MED112 Review (Jennifer Brown)

5. alphanumeric ICD-9-CM code for an external cause of injury or poisoning
8. clinician who treats the patient face-to-face
9. authorization number given by a referring physician to the referred physician
12. the amount that a patient has to pay out of pocket before the insurance benefits begin
13. private of government organization that insures or pays for healthcare on the behalf of beneficiaries
15. intentional deceptive act to obtain a benefit
16. the first-listed diagnosis
19. failure to use an acceptable level of professional skill when giving medical services that results in injury or harm to a patient

1. action that improperly uses another person’s resources
2. medical billing program report given to a patient that lists the diagnoses, services provided, fees, and payments received and due after an encounter
3. coordination of benefits rule for a child insured under both parents’ plans under which the father’s insurance is primary
4. any healthcare provider that transmits PHI in electronic form
6. payment method in which a prepayment covers the provider’s services to a plan member for a specified period of time
7. clinician who does not interact face-to-face with the patient
10. a phrase or name formed or based on a person's name
11. the recognition of a person's demonstrating a superior level of skill on a national test by an official organization
14. a method of scrambling transmitted data so they cannot be deciphered without the use of a confidential process or key
16. person who buys an insurance plan, the insured, subscriber, or guarantor
17. updates to the ICD-9-CM diagnostic coding system
18. business software designed to organize and store a medical practice’s financial information: includes, scheduling, billing, and EMR features