This website uses cookies to ensure you have the best experience. Learn more

Insurance Handbook For The Medical Office Fordney Chapter 4

1212 words - 5 pages


| |
Acute | A medical condition that runs a short but relatively severe course. |
Attending physician | A medical staff member who is legally responsible for the care and treatment given to a patient. |
Chief complaint (CC) | A patient's statement describing symptoms, problems, or conditions as the reason for seeking health care services from a physician. |
Chronic | A medical condition persisting over a long period of time. |
Comorbidity | An ongoing condition that exists along with the condition for which the patient is receiving treatment. |
Comprehensive | A term used to describe a level of history or ...view middle of the document...

Documentation | A chronologic detailed recording of pertinent facts and observations about a patient's health as seen in chart notes and medical reports. |
Electronic health record (EHR) | A patient record that is created using a computer with software. A template is brought up and by answering a series of questions data are entered. |
Emergency care | Health care services provided to prevent serious impairment of bodily functions or serious dysfunction to any body organ or part. Advanced life support may be necessary. |
Eponym | The name of a disease, anatomic structure, operation, or procedure, usually derived from the name of a place where it first occurred or a person who discovered or first described it. |
Established patient | An individual who has received professional services within the past 3 years from the physician or another physician of the same specialty who belongs to the same group practice. |
Expanded problem focused (EPF) | A phrase used to describe a level of history or physical examination. |
External audit | A review done after claims have been submitted (retrospective review) of medical and financial records by an insurance company or Medicare representative to investigate suspected fraud or abusive billing practices. |
Facsimile | An electronic process for transmitting graphic and written documents over telephone lines; also referred to as fax. |
Family history (FH) | A review of medical events in the patient's family including diseases that may be hereditary or place the patient at risk. |
Health record | Written or graphic information documenting facts and events during the rendering of patient care. Also known as medical record. |
High complexity (HC) | A phrase used to describe a type of medical decision making when a patient is seen for an E/M service. |
History of present illness (HPI) | A chronologic description of the development of the patient's present illness from the first sign or symptom or from the previous encounter to the present. |
Internal review | The process of going over financial documents before and after billing to insurance carriers to determine documentation deficiencies or errors. |
Low complexity (LC) | Phrase used to describe a type of medical decision making when a patient is seen for an E/M service. |
Medical decision making (MDM) | Health care management process done after performing a history and physical examination on a patient that results in a plan of treatment. |
Medical necessity | The performance of services and procedures that are consistent with the diagnosis in accordance with standards of good medical practice, performed at the proper level, and provided in the most appropriate setting. |
Medical report | A permanent, legal document (letter or report format) that formally states the consequences of the patient's examination or treatment. |
Moderate complexity (MC) | A phrase used to describe a type of medical decision making when a patient...

Other Papers Like Insurance Handbook For The Medical Office Fordney Chapter 4

Essentials Of Healthcare Marketing Essay

702 words - 3 pages wants to attract. This is most likely low income families or customers without insurance in their area. Stakeholders of the community hospital would be the suppliers, physicians, employees, and contracted businesses. Chapter 2 2. Children’s Hospital in Boston, Massachusetts, has long been considered an out-standing medical center specializing in the diagnosis and treatment of pediatric problems. This facility is lined academically to the Harvard

Questions For Naked Economics Essay

658 words - 3 pages READ: Naked Economics: Undressing the Dismal Science, Charles Wheeland, W.W. Norton, 2003. Completely- cover to cover. Directions: Create a time management plan for your reading schedule to ensure you have ample time to read the book. Set due dates for each chapter and each part of the assignment. Review your schedule with a parent or guardian. Expectations: Work must be typed, 12 point font, double-spaced. Label each section


1716 words - 7 pages for the employee , and his/her spouse and 50% on children- all with $500.00 deductible plan, and the company would cover the $500.00 deductible ( Martinez, 2010). When the cost of medical insurance exploded, Food Process and Control held on the same benefits until a couple of years later that was not affordable, so they needed to re- structure the benefit plan, especially because at this time they were looking at more employees and that was

Insurance Occupations

1197 words - 5 pages headquarters or a regional branch office. Underwriting is typically a desk job with a standard 40-hour work week, although overtime may be required as determined by each underwriting project. Evening and weekend hours are not uncommon. The median salary for underwriters is $52,350 with the highest 10% earning more than $92,340. The underwriter's job is one that is both meticulous and highly-specialized. Most insurance companies prefer


820 words - 4 pages electronically. 4. The insurance company will then process the claim. This will begin with testing of the claim to make sure it is valid. Once the claim has passed the test, the insurance company will pay the claim. 5. After the medical office has received an EOB (explanation of benefits) from Humana Gold, they can then process a bill to the patient for the amount not paid. In this case, Humana Gold pays ninety percent and the patient will then owe

Patient Protection And Affordable Care Act

1191 words - 5 pages million uninsured Americans 3. Expanding Medicare/Medicaid Coverage 4. Mandating Health Insurance Before PPACA was enacted insurers could discriminate against those with pre-existing medical conditions. The discrimination usually came in the form of denying coverage, striking patients from the coverage rolls when they got sick, charging higher premiums, excluding patients with certain medical conditions, imposing lifetime dollar limits on

Health Care Information

1413 words - 6 pages Answer of following questions: Q.1) Since most developers are not clinicians, and most clinicians are not developers, what measures are necessary to ensure the development of an effective health information system? Since the early 1980s, the healthcare industry has been discussing the need for electronic health records. And indeed, the past 20 years have seen the industry move toward a completely computerized medical record. A variety of

Iran Law Of Supporting Knowledge-Based Firms And Commercialization

2607 words - 11 pages to grant loans for installment sales, leasing, etc to Knowledge-based firms at preferential rates. Chapter 4. Warranties and insurance Article 15. In order to reduce risks of contracts and facilitate conditions of the tender for knowledge-based firms, IPF will pay part of the cost of warranties and facilitate the process of receiving them by cooperation and brokerage contracts with banks and other related institutions. Article 17. Central

Health Insurance Fraud

4446 words - 18 pages to debunk false insurance claims and allow the insurance company or claimant to seek a non-partial medical view for injury related cases. Hazards of Health Insurance Fraud Hazard health insurance fraud is sometimes beyond the patient thought, it may affect safety of his life, for instance that patient whom use other insurance card, or give incorrect information about his history, he is, in fact, risk his life by subject it to incorrect

Malpractice Statutes

1562 words - 7 pages of insurance (Simon et al., 2009). Tort reform can put tighter constraints on medical malpractice lawsuits taken to court, opposed to those that are dismissed. Essentially medical malpractice is, negligence or error committed by a health care professional where there is harm caused to the patient. Reductions of malpractice insurance would serve to reduce the cost of health care. Each state sets its own requirements regarding what is required for

Health Care Reform For The United States

2132 words - 9 pages Health Care Reform For The United States COM 220 4/18/2010 Natasha Brown Health care reform for the United States Even though it will cost taxpayers a small amount more, Americans have the right to free health care. There are forty seven million Americans are without health insurance and the bill will stop insurance companies from denying Americans from coverage. What the government is trying to pass is a new health insurance reform

Related Essays

Physician Affect The Cost Of Health Care For Insurance

270 words - 2 pages Physicians affect the cost of healthcare for insurance thru the administrative costs and doctor’s malpractice liability insurance that will protect them from unwanted legal issues. American Physician pays nearly $83000 per year, which is the major chunk of administrative cost. That's the cost of the time and labor it takes for physicians' employees to correspond with various insurance plans about claims, coverage and billing for patient care

During My Three Day Food Intake I Learned About Myself. There Are Many Benefits Of Good Nutrition. ”Medical Online” States “Besides Helping You Maintain A Healthy Weight, Good Nutrition Is Essential...

355 words - 2 pages During my three-day food intake I learned about myself. There are many benefits of good nutrition. ”Medical Online” states “besides helping you maintain a healthy weight, good nutrition is essential for the body and all its system to function optimally for a lifetime.” A healthy diet promotes good sleep, gives the body what it needs to stay healthy, and provides energy. According to “Mealtime Memo” Good nutrition means getting the calories

Company Profile Essay

8335 words - 34 pages for adults, children and for retirement planning. 3.6 ORGANIZATION STRUCTURE OF TATA AIG:- [pic] CHAPTER 4 INTRODUCTION OF THE RESEARCH STUDY 4.1. OBJECTIVE OF THE PROJECT:- Main objective of the project is to find out the market potentialility of Tata AIG in Gwalior city. Project is about to find out the competitors Tata AIG Life Insurance company. Nowadays all the

Insurance Study Essay

9430 words - 38 pages Christ University, Bangalore ACKNOWLEDGEMENT It will be impossible for me to complete the project without the help and guide of some person and I would like to thank them all from the deepest part of my heart. I would take this opportunity to thank all the staff of Kotak Mahindra life insurance Company of Kolkata office. I learned how a team work can make