Chapter 1 study Guide Medical Billing & Coding – Flashcards

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Managed Care Contacts
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The agreement between health care practitioners and insurance carriers to allow payment for patient visits. It includes thing like time delay allowed between billing and getting paid, and the information required to file a valid claim.
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Federal & State Insurance
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Medicaid and Medical are examples of stare
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HIPAA
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setting up any medical office system. Privacy laws CANNOT be violated.
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Anatomy
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Study of the location of body parts in an organism
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Physiology
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Study of the function of the body parts and systems
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Required skills & tools for medical biller
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IDC9 book (book of diseases), CPT and National Code books,computer skills,internet skills, medical terminology (including anatomy & physiology)
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General skills & Tools for all career
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Communication, critical thinking , data entry , internet skills , specific job vernacular (language )
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Communication
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making yourself understood and successfully understanding others (requires patience and insight into non-verbal communication, not just speaking)
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Critical thinking
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being able to see the small differences between similar things , and taking appropriate action ( recognizing danger ,mistake,lies or simple differences)
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Medical Terminology
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The Language of medicine
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Bonding Insurance
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Protects against financial loss due to employee mistakes.
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