medical terminology 1 - providers facilitate claims review...

Info icon This preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
The difference between the physican's fee  and the insurance carriers allowed amount  is adjusted by the participating provider Non-participating Providers (non par) are? 1. providers not contracted with the insurance carriers 2. not required to make the adjustment What is limiting charge Limits set on what can be charged for each CPT code, no matter if the  physican is Par or Non-Par What is a medical record Documentation or the recording of pertinent facts and observation  about an individual's health history, including past and present illness,  tests, treatments and outcomes Medical record chronologically documents patient care to assist in continuity of care between 
Image of page 1
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: providers, facilitate claims review and payment Can a Medical record serve as legal document YES All services provided to a patient are_______ supported and documented in the medical record What are coders required to do with the medical records? Read and understand the documentation in the medical record in order to accurately code the services rendered. What are some different types of services documented in a medical record? Evaluation and management Operative reports X-Rays Evaluation and Management services are provided in what standard format SOAP What is SOAP documentation? S- Subjective O-Objective A- Asssessment P-Plan...
View Full Document

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern