9-3 Preparing Claims

  1. Bundle-
    A number of things bound together.
  2. Carrier-
    One who carries, transports; with insurance, it’s the company who provides the policy.
  3. Contributory-
    Giving a share; helping toward a result.
  4. Current Procedural Terminology (CPT) –
    A numerical listing of procedures performed in a medical practice; a standardized identification of procedures. Published by the American Medical Association.
  5. Encounter-
    To meet, unexpectedly or by chance.
  6. Fee Schedule-
    Listing of allowable charge.
  7. International Classification of Diseases (ICD) -
    A comprehensive listing of diseases and disorders of the human body.
  8. Modifier-
    Changes; limits the meaning.
  9. Nomenclature-
    A system of technical or scientific names.
  10. Numeric-
    Denoting a number or system of numbers.
  11. Primary-
    Occurring first in time, development, or sequence; earliest.
  12. Reason Rule-
    Refers to the purpose or reason for doing a test or procedure, an insurance company criteria for reimbursement.
  13. Reimbursement-
    To pay back or compensate for money spent, or losses or damages incurred.
  14. Secondary-
    One step removed from the first; not primary.
  15. Sequenced-
    Order of succession.
  16. Specificity-
    Something specially suited for a given use or purpose; a remedy regarded as a certain cure for a particular disease.
  17. Third-Party Reimbursement-
    Payment made by a party other than the one providing or receiving the service, such as a physician or patient. Examples of whom you would receive third-party reimbursement from are an insurance company or an attorney.
  18. Truncated-
    To cut the end or top off; to lop; with insurance.
Card Set
9-3 Preparing Claims
Medical Assisting