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mbc 101
billing and coding
Question | Answer |
---|---|
prefix: | coming 1st in the word ex: peri- |
combining form: | When you take a word root and add a vowel it becomes a combining form. ex: cardi/o |
suffix: | starts with a hyphen and is the end of the word. ex: -um |
body planes coronal: | front and back sections |
body planes sagittal: | right and left sections |
body planes transverse: | upper and lower sections |
anatomical: | straight forward |
body directions: | away or towards these planes |
medial: | in |
lateral: | out |
posterior: | back |
anterior: | front |
cephalad: | towards the head |
caudad: | towards the toes and tailbone |
distal: | moving away from the trunk |
proximal: | moving towards the trunk |
exterial: | superficial: outer part of the body or organ |
internal: | deep: inside the body or organ |
body cavity: | a hollow space surrounded by bone/ muscle to protect the structures |
5 main cavities cranial: | head |
5 main cavities spinal: | runs down the back |
5 main cavities thoracic: | chest |
5 main cavities abdominal: | upper abdomen |
5 main cavities pelvic: | lower abdomen |
anatomy: | the study of the structure of the human body |
physiology: | the study of the function of the anatomy structures |
disease: | change in the normal structure or function of the body |
disorder: | disturbance of action or function |
etiology: | cause of origin of the disease or disorder |
symptom: | any deviation from health that is experienced or felt by the patient |
sign: | a symptom that can be seen or detected by others |
symptoms and signs 3 categories acute: | sudden in nature and severe in intensity |
symptoms and signs 3 categories subacute: | less severe in intensity |
symptoms and signs 3 categories chronic: | continues for 3 months or longer |
exacerbation: | sudden worsening of a diseases symptoms or signs |
remission: | temporary improvement of symptoms or signs of a disease even though it hasn't been cured |
relapse/recurrences: | the return of the original symptoms or signs of the disease |
sequela: | complication that remains after the original disease is resolved |
symptamology: | clinical picture of all the patients symptoms and signs |
asymptomatic: | when you have a disease but show no signs or symptoms |
syndrome: | set of symptoms or signs associated with and characteristic of a particular disease |
refractory: | a disease that doesn't respond to treatment |
therapeutic: | symptoms or signs of the disease disappear. diseases that cant be treated with drugs or therapy and may require surgery |
3 ends to the course of a disease recuperation: | the patient recovers and returns to a normal state of health |
3 ends to the course of a disease residual chronic disease/disability: | recuperation is not complete |
3 ends to the course of a disease terminal: | patient cannot recover-ends in death |
physician/doctor: | leads the team members and directs their activities |
physicians: | examines the patients, order tests, diagnose diseases, and treat diseases by prescribing drugs or therapy |
surgeons: | physicians with additional training in surgical techniques. |
primary care physicians: | (pcp's)specialize in family practice or pediatrics and see most patients in their office |
attending physicians: | work in hospitals where they admit and discharge patients and direct their care |
physician extenders: | perform some but not all the duties of a physician. they diagnose and treat patients, prescribe drugs, work under the supervision of an MD or DO |
allied health professionals: | support and carry out specific services ordered by physicians |
hospitals: | intended for patients who are acutely ill and require surgical care for longer then 24 hrs. |
ancillary departments: | provides services such as radiology, physical therapy, and pharmacy services |
non medical departments: | carry out tasks such as health information management, billing and coding, and housekeeping |
physicians office: | most frequently used health care setting. typically single physicians run these (seriously ill patients are sent to hospitals) |
clinics: | provides services for one type of patient or disease |
3 types of clinics outpatient: | in a hospital-patients are not admitted |
3 types of clinics walk-ins: | immunizations, sports physicals, and treatment of minor injuries |
3 types of clinics urgent care: | takes patients with more serious but not life threatening injuries |
ambulatory: | facility where minor surgery is performed |
long-term care facility: | for older adults or people with disabilities |
home health agency: | provides to patients in home |
hospice: | provides care to patients who have less then 6 months to live |
4 techniques for physicals inspection: | visual examination |
4 techniques for physicals palpation: | using fingers to feel masses, organs, and detect tenderness and pain |
4 techniques for physicals auscultation: | use of a stethoscope to listen to bodily sounds |
4 techniques for physicals percussion: | tapping on the body to hear sounds produced |
medical records: | used to document all care provided to patients. today most hospitals use EHR's |
EHR: | Electronic health records |
flouroscopy: | views inside the body and projects onto a tv screen- live images by which a physician can view function and structure of an organ |
position: | the way the patient is placed |
projection: | the path that an x-ray beam can travel |
bilateral: | on the right and left side |
screening: | planned ahead of time and scheduled |
diagnostic: | unplanned, sent in and done by doctor immediately |