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mbc 101

billing and coding

QuestionAnswer
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
Created by: Paulean Bizek
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