Urinary and Male Genital System – Flashcards
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The Urinary System subsection is first arranged anatomically
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Anatomic Division
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Endoscopic procedures within the Urinary subsection, Kidney subheading, are often divided on this unique factor: existence of a stoma
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Kidney
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When lithotripsy is performed, the patient may be surrounded by: liquid
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Procedures
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An installation procedure of the bladder is performed for treatment: Bladder cancer
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Bladder
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When urodynamics are performed and the physician only interprets the results, the correct modifier woud be: -26
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Urodynamics
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-Cystoscopy, Urethroscopy, Cystourethroscopy
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Endoscopy
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Codes are often divided based on this factor: Initial or Subsequent
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Urethral dilation
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Is passed through the urethra and bladder to view the urinary collecting system
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Cystourethroscope
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Within the Male Genital System, the greatest numbers of codes fall under Penis category
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Penis
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This type of treatment used to treat prostate cancer by placing the radioactive elements directly into the prostate
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Brachytherapy
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The traditional kind of health insurance wherein patients can choose any provider of hospital they wish and change physicians at will is indemnity (fee-for -service) and mangae care
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2 basic types of Health Insurance
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Most third - payers do not pay for medical services that are not medically necessary
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2 basic types of Health Insurance
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Insurance companies often cap what a patient must pay, which is referred to as the our-of-packet for covered services in a benefit period
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Out-of-Pocket Maximum
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Most health insurance ask that patients pay a portion of the charge called the coinsurance
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Out-of-Pocket Maximum
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The dollar amount that a patient must pay each year before his/her insurance benefits begin is called a deductible
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Out-of-Pocket Maximum
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Medical illnesses or injuries that a patient has prior to the purchase of a health insurance policy
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Preesicting Conditions
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People who are covered under managed care plans are commonly referred to as enrollees
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Managed Care
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An insurance contract made with a business entity that covers its employees equally
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Sources of Health Insurance. Group Contracts
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When an individual purchases a healthcare policy from a commercial insurer
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Sources of Health Insurance. Individual Policies/Contract
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A special tax shelter set up for the purpose of paying medical bills for individuals who choose a low cost, high deductible health care policy.
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Medical Savings Account (MSA)
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Usual, Reasonable and Customary (UCR): Insurance payments based on
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Other terms to know
