Health Record and Clinical Terms Flashcard

Front

What term describes a secondary condition present on admission that increases the length of stay (LOS)?

Back

Comorbidity

Front

Which term refers to the primary condition responsible for a patient’s hospital admission? Options: Complication, Morbidity, Principal Procedure, Principal Diagnosis

Back

Principal Diagnosis

Front

What organization represents health information management professionals?

Back

AHIMA

Front

What is the definition of morbidity?

Back

Diseased condition

Front

A condition arising during hospitalization that increases the length of stay is known as a:

Back

Complication

Front

What system uses CPT codes to determine outpatient reimbursement? Options: E&M, NCCI, OPPS, IPPS

Back

OPPS

Front

What do two-digit codes appended to professional claims indicate?

Back

Modifiers

Front

What scale assigns values to CPT codes based on work effort, expense, and malpractice costs?

Back

RBRVS

Front

Which describes a professional charge for outpatient medical services? Options: Facility billing, Professional billing, Covered entity, EOB

Back

Professional billing

Front

What is the refusal of payment by a payer?

Back

Claim denial