ธ : word ending prefix ๐ธ๐ธ๐ธ : a syllable or word that comes before a root word to change its meaning Pancreas ๐ธ๐ธ๐ธ : digestion and endocrine Thymus ๐ธ๐ธ๐ธ : endocrine and immune
Phantom Billing ๐ธ๐ธ๐ธ : Billing for services not performed Who do you report to for Fraud? ๐ธ๐ธ๐ธ : Office of Civil Rights (OCR) Who do you report to for unsecured HPI? ๐ธ๐ธ๐ธ : Secretary of Health and Human Services What is the difference between eHPI and HPI? Who governs both? ๐ธ๐ธ๐ธ : HHS ๐ธ๐ธ๐ธ : U.S. Department of Health and Human Services U.S. Department of Health and Human Services ๐ธ๐ธ๐ธ : provide essential services, including health care for low-income families, programs for older adults, and child services CMS ๐ธ๐ธ๐ธ : Centers for Medicare and Medicaid Services
OSHA
๐ธ๐ธ๐ธ : Occupational Safety and Health Administration Red Cross ๐ธ๐ธ๐ธ : An international organization dedicated to the medical care of the sick or wounded in wars and natural disasters Legal Aid Society ๐ธ๐ธ๐ธ : One of a network of community law offices that provides free or low-cost legal assistance. TJC ๐ธ๐ธ๐ธ : The Joint Commission Organization, establishing standards for hospitals/health related facilities NAACLS ๐ธ๐ธ๐ธ : National Accrediting Agency for Clinical Laboratory Sciences ACS ๐ธ๐ธ๐ธ : American Cancer Society AHA
๐ธ๐ธ๐ธ : Patients are seen on a first come first serve basis. Walk-ins Farenheit to Celsius ๐ธ๐ธ๐ธ : (F- 32 )/1. Fomite ๐ธ๐ธ๐ธ : A physical object that serves to transmit an infectious agent from person to person Vector (medical) ๐ธ๐ธ๐ธ : an animal that is a carrier of a disease or a medication Sanitization ๐ธ๐ธ๐ธ : removal of pathogens from objects to meet public health standards Sterilization ๐ธ๐ธ๐ธ : The process that completely destroys all microbial life, including spores. Disinfection ๐ธ๐ธ๐ธ : A process that eliminates many or all microorganisms, with the exception of bacteria spores, from inanimate objects
Ishihara Book ๐ธ๐ธ๐ธ : used to test color vision. If the patient misses four or more, there might be a color deficiency tympanometry ๐ธ๐ธ๐ธ : the use of air pressure in the ear canal to test for infections or presence of fluid in the middle ear Yellow Stopper color ๐ธ๐ธ๐ธ : Sodium Polyanethol sulfonate (SPS) Yellow Lab Use ๐ธ๐ธ๐ธ : for blood culture specimen collection in microbiology Light Blue Stopper Color ๐ธ๐ธ๐ธ : Sodium citrate (anticoagulant) Light Blue Lab Use ๐ธ๐ธ๐ธ : Coagulation studies Red Stopper Color ๐ธ๐ธ๐ธ : Plastic: clot activator
Lavender Lab Use ๐ธ๐ธ๐ธ : WHOLE BLOOD hematology determinations, routine immunohematology testing and blood donor screening Gray Stopper Color ๐ธ๐ธ๐ธ : Potassium oxalate and sodium fluoride Gray Lab Use ๐ธ๐ธ๐ธ : Glucose testing (GTT) Medial Cubital Vein ๐ธ๐ธ๐ธ : On the anterior surface of the vein. Vein of choice in intravenous injections. Cephalic Vein ๐ธ๐ธ๐ธ : Large vein on the outermost side of the upper arm Basilic Vein ๐ธ๐ธ๐ธ : large vein on the inner side of the upper arm Bipolar Leads ๐ธ๐ธ๐ธ : Leads I, II, III
- record impulses that travel from a negative to positive pole Unipolar Leads ๐ธ๐ธ๐ธ : aVR, aVL, aVF (augmented) Augmented ๐ธ๐ธ๐ธ : having been made greater in size or value White electrode ๐ธ๐ธ๐ธ : right arm Black electrode ๐ธ๐ธ๐ธ : left arm Red electrode ๐ธ๐ธ๐ธ : left leg Green Electrode ๐ธ๐ธ๐ธ : right leg Chest Lead placement ๐ธ๐ธ๐ธ :
