Week 4 Terminology Crossword

a person responsible for determining the final content of a document and the document’s correctness in every aspect
patient medical record from a single medical practice, hospital, or pharmacy
also called an autopsy protocol, a necropsy report, or a medical examiner report. Autopsies are performed to determine the cause of death or to ascertain and confirm disease presence
completion of a two-part certification examination administered by the Association for Healthcare Documentation Integrity
(also called progress notes) provider’s formal or informal notes about presenting problem, physical findings, and plan for treatment for a patient examined in the office, clinic, acute care center, or emergency department
specific symptom or problem for which the patient is seeing the provider today
medical reports that document the hospitalization history of a patient
misuse; excessive or improper use, especially of narcotics or psychoactive drugs
method to determine which of two or more policies covering a dependent child will be primary; that parent with the birthday falling first in the calendar year has the primary policy
that percentage paid by the company or that paid by the insured
the provision of an insurance contract that limits benefits to 100% of the cost
ICD-9-CM codes for the external causes of injury, poisoning, or other adverse reactions that explain how the injury occurred
found in the ICD-9-CM and used primarily with cancer registries. M codes further identify behavior and the cell type of a neoplasm
an additional code that may be added to a five-digit CPT code to further explain the service provided
also known as code creep, overcoding, and overbilling. Up-coding occurs when the insurance carrier deliberately bills a higher rate service than what was performed to obtain greater reimbursements
ICD-9-CM codes representing either factors that influence a person’s health status or legitimate reasons for contacting the health facility when the patient has no definitive diagnosis or active symptom of any disorder
a biopsy of the uterine cervix using an instrument, the end of which is a punch
the destruction of tissue by application of extreme cold, silver nitrate, and carbon dioxide
complication of pregnancy that includes general edema, hypertension, proteinuria, and convulsions
measurement of amount of antibody present against a particular antigen