MA Review Note Plus by Susan M. Perreira

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Ordered: Isordill Titradose 15mg On Hand: Isordil Titadose 10mg/tab

15mg/10mg x 1 tab = 1.5 or 1 1/2 tabs

36 inches

3 foot

Ordered: Felbatol 600mg On Hand: Felbatol 400mg

600mg/400mg x 1 tab = 1.5 or 1 1/2 tabs

84 inches

7 foot

Ordered: Seroquel 75mg On hand: Seroquel 25mg/tab

75mg/25mg x 1 Tab = 3 Tabs

Erick Erickson

8 stages of physical, psychological and emotional growth: 0-1 trust vs. mistrust 2-3 autonomy vs. shame and doubt. 3-6 initiative vs guilt 7-12 Industry vs. inferiority 12-18 Ego identity vs. role confusion. 20's Intimacy vs. isolation. 20-50 growth vs. stagnation old adult: Integrity vs. despair

fetal alcohol syndrome (FAS)

Birth defects such as facial deformities and mental and neurologic development damage caused by alcohol consumption during the embryonic period of pregnancy.

Cystitis

Bladder inflammation resulting from a bacterial infection (usually Escherichia coli)

Glomerulus

Blood enters the nephron here.

Bowman's capsule

Blood filtration takes place here.

Fossa

A depression or grove in a bone

Synarthrosis (immovable)

In these joints, 2 bones are separated only by a membrane (e.g. cranial sutures)

oophor

Ovary

kal

Potassium

Internal Revenue Service (IRS)

Regulates Payroll taxes

Fair Debt Collections Practices Act

Regulates debt collection practice and eliminates unfair practice.

Hypothalamus

Regulates the pituitary gland; its secretions control the hormones secreted by the pituitary.

Abandonment

Ceasing to care for or attend to a patient while the patient needs care. May be charged by the patient if the physician withdraws from the contractual relationship without notifying the patient while the patient still needs treatment.

Celsius

Clitoris

Erectile tissue that is similar to a penis. It is covered by a prepuce.

E & M

Evaluation & management ( CPT office visit procedure codes).

Civil Rights Act of 1964

Governs all forms of discrimination among employees, supervisors, and employers.

Power of Attorney

In terms of banking, this written authorization grants a person the legal right to handle the financial matters of another person.

rhabd

Rod-shaped or striated (tissue)

Dermis

The "true skin", it is the middle layer containing the vessels, nerves, nerve endings, and glands.

Gavage

The process of feeding a person through a nasogastric tube.

Parturition

The process of labor and delivery.

Personal computer (PC)/microcomputer

There are 3 type of personal computers commonly used in offices: desktop, laptop (notebook), & tablets

WBCs (leukocytes)

There are 5 types to fight invading pathogens (infection) The average count is 5,000 to 10,000/mm3

ovaries

These 2 glands manufacture ova and also secrete estrogen and progesterone.

Service contracts

These agreements provide repairs when called on for a contracted time period after the warranty has expired.

Skene (urethral) and bartholin (vaginal) glands

They secrete mucus and lubricating fluid.

pachy

Thick

Occipital

This lobe interprets visual information.

Lumbar puncture

This procedure extracts CSF below L3 or L4 to obtain RBC and WBC counts.

24 hour urine collection

This procedure for urine collection allows testing of the urine sediment and content to diagnose various conditions.

Thyroid scan

This procedure is done by administering a pharmaceutical containing radioactive iodine. The scan rates a patient's thyroid activity for metabolic regulation and provides information about the size, shape, and location of any abnormalities.

Surgical excision and biopsy

This procedure is performed for lesions, moles, and tissue for pathologic study.

Ultrasonography

This procedure is used to produce an image of gallbladder and bile ducts.

Epilepsy

a condition marked by periodic seizures caused by malfunction of the electrical activity of the brain.

spiral fracture

a fracture in which the bone has been twisted apart

concave lens

a lens that is thicker at the edges than in the middle that bends light rays away from one another

Types of Payment

a) at time of service b) bill with credit extension c) Insurance (3rd party) d) outside collection agency

Collection Agency

a) billing of last resort b) the agency keeps 40% -60% of the collected amount c) Do not send bills or discuss the account with the patient after submitting the account to an agency.

abdominal

anterior body trunk inferior to ribs

anus

ANS

autonomic nervous system

greenstick fracture

bending and incomplete break of a bone; most often seen in children

para

beside, beyond, around

melan

black

cyst, vesic

bladder (vesic), sac (cyst [holding fluid])

rrhage, rrhagia

bleeding, bursting forth

emia

blood condition

blood pressure

BP, B/P

blood pressure

cyan

blue

somat

body

Comminuted fracture

bone is shattered into 3 or more fragments

both ears (auris uterque)

Ethics

concerned with values and virtues than with facts. It's about doing the right thing for the patient, the provider of services, and the facility. Both an individual's vision of right and wrong and more worldwide vision of right and wrong are considered in ethical predicament decision making.

stasis

control, maintenance at a constant level

corne, kerat

cornea

Frontal plane

divides the body into anterior and posterior portions

DNR

do not resuscitate order

megaly

enlargement

epididym

epididymis

ana

excessive

hyper

excessive, increased

acr

extremities, height

family history

tachy

fast, rapid, swift

lip

fat

Acrophobia

fear of high places

proximal

closest to point of origin, toward the trunk - joint is proximal to toenail

emergency room

heart rate

I & D

incision and drainage

ICU

intensive care unit

enter

intestines usually small

Hair

is mostly composed of keratin tissue. * It is found on most of the body's surface. * The center of a ? shaft is called the medulla

Book keeping

is the day-by-day detailed recording of business transactions (debits, credits, disbursements). It is a part of the accounting process

Plasma

is the liquid portion of blood in which cells are suspended.

Lamin

lamina (thin, flat plate or layer)

hepat

liver

Muscle

location: 3 types- striated, smooth, cardiac function: produces movement, contracts or shortens

Nerve

location: Neurons (cells) throughout the body Function: Actively transmits impulses through networks.

lysis

loosening, dissolution, separating

andr

male

sarcoma

malignant tumor

Smallest bones of the body

malleus, incus, and stapes (of the ear)

neo

new

new patient

noct

night

N/O

no complaints

no show

NSF

non-sufficient funds

nulli

none

kary

nucleus

organ

genesis

origin, cause

heter

other

ex, exo

outside, outward

iatry

physician, treatment

erythr

red

ref

referral

Medullary

refers to an inner region, or medulla -medullary portion of organ contains nerves tissue

cortical

refers to an outer region or cortex -cortical area produces hormones

gastr

stomach

lith

stone, calculus

Tidal volume

te volume of air inspired and expired during a normal respiration.

telephone call

male gonads (testes)

testosterone Target: Sperm Cells Major Function: stimulates sperm production, and secondary sex characteristics

paralanguage

the way a message is transmitted, rather than the words used: the volume, pitch, voice tone, pronunciation, speed, and sentence structure

myc

ungus

Fahrenheit

Dermatitis

Inflammation of the skin causes itching and redness.

quid pro quo

Something for something * Service is rendered for payment.

Defendant

The party against whom action (i.e. lawsuit) is being brought.

Plaintiff

The party bringing the suit or claim to court

acou, audi

hearing

cardi, coron

heart

men

menstruation

neur

nerve

sphygm

pulse

hidr

sweat

sinuses

* Air spaces in the bones of the face * lined with ciliated mucus membrane * warms, cleans, and moisturizes the air

12 inches

1 Foot

bin

2 by 2

24 inches

2 foot

Ordered: Tolectin 300mg On hand: Tolectin 200 mg/tab

300mg/200mg x 1 Tab = 1.5 or 1 1/2 tabs

Ordered: Tegretol 400mg On hand: Tegretol 200 mg/tab

400mg/200mg x 1 tab =2 tabs

60 inches

5 foot

72 inches

6 foot

Urethra

A 20 cm long tube that extends from teh ejaculatory ducts to the tip of the penis.

statement

A bill for all invoices delivered in 1 month.

E-mail

A message sent and received almost instantly through a digital network. It operates in real time.

lapar, celi

Abdomen; abdominal cavity

Backup

Action that prevents the loss of files when a hard disc fails. Backup is performed at the end of each business day to store the day's enteries.

Asthma

Affects the bronchi and bronchioles. The airways become partially blocked by contraction of the muscle walls. the narrowed airways cause wheezing, chest tightness, or severe dyspnea; usually related to allergies, exercise, or environmental agents.

Temporal lobe seizure

After a brief aura or warning the patient suddenly acts out of character for a few minutes. An unconscious chewing motion may occur during this type of seizure.

ALL

Allergy

Direct filing

Alphabetical *First indexing Unit: Last name (surname) * Second indexing unit: First name * Third indexing Unit: Middle initial or name * Forth indexing unit: Titles, suffixes (e.g., Jr., Dr.,)

Lordosis

An abnormal inward curvature of the spine (Swayback)

Bursitis

An inflammation of the bursa(fluid-filled sac that reduces friction as joints move

High-complexity test

Any procedure related to cytology (pap testing, histopathology (tissue disease), cytogenetics (cell growth and origin), or histocompatibiity (tissue matching) Education of personnel at this level is the most rigorous.

Medicare Part A

Automatic enrollment, inpatient coverage, new deductible to meet for each hospital admission

Below the knee

paper

Bond * Felt side and wire side; a watermark on the felt side is seen correctly when held up to the light? * Watermark: An impression or design signifying high-quality paper * 25% or higher in cotton fiber content

Osteoporosis

Bone mass reduction. Bones become thin, porous, and easily fractured

Schedule 1 drug

Classified by the Drug Enforcement Administration as a drug that has high potential for abuse and no currently accepted medical use. * No accepted medical use, * highest Abuse potential Example: Heroin, Fentynl

Episiotomy

Clean surgical cut in the perineum done during labor. The area of muscle is under a great deal of stress during childbirth. The procedure is performed to prevent irregular and deep tearing.

Mitral (bicuspid) valve

Closes the opening between the left atrium and the left ventricle to prevent backflow of o2 rich blood back into the atrium once the blood has been pushed back into the ventricle.

cataract

Cloudiness (opacity) of the eye lens results in vision degeneration, usually from aging.

Mouse

Common pointing an scrolling device. It is used for moving the cursor on the computer screen and for moving screen windows. Laptop computers and tablets use trackballs, touch pads, and touch screens as input devices.

Urticaria

Commonly known as hives, this is usually seen as raised wheals caused by an allergic reaction or stress.

Pelvic Cavity

Contains urinary bladder, reproductive organs, and rectum

Controlled Substances Act of 1970

Controls the prescribing, dispensing, and administering of narcotic, stimulant, and other dangerous drugs that can be abused; managed by the DEA.

Slander

Defamatory verbal communication

Dysphoria

Depression and unrest without an apparent cause.

Hemorrhoids

Dilated, inflamed, vericose veins of the rectum and anus.

Displays the choices of available functions.

HCTZ (hydrochlorothiazide)

Diuretic

EIN (Employer Tax ID number)

Each employer must have this number for reporting federal taxes.

Medical Practice Acts

Each state's statutes that govern the practice of medicine (education, licensing and renewals and suspension and revocation of license)

EHR

Electronic health record

EMS

Emergency medical service

Displacement

Emotional impulses are redirected toward a substitute person or object that is less threatening or dangerous.

Nonfeasance

Failure to act when duty is indicated; results in injury to another.

Salping

Fallopian tube

Defamation

False, malicious, communication to a 3rd party; works to damage a person's reputation; includes libel and slander.

Hypermetropia

Farsightedness results when the eye is too short from front to back. Light entering the eye is focused behind the retina.

Claustrophobia

Fear of being confined in any space

Agoraphobia

Fear of being in public places outside of home.

Social anxiety disorder

Fear of being judged or criticized while performing routine behaviors in front of others at social gatherings.

Digestive System

Function: Digestion Absorption Elimination Cells, tissues, Organs: Mouth Esophagus Pharynx stomach small & large intestine Gallbladder pancreas

Flatus

Gas in the digestive tract that is usually expelled through the anus.

Presbyopia (farsightedness)

Hardening of the eye lens results in loss of lens flexibility, usually from aging. Seeing objects close up become more difficult.

coding

Highlighting the name/subject of a document

History

HPI

History of present Illness

Upper extremities

Humerus: Upper arm, largest arm bone Radius: lower arm on the thumb side Ulna: lower arm on the little finger side carpals: wrist bones Metacarpals: hand bones (palm) Phalanges: Fingers and thumb

Allergies

Hypersensitivities, result in inflammation that may be delayed or immediate, to substances not usually recognized as foreign (contact dermatitis, anaphylaxis)

Prinivil (Lisinopril)

Hypertension

Synthroid (levothyroxine)

Hypothyroidism

Manipulation

Influencing or controlling artfully or deceptively because of the need to be in control. The individual cannot tolerate a dependent role. Manipulative patients may cancel appointments or not show up, or they may change their prescribed treatments.

IRS

Internal Revenue Service

Noise

Interruptions and noise (within the room or just outside) interfere with communication.

Active listening

Involves showing awareness of what is being communicated and providing feedback; it is a 2 way interchange. The 5 techniques for active listening are as follows. * Giving your full attention *Nodding *smiling *asking questions *taking notes

Confidentiality

Keeping information private during a conversation or telephone call by being careful that the patient's name, symptom, or other information received is not overheard by those who do not need to know.

volume

Keeping the voice at a normal level so the receiver does not strain to hear and also does not feel shouted at.

Lens

Located behind the cornea and iris, the lens enables the eye to focus, a process called accommodation.

Medicare Part C

Medicare managed care plans; replace Part A and B

Myopia

Nearsightedness occurs when the eye globe is too long from the cornea to the retina, so that light entering the eye is focused in front of the retina.

Vitamin K

Necessary for synthesis of prothrombin and several other clotting factors. Normal flora in the large intestine produce vitamin K.

Direct cause

Negative outcome is direct result from provider's actions or failure to act.

Express Mail

Next da delivery if sent by 5p.m. Mail can weigh up to 70 lbs; there is proof of delivery, and the item may be insured for up to $100.

Bundling

One CPT code is used in place of multiple available codes to identify a procedure fully..

compound fracture

Open fracture; a fracture that penetrates the skin

Treat the patient within the physician's scope of practice.

Physicians are legally obligated to do which of the following after a physician-patient contract has been established? a) Bill the patient's insurance company for all services b) evaluate the patient for any medical problem c) Release the patient's medical records when requested by telephone d) Treat the patient within the physician's scope of practice e) Write off differences between service charges and allowable amounts.

Storing

Placing the document in the proper chart, within the proper section of that chart, and in the roper chronological order.

Examination rooms

Prepare these areas for cleanliness and neatness.

Employee Retirement Income Security Act (ERISA)

Protects and regulates employee pensions.

CLIA '88

Quality and complexity level regulations for hospital, private, and physician office laboratories ; laboratory levels are waived, moderately complex or highly complex.

Open-ended questions

Questions that require more than a yes or no responses (e.g. tell me about yourself)

Bursa

Sac, cavity

Priority Mail

Same as first class; weighs more than 13 oz BUT less than 70 lbs; this package can be tracked

Pectoral Girdle

Scapula: (shoulder blade) upper back bone Clavicle (collarbone) anterior shoulder bone

angina pectoris (chest pain)

Severe chest pain caused by a low o2 supply to the heart muscle It may result from stress or activity.

SOF

Signature on file; signed copy authorizing claim submission and direct payment to provider.

Subjective

Symptoms not seen, heard, or measured. This information is given by the patient. If it is not volunteered by patient, then it is not known.

Follicle-stimulating hormone (FSH)

Target: Ovarian follicles, seminiferous tubules in testes. Major Functions: Women; stimulates development of ova and ovulation, secretion of estrogen; Men: stimulates development of testes, production of sperm.

Andidiuretic Hormone (ADH, Vasopressin)

Target: Kidneys Major Function: Regulates water reabsorption within nephrons, determines urine concentration and volume.

luteinizing hormone (LH)

Target: Ovaries, testes-cells of Leydig Major Functions: Development of corpus luteum, progesterone secretion; develops cells to make testosterone, stimulates secretion of testosterone.

Paraphrasing or restating

Telling the messenger what you heard, in your own words.

ten, tend, tendin

Tendon

Critical Thinking

The ability to evaluate situations and then take action based on the concise conclusions.

Coordination

The ability to plan and organize tasks to be accomplished by prioritizing within a time frame.

Purging

The act of removing unnecessary old data from a hard drive or disk drive.

Brain

The anatomical term for the ? is encephalon. *The ? weighs 3 lbs. * It is divided into 4 major areas: cerebrum, diencephalon, brainstem and cerebellum. * It is protected by the skull, meninges, and cerebralspinal fluid (CSF)

Preauthorization

The approval given from an insurance company for service (e.g., procedure, therapy, surgery, hospitalization) resulting from medical necessity.

Public Law

The laws regulating the public at large: the rights and responsibilities of government to its citizens and vice-versa

Frontal

The lobe controls speech, and voluntary muscle movement

Medulla oblongata

The lowest part, it channels communication between the spinal cord and the brain.

Vital capacity

The maximum amount of air expired after a maximum inspiration. It is not forced.

Inspiratory capacity (inspiratory reserve volume)

The maximum amount of air inspired after normal expiration. This is measured by breathing in and out normally and ten forcibly inhaling at the end of tidal volume.

Implied Contract

The most common between providers and patients; not written, the result of actions (provider treats a patient within the physician's scope of practice) * The patient pays for the providers services * An unconscious patient is treated in the ER

Bipolar disorder

The occurrence of extreme mood swings, highs and lows, that affect one's ability to function.

Certified Check

The payer's own check, officially stamped by the bank. This guarantees the availability of funds by the setting the check amount in the account aside; the payee is assured of payment.

Duty

The provider and patient relationship was established.

Venules

These small, thin veins connect the larger veins to the capillaries

Tissue

This grouping of cells performs a specific function.

Autonomic nervous system

This system sends behavior information from the CNS to smooth muscle, cardiac muscle, and glands

Splenomegaly

This term describes an enlarged spleen that is associated with an infectious disease.

Subjective File

Topics are arranged alphabetically

Posterior/dorsal

Toward back of body - vertebral column is posterior to sternum

Vastus Lateralis

Upper outer thigh (common site for infant injections)

Right Drug

Very important! Many medications sound/look very similar. Be 100% sure you have the correct medication.

Condyloma

Wart growths located on the external genitalia are known to cause cervical cancer.

telephone

Where does a patient's first impression of a medical practice often occur?

December 18, 2014

Which of the following dates is written correctly for inclusion in the heading of a letter? a) December 18th, 2014 b) 12/18/14 c) 12/18/2014 d) December 18, '14 e) December 18, 2014

Belonging

Which of the following does Maslow consider a 3rd level need? a) Shelter b) Belonging c) Safety d) respect e)esteem

autoclave

Which of the following office equipment is inventoried for depreciation? a) examination table paper b) syringes c) letterhead paper d) autoclave e) stethoscope

Inventory

a list of in-stock supply items of pieces of equipment. Ordering, storage, and usage of equipment and supplies are tracked using an inventory system. * Office equipment is listed by date of purchase, serial number, service dates, and warranties. * Reasons for listing: -stocking: to avoid running too low on important supplies * Depreciation: A 5 year period for large, durable equipment pieces (for tax purposes) * Damage or theft: Reporting to manufacturers or police. Include the following: * general supplies (e.g. toilet paper tissue, and paper towels) * administrative supplies (e.g. stationery, copier/fax toner, pens and highlighters) * clinical supplies (e.g. table paper, instruments, and tongue depressors) * capital equipment (e.g., computers, copier, examination tables, and electrocardiogram machine)

X-rays

a radiograph of bones to examine for breaks or density

osis

abnormal condition

malacia

abnormal softening

post

after or behind

ama

against medical advice

gen

agent that causes or produces

ABC

airway, breathing, circulation

A&W

alive and well

pan

all, total

computer peripherals

also known as external hardware, include the monitor, keyboard, mouse, printer, and other external devices connected to the computer.

Tendonitis

an inflammation of a tendon

gram

an instrument for recording, picture, record

DVD

an optical storage disk similar to a CD but capable of holding more dat (4.7 to 17 GB, depending on the disk's format)

Nails

are composed of hardened keratin (horny layer) and are located on the tips of fingers and toes.

Liabilities

are debt owed by the office (e.g. lease, payments, loan payments, various insurance premium payments, payroll, medical and office supply bills)

dys

bad, difficult, painful

calc

calcium

cancer

carcin

cancer

chondr

cartilage: chondrocyte (cartilage cell)

eti

cause

CNS

central nervous system; brain and spinal cord

meta

change, after, beyond

Inflection

changing one's pitch while speaking so as not to speak in a monotone.

thorax

chest

isch

deficiency, blockage

hypo

deficient, decreased

trophy

development

aur, ot

ear

ENT

ear, nose, throat (otorhinolaryngology)

sarc

flesh, connective tissue

rrhea

flow, discharge

FU or f/u

follow up

f/u

follow up

FYI

for your information

plasia

formation

poiesis

formation

plasm

formative, material of cells

chol

gall, bilw

gastrointestinal

Evaluative listening

giving your full attention to the message transmitted to ask the most appropriate question(s) for clarification and understanding. * This provides an immediate response and opinion * It is especially important in telephone communication * it avoids selective hearing

balan

glans penis

Pancreas Gland

glucagon and insulin

good normal, well, easy

physis

growth

gingiv

gum

trich

hair

hemi

half (hemisphere)

H&P

history and physical

HRT

hormone replacement therapy (estrogen and progesterone)

cranial cavity

houses the brain

inj

injection

itis

inlammation

tome

instrument used to cut

meter

instrument used to measure

arthr

joint, articulation

nephr, ren

kidney

gno

knowledge

lab

laboratory studies

LMP

last menstrual period (first day of)

left ear (auris sinistra)

phot

light

L&A

light and accommodation

metry

measurement

meat

meatus

stomat, or

mouth

kinesi

movement, motion

epi

on;over;upon

oxia

oxygen

odynea

pain

plegia

paralysis

patient

ROM (Read Only Memory)

permanent unchangeable basic operating instructions. The computer needs the instructions to function

Plantar flexion

pointing the toes dowanward

toxic

poison

Schedule III

potential for abuse is less than SCHEDULE I, II currently accepted medical use in treatment in US moderate or low physical dependence or high psychological dependence * Rx must be written by physician

problem focused

graphy

process of producing a picture

spinal column (vertebral column)

protects the spinal cord and supports the head and body

Cor, core, pupil

pupil

empathy

putting oneself in another person's place to realize that person's feelings.

pyel

renal pelvis

oid

resembling

cost

rib (costal)

right ear (auris dextra)

rrhexis

rupture

sial

saliva

olig

scant, few

ictal

seizure, attack

Waived tests

simple, easy to perform procedures with a low risk of unreliable tests results (includes FDA approved at home testing). A physician's office laboratory holding a certificate of waiver (CW) must adhere to good laboratory practice, including quality control of testing components, specimen handling, performance, and tests results. Medical assistants may perform these tests.

cutane, derm, dermat

skin

paresis

slight paralysis

ologist

specialist

Spleno

spleen

schisis

split, fissure

sus

state of

Inversion

state of turning inward

Eversion

state of turning outward (turning wrists and ankles outward away from the body)

extasis

stretching out, dilation, expansion

spasm

sudden involuntary muscle contraction

Executive Branch

the branch of government that carries out laws

Legislative Branch

the branch of government that makes the laws

Apgar scoring system

the initial tests to assess the health of a newborn immediately after birth. Five signs are checked and scored: heart rate, respiratory rate, muscle tone, reflex irritability, and color.

Distal tubule

the last area of urine formation

Bioethics

the moral inquiry into issues brought about by advances in medicine and biological science. It focuses particularly on ethical controversies brought about by current biomedical technology and research, which are often life and death moral issues. Individuals make their own decisions, no laws govern their choice. These issues have no clear answers, and patient's decisions effect their lives.

Endometriosis

the presence of endometrial tissue outside the uterus. The condition is known to cause pain, cysts, and tumors.

dips

thirst

Tonometry

this is an intraocular pressure test to check for glaucoma.

Subcutaneous layer

this is the innermost, fatty layer. *It contains adipose tissue and elastic fibers that adhere the dermis to the muscle surfaces. * It provides the body with fuel, retains heat, and is a cushion for inner tissues.

oma

tumor

onc

tumor

miring

tympanic membrane (eardrum)

ultrasound

Biceps

upper arm bender or flexor

Triceps

upper arm straightener or extensor

angi

vessel

leuk

white

endo

within

Tricare

* federally funded * covers families of military active personnel and retirees * Three choices of health benefits 1. Prime HMO-optional participation; preventive services 2. Extra: Managed care network- use of network providers only 3. Standard fee-for-service plan

Modified Wave scheduling

* in 1-hour frame; 2 patients given own specific time, 2 told to arrive at same time (e.g 10:30)

Blood

* is a type of connective tissue make up of cellular components and plasma. Its chief function is to transport nutrients and waste products to and from body tissues. * Blood cellular components consist of red blood cells (RBCs), white blood cells (WBCs) and platelets.

speed

* speaking at a normal rate, not too slowly or hurriedly

Nose

*Lined with cilia and hair to clean air * warms, cleans and moisturizes air

Lymph Nodes

*Lymph nodes are Pea-shaped clusters of lymph tissue that filter microorganisms from lymph as it flows through lymph vessels. * Large cluster locations include axillary lymph nodes, inguinal lymph nodes, and cervical lymph nodes.

Thymus

*The thymus is mostly active in the development of the immune system during early life. * It produces thymosin for maturation and the function of T-cell lymphocytes.

Superbill/encounter form/charge slip statement

*This contains diagnosis, procedures, and services performed, patient insurance information, provider information and signature. * It may be used to bill insurance.

Touch

*a powerful form of nonverbal communication * In a medical setting, a ? to the shoulder, or forearm, or hand can show sensitivity and concern if it is used on someone who welcomes it. * ? can be seen as an invasion of privacy * culture, age, gender, and family history influence a patient's understanding of touch.

Cornea

"Window" This transparent structure in the front of the eye helps focus light to the enter.

Qualified

"Without recourse" used by lawyers accepting checks by clients.

Iris

"rainbow" This pigmented layer of muscles behind the cornea and in front of the lens enables more or less light to enter through an opening in the center known as the pupil.

Punctuation Marks

() parentheses: Enclose supplementary words [] Brackets: Enclose synonyms : Colon: seen after a term that needs modifiers

Major Medical (Catastrophic insurance)

* Assists in paying for unexpected medical expenses (hospitalizations) * High deductible helps keep premium cost low)

polycystic kidney disease (PKD)

A disease in which multiple cysts are produced in the kidney tubules leading to kidney failure.

atherosclerosis

A disease of arteries caused by calcium and cholesterol plaque buildup on the artery walls, which restricts blood flow.

Dementia

A disease syndrome, also known as cronic organic brain syndrome, exhibited by a loss of recent memory and progressing to loss of orientation (time, person, place), with mental deterioration resulting from brain disease.

Bulimia nervosa

A disorder identified by repeated episodes of binge eating followed by purging.

Anorexia nervosa

A disorder in which calorie intake is severely restricted because of heightened fear of weight gain.

Arbitration

A dispute between parties that is settled by the judgement of an uninvolved 3rd party (or group) mutually selected by disputing parties.

Occupational Safety and Health Administration (OSHA)

A division of the U.S. Department of Labor, that has jurisdiction over or administers the federal law regulating safety in the workplace for employees and patients. It may conduct unannounced or complaint-response site inspections. If site is not in compliance, the degree of penalty will depend on the severity of the offense.

Phantom pain

A feeling of sensation in an absent, amputated limb

convex lens

A piece of transparent glass curved so that the middle is thicker than the edges

Traction and reduction

A procedure performed to realign the bones

Periosteum

A thick fibrous membrane that covers a bone, surface, except articular cartilage

Chadwick sign

A thickening of the vagina and the development of a purplish color in both the vagina and cervix.

A transmittal of wage and tax statements that lists the employer's name, address, and EIN. In addition, it documents a summary of employee earnings, FICA, and federal taxes withheld. The employer sends it to the social security administration with the government copies of employee W2 forms.

Anemia

Abnormally low hemoglobin in RBCs in the bloodstream

Transaction

Accounting is the process of keeping summaries made from the daily bookkeeping entries (credits, debits, disbursements) to provide the office with financial information about the business.

Family and Medical Leave Act of 1993 (FMLA)

Allows leave without position loss up to 12 weeks in sites employing more than 50 persons. * Reasons for leave can be birth or adoption of chid, ill family member or own illness. * Applies if employed for 1 year.

kyphosis

An abnormal outward curvature of the spine (hunchback)

Diverticula

An abnormal pouching (pocketing ) of organ walls usually the colon.

Ascites

An abnormally collection of fluid in the peritoneal cavity

Hyperkalemia

An electrolyte balance disorder caused by high potassium levels.

Stye

An eyelash follicle infection causes a painful, red swelling that develops a white center and eventually bursts, thus relieving the pain.

Meniere disease

An increase of fluid in the semicircular canals of the ear results in symptoms of vertigo, nausea, progressive hearing loss, and tinnitus.

Osteoarthritis

An inflammation of the joints

sprain

An injury to a joint (wrist, ankle, knee) usually the result of a stretch or torn ligament.

up Code

An insurance claim purposely coded to the next highest reimbursable code that does not have proper documentation to support its use

EIN

Employer Identification Number

Homeostasis

Equilibrium, maintaining a balance of the internal body. The body strives to maintain this "healthy" state.

Reconciliation

Balancing a checkbook with the bank statement 1) Start with the bank statement balance 2) Add deposits not seen on the bank statement 3) Subtract outstanding checks not seen on the statement 4) Add the remaining dollar amount should be the checkbook balance.

BRAT

Bananas, rice, applesauce, toast- diet recommend for vomiting or diarrhea

Right Time

Be sure to have the correct time and date. These records are legal documents and could be subpoenaed to court at any time.

Gluteus Medius

Buttocks, upper outer quadrant (injections at dorsogluteal or ventrogluteal site)

Standard of care

Care given by a sound and rational person in the same situation; the measure against which a defendant's conduct is compared.

Aorta

Carrying the O2 rich blood surging from the left ventricle of the heart, the aorta is the largest and thickest walled artery in the body.

Buffer times

Certain time slots are left unfilled until that day in the office * More are needed on Monday's and Fridays.

Autism

Characterized by severely impaired social or communications skills, often with repetitive or primitive behaviors, and a preoccupation with inner thoughts.

Moral

Concerned with ideas about right and wrong

Pertussis (whooping cough)

Contagious bacteria infection that causes inflammation in the upper respiratory system. this infection may be fatal to infants. A vaccine is available.

Payroll and forms

Employee payroll detail must be kept for at least 4 years for Internal Revenue service (IRS) purposes.

Thymus Gland

Thymosin: Target: Immune system Major Function: Stimulates T-cell production

Collection ratio

This calculation measures the effectiveness of the office billing system (e.g. 97% of billed amount is paid)

Amblyopia (lazy eye)

This condition occurs when an eye is not used. It may be the result of misalignment by the muscles that control eye movement. They eye becomes progressively weaker, resulting in blurred vision, with the eye appearing to turn inward or outward.

Rectum

This connects the sigmoid to the anus.

Medulla

This is the inner portion of the kidney and contains about 12 renal pyramid structures. Each pyramid connects with a calyx (duct) and joins a renal pelvis (urine reservoir) A ureter then collects the produced urine and delivers it to the bladder.

cortex

This is the outer portion of the kidney.

cry

cold

chrom

color

choledoch

common bile duct

c/o

complains of

iasis, esis

condition

ankyl

crooked, stiff, bent

diagnosis, diagnoses

pepsia

digestion

D&C

dilation and curettage (of the uterine lining)

dipl

double, twin

Circumduction

drawing an imaginary circle with a body part

ptosis

drooping, sagging, prolapse

xer

dry

EMR

electronic medical record

equivalent

Nonjudgmental

To be fair or unbiased when communicating with others, as should be evident in facial expression, body language, and responses made.

Annotate

To underline or highlight significant words and key points. Annotations can identify anything in the mail that needs a response, or they can be reminders, comments, and suggestions for action.

Strain

Torn or overstretched (not severed) muscle or tear or overstretching at the attachment of a tendon (not at a joint location) usually caused by overuse.

Anterior /Ventral

Toward front of body - nose is on anterior of head

Inferior

Toward lower end of body - stomach is inferior to heart

lateral

Toward the side; away from the midsagittal plane - Eyes are lateral to nose

Superior

Toward the top of the body - shoulders are superior to hips.

Rotation

Turning on an axis (head turning from side to side)

Braxton-Hicks contraction

Uncoordinated and irregular contractions of the uterine muscle. These contractions occur frequently in the last month and sometimes earlier in pregnancy before labor.

Medicare Part B

Voluntary enrollment, adds outpatient coverage, yearly deductible, monthly premium due

Colon

Waste forms and moves through this organ by peristalsis. The colon has 4 parts.

Heart, blood vessels

What does the cardiovascular system consist of?

Hydrocephalus

Excessive CSF in the brain causes elevated intracrainial pressure and tissue Death.

an alpha cross reference

When a medical facility uses the numerical filing system, which of the following is needed? a) an alpha cross reference b) a chronological reference c) a tickler file reference d) color code reference e) none of the above

blephar

Eyelid

Assessment

Findings that combine subjective and objective information into a probable diagnosis.

Salary

Fixed amount paid to an employee regardless of hours worked in pay period.

stenosis

abnormal tightening, narrowing

super, supra

above, excessive, beyond

Prejudice

Having a negative opinion or bias toward an individual

FUO

fever of undetermined (or unknown) origin

fibr

fibrous connective tissue

Assets

are possessions of value (office equipment, inventory, accounts receivables, bank accounts)

Carotid artery

Located on either side of the neck, this artery carries blood upward to the head. This is a common pulse site.

Adduction

Movement toward the midline of the body

Parathyroid tetany

Muscle spasms and convulsions resulting from hypoparathyroidism. This disorder results from low calcium levels in the body.

Hydrocodone (Lortab, Vicodin)

Narcotic Analgesic/Reduce Pain

Moderate-complexity test

Not waived. Constitutes 75% of U.S. testing, most of which is performed by outside laboratories. > Microscopic examination of urine sediment > blood and urine cultures, some blood chemistry studies > Testing personnel must meet education requirements higher than medical assisting.

Registration

On passing a credentialing examination that grants licensing or certification in a health field, the individual is registered with the field's professional organization (e.g. the AMT, AAMA, or NCCT for medical assistants). To remain registered with the professional organization, the credentialed individual usually must earn continuing education units and also pay a fee to the accrediting agency each year to register.

Credit

Payment made toward a debt (debit) owed

Urochrome

Pigment that gives urine its color. Color ranges from straw to amber yellow depending on liquid consumed, diseases and medications.

bowel movement

mamm, mast

breast

pnea

breathing

Impacted fracture

broken bone ends are forced into each other

cec

cecum

cyt

cell

cash basis

charges are entered as income once payment is received for services; medical offices use this system.

Electronic claims

Preferred method of claim submission reduces time in mailing and claim processing. Transmission is from computer to computer.

Prescription

Medicare Part D

Prescription plans

PCP

Primary care provider

Masseter

Principal muscle in masication

Res judicata

Principle meaning once a case is resolved its merits, it cannot be tried again on the basis of the same evidence.

Patient Records

Print out the list of patients to be seen the next appointment day. Review the content of the charts, organize the charts by needs for that day's office visit (OV), and arrange the charts in order in which the patients are to be seen. One copy of the list of patients is for the physician.

Good Samaritan Law

Protects individuals stopping to give aid in an emergency situation (i.e. health-care employee giving aid to nonpaying individuals outside place of employment) Protects care provider from civil lawsuit if the provider is not found to be grossly negligent in the given care.

Title I Health-care Portability

Protects insurance coverage for employee job changes; ensures the same plan and coverage. * limits use of exclusions for preexisting conditions.

Bloodborne Pathogens Standard

Protocols to protect from hepatitis B and C and from HIV; effective 1991

Provider Identification Number

Gustatory components

Receptors for taste are mostly on the tongue and soft palate.

Recheck

Record Retention

Records are kept for 7 to 10 years for adults and for 7 to 10 years from reaching the ae of majority for minors.

Somatization

Recurrent and multiple body (any organ system) complaints with no physical basis.

Lipitor (atorvastatin)

Reduce cholesterol

Reflecting

Repeating what is heard from the sender by using open-ended statements that the person must complete in response.

Plexuses (networks)

Spinal nerve fibers converge to form these networks in the PNS

Office Meetings

Staff meetings are held weekly or monthly as needed or preferred to correct situations and to share information affecting office practice, performance, and procedures.

Thorax (rib cage)

Sternum: Breastbone (mediastinum) Xiphoid process: small flat bladelike bone tip at bottom of breastbone Ribs: 12 pairs

Panic attack

Sudden extreme anxiety resulting in sweating and rapid heart beat.

Coronary Artery

Supplies the blood needed for the cardiac muscles to function.

ton

Tension, pressure

MEDI/MEDI

Term used for medicare and medicaid coverage

Digestive tract

The ? consists of a series of chambers

urinary catheterization

This procedure removes or introduces fluids by inserting a sterile tube through the urethra and into the bladder.

Gestation

The period of pregnancy from fertilization to birth.

Hard copy

The printout of a document seen on a computer monitor

Late Effects

The residual condition produced after the acute phase of injury or illness has terminated. This has no time limit and requires 2 codes.

Feedback

The response, either verbal or nonverbal, to a message.

Understanding

The retention of knowledge and correct use of information. Expanding a knowledge base through continued education and comprehension increases understanding.

Pleura

The serous membrane lining the lungs has surfactant to lower the surface tension.

Menstruation (Menses)

The shedding of the endometrial lining because of nonpregnancy. It occurs approximately every 28 days.

Middle Ear

The tympanic cavity is connected to the nasopharynx via the eustachian tube.

astigmatism

The uneven curvature of the cornea results in vision distortion.

Arterioles

These downsized arteries have a thinner wall of muscle. They connect the arteries to the capillaries.

brady

slow

lei

smooth

Accrual basis

sold items are considered income, even if they have not been paid for at the time.

ech

sound

phonia

sound, voice

tripsy

surgical crushing

pexy

surgical fixation, suspension

otomy

surgical incision

ectomy

surgical removal

Hysterectomy

surgical removal of the uterus. The fallopian tubes and ovaries may be removed at the same time, for various reasons.

plasty

surgical repair

Neuron

the nerve cell that carries nerve impulses to and from and within the CNS. These are the working cells of the nervous system.

Photocopier

the office machine duplicates hard copies of documents and images

Appellant

the party appealing the decision of a lower court to the jurisdiction of a higher court.

mastication

the process of chewing

midsagittal plane

the sagittal plane that divides the body into equal left and right halves

Metabolism

this is the sum total of all the chemical processes that take place in a living organism.

per

through

dia

through, complete

necrosis

tissue death

accountability

to be responsible for actions and words

opsy

to view

syn, sym

together, joined

gloss, lingu

tongue

deep

toward inside of part; away from surface - thigh muscles deep to skin

visceral

toward internal organ; away from outer wall - organ covered with visceral layer of membrane

Medial

toward midsagittal; away from side - eyes are medial to ears

superficial

toward surface of part; away from the inside -skin is a superficial organ

Cephalad

toward the head - neck is cephalad to tail

sub

under, less, below

hyster, metr, uter

uterus

colp, vagin

vagina

phleb, ven

vein

scope

visual exam with instrument

scopy

visual examination

episi, vulv

vulva

hydr

water

Placeholder

x character. This is used within certain codes to allow for future expansion. It may be used as a 5th character placeholder for certain 6 character codes and used as a 6 character placeholder for a code requiring 7 characters.

xanth

yellow

ather

yellowish, fatty plaque

Food and Drug Administration (FDA)

has the responsibility of determining the CLIA regulatory categories of tests are as follows: Waived tests Moderate-complexity tests High-complexity tests

Office of Clinical Standards and Quality (OCSQ)

has the responsibility of implementing and monitoring laboratory compliance with the CLIA regulations.

HEENT

head, eyes, ears, nose, throat

crypt

hidden

HBP

high blood pressure (hypertension)

Transverse plane

line that divides the body into upper and lower sections

L&W

living and well

Brachial artery

located on the inside of the elbow, this carries blood from the axillary artery to the radial and ulnar arteries. It is used for blood pressure (BP) reading.

Aldosterone

Target: Kidneys Major Functions: Regulates blood pH; stimulates reabsorption of sodium in nephrons.

Glucagon

Target: Liver cells, fat cells Major Functions: Promotes release of glucose into the blood.

Prolactin

Target: Mammary glands (breasts) Major Functions: Initiates milk production; promotes milk gland production.

Epinephrine (adrenaline)

Target: Smooth and cardiac muscle, blood vessels, liver cells Major Function: raises heart rate, blood pressure, glucose levels.

Norepinephrine (NE)

Target: Smooth, cardiac, and striated muscle Major Functions: Constricts blood vessels, raises blood pressure; reinforces sympathetic nervous system.

Integrity

this is the quality of being trustworthy and honest with physicians, employees, and patients. It includes the following: treating each patient with dignity and kindness; working within the law and in an ethical manner; completing all tasks before leaving at the end of the workday; and admitting your mistakes, thus ensuring high-quality care and lowering the chance for litigation.

Western blot:

this test is specific to individual viruses and is performed to confirm the diagnosis when a positive result from ELISA for HIV is found. It is more accurate than ELISA and may be performed on venous blood and oral fluid samples.

Caudad (caudal)

toward the tail - neck is caudad to dkull

parietal

toward wall; away from internal structures - abdominal cavity lined with parietal peritoneal membranes

ad, af, ap, as, at

toward, in direction of

Eardrum

The auditory membrane vibrates as sound waves hit it.

COPD

various combinations of asthma, chronic bronchitis and emphysema. ? typically causes enlargement of the lung alveoli. This condition is usually progressive and obstructs the air exchange in the bronchi, alveoli and lungs.

Payer

The person who signs the check to release the money to the payee

Payee

The person, practice, or company to whom the check is written (Payable)

Precertification

The process used by an insurance company to determine coverage for a specific service.

Addison disease

This disease is caused by a slowly destroyed adrenal cortex and lowering of adrenocorticotropic hormone (ACTH), with resulting weight loss, nausea, abdominal pain, bronzed skin, and hypotension.

Warranty

This document is sent to the manufacturer on receipt of the equipment. * It ensures replacement of defective parts and equipment. * It usually has a replacement period up to 1 year from purchase

Diaphragm

This domed muscle separates the thoracic and abdominal cavities. *on inhalation, the diaphragm contracts, creating room for inflation of lungs. * on exhalation, the diaphragm relaxes (assists lung compression)

Virtual Private Network (VPN)

This encrypted network uses the internet to connect to two or more computer systems. * The security methods used on a ? ensure data protection. * It allows a physician to view confidential patient records from a variety of locations.

Diascopy

This examination of skin lesions uses a flat glass plate held against the skin.

Dendrite

This extension of the cell receives and carries signals to the body

Anus

This final portion of the digestive system where feces are excreted.

Epiglottis

This flap of tissue covers the larynx (wind pipe) when swallowing so the bolus will enter the esophagus.

Wood's light

This fluorescent light is used to diagnose particular skin conditions.

Minicomputer

This functions as a server that stores shared information from other PCs in a network setting. It is larger than a PC.

Tinea

This fungal skin infection, also known as ringworm, can grow on skin, hair and nails * Tinea capitis: found on the scalps of children. * Tinea cruris: Found on the genital area (jock itch) * Tinea pedis: Found between the toes (athlete's foot)

Albinism

This genetic condition is marked by the absence of melanin (pigment) in skin, hair and eyes.

Gonorrhea

This genital mucous membrane inflammation is produced from exposure to Neisseria gonorrhoeae.

Cerebral angiography

This imaging procedure uses a contrast medium to view blood vessels of the brain.

Down Syndrome (Trisomy 21)

This includes mild to severe mental retardation of an individual born with an extra chromosome (usually number 21).

Bell palsy

This infection causes 1 sided facial paralysis. It affects cranial nerve VII. It is usually caused by a herpes simplex reactivation and most often resolves in 2 weeks to 2 months.

Pediculosis

This inflammation of the skin is evidenced by scaly red raised patches on the skin surface covered with gray or silvery scales. Sometimes lesions form papules. It may be genetic or caused by environmental factors.

Ceccum

This is a blind pouch where the ileum ends and the colon begins. The lower portion is the appendix.

Replacement

This usually occurs as part of a maintenance agreement. The office pays for the replaced part not the labor.

Vena Cava

This vein receives the blood from the upper (superior vena cava) and the lower (inferior vena cava) branches and transports it into the right atrium of the heart.

Interventricular septum

This wall of tissue divides the heart in half vertically.

intravenous pyelogram (IVP)

This x-ray procedure uses dye to evaluate the structure and function of the kidneys

Group Practice

Three or more providers share costs, profits, and decisions (usually primary care, one specialty, or a multispecialty group)

thym

Thymus

Statute of Limitations

Time limits for starting legal actions after a wrongful act, injury or breach of contract occurs. The limitations vary from state to state. Factors influencing the limitations are as follows: * Date contract ceased to exist between parties * Date of the wrongful act * Date the physician terminated treatment. * date the discovery of the injury should have been made. (reasonably)

Network

Two or more computers that can be connected to each other in a network. The network allows the sharing of files and information. There are two types of networks in an office setting. * Virtual Private Network (VPN) * Local area Network (LAN)

Bronchi

Two primary bronchi split off from the trachea, 1 to each lung. -Bronchioles split off as smaller branches from the ?

Tourette Syndrome

Uncontrollable motor tics, facial tics, verbal grunts, and use of profanity.

Leukemia

Uncontrolled leukocyte production that invades blood cell-producing bone marrow. This is known as cancer of the blood.

Volvulus

A twisting or kinking of the intestine.

Otosclerosis

Abnormal bone growth or immobilization of the stapes leads to conductive hearing loss. The cause may be genetic, and it is more common in girls and women.

Exophthalmia

Abnormal bulging (protrusion) of eyes out of their orbits is usually caused by hyperthyroidism.

Sickle cell anemia

Abnormal hemoglobin resulting in crecent-shaped RBCs that readily stick to capillary walls, hereditary. There are many sighs and symptoms including anemia, pain crises, extremity numbness and swelling, fainting and fatigue

Paget disease (osteitis deformans)

Abnormal weakened bone formation is caused by excessive breakdown of bone tissue.

Anxiety

Abnormally high tension, worry, or apprehension that interferes with daily activities and relationships, can be moderate or severe.

cystic fibrosis (CF)

Abnormally thick mucus secretions clogging the lungs and pancreas and resulting in impaired breathing. The cause is genetic.

Above the knee

Myocardio Infarction (MI)

Also called a heart attack. MI results from a lack of O2, and some cardiac muscle necrosis occurs

Irritable Bowel Syndrome (IBS)

Also known as "spastic colon" It is usually provoked by stress and/or gaseous foods and is characterized by bloating constipation and/or diarrhea, cramping and abdominal pain.

Subpoena duces tecum

Commands an individual should appear in court with a patient's medical record or other pertinent documents.

Malfeasance

Committing an improper (illegal) act; results in injury to another.

Cholelithiasis

Commonly referred to as a gallstone (calculus). A gallstone is a hard mineral deposit formed in the gallbladder and bile ducts. Gallstones are known to be painful and to cause vomiting and mild jaundice.

Clear, cohesive, complete, concise, courteous

Communication should strive to fulfill the 5 C's. It should be?

Private delivery Services

Companies such as Federal Express, United Parcel Service (UPS), DHL, and smaller courier services offer faster and more secure delivery than the U.S. Postal services.

Diencephalon

Composed of gray matter, the ? contains the thalamus, hypothalamus, and pineal gland (those are briefly defined later under "Additional Information) * It is the link between where decisions are made and the body, which carries those decisions.

Administrative Law

Comprises government agency-enforced requirements and standards. Some agencies related to medical office procedures.

Hardware

Comprises the physical parts of the computer, including the internal pieces.

Olfactory components

Smell receptors used in "tasting" and odor detection are located in the mucous lining of the upper part of the nose.

Immunodeficiency disease:

Congenital or acquired; the immune system is incompetent or deficient, such as in the following disorders: -Severe combined immunodeficiency -Acquired Immunodeficiency syndrome (AIDS)

stomach

Consists of the following: * Esophageal sphincter: works to prevent food backing up into the esophagus. * fundus: upper portion of the stomach * Body: middle portion of stomach * Pylorus: lower end of stomach * Pyloric sphincter: regulates rate at which partially digested food enter the duodenum. * Stomach wall is composed of rugae folds that allow the stomach to expand. * The stomach mixes food with gastric acids and digestive enzymes to form chyme. * It secretes gastric hormones and intrinsic factor (assists in absorption of vitamin B12)

Right Technique

Although this is part is not necessarily included in your chart note, it is still very important. For example, "quading" the glut to avoid sciatic nerve, pulling skin tight for a z-track, correct angle of insertion.

Licensed

Are granted by individual states on meeting requirements to practice legally within the scope of the field. The applicant must pass the licensing examination and pay the license fee.

Beneficiary

Are subscriber and eligible person(s) named by the subscriber (policyholder) to receive insurance benefits.

Form 940 FUTA (Federal Unemployment Tax Act)

Percentage of an employee's paycheck paid by the employer toward the unemployment fund. This is not deducted from the employee's gross income. It is paid annually to the IRS.

Laboratory equipment

Perform quality control tests and log results for certain laboratory machines. This procedure ensures that the equipment is ready for use.

Urine culture (UC)

Performed to identify any pathogen(s) causing a problem. A clean-catch midstream specimen is required. A culture plate with an appropriate culture medium is incubated for 24 hours with the specimen on it. Bacteria that develop are identified and counted. Antibiotics are tested against the growing bacteria.

Carpal tunnel syndrome

Pressure on the wrist median nerve causes pain and/or numbness, usually from repetitive motion over time.

Hashimoto's thyroiditis

Chronic lymphocytic thyroiditis in which thyroid cells are destroyed by the body's own antibodies. This disease is autoimmune and is a condition of hypothyroidism.

Tricuspid valve:

Closes the opening between the right atrium and the right ventricle to prevent backflow of o2 poor blood back into the atrium once the blood has been pushed into the ventricle.

Diagnostic Testing procedures:

Colonoscopy, sigmoidoscopy, proctoscopy * These procedures are performed to view parts of the large intestine

Prostate gland

Has a donut-like shape that encircles the ejaculatory ducts. The prostate gland secretes a thin alkaline fluid that is added to the semen. It makes up 60% of the semen. * The fluid protects sperm from acids as it passes through the urethra.

Parts of a business letter

Heading: Letterhead and dateline Opening: Inside address, salutation and attention line if required. Body: Subject line if necessary, message Closing: Complimentary closing, typed signature, reference initials, and special notations (enclosures, copies to)

Indirect Filing

Numerical * It uses a terminal digit. The filing order is read from right to left. * It provides the highest confidentiality * It is used in large clinics and hospitals

Hemophilia

Occurs when blood has an inability to coagulate (form a clot) properly when needed. The patient is lacking an essential clotting factor.

criminal

crimes committed against society, individual or property. The government prosecutes the defendant and if the defendant is found guilty, the result is imprisonment or a fine.

Multiple sclerosis

A progressive, debilitating disease caused by gaps in the white matter myelin sheath that produce increasing weakness, tremors and vision problems.

Syndrome

A set of symptoms that run (occur) together.

Paranoia

A show of persistent persecutory delusions or delusional jealousy, possible with schizophrenic symptoms.

Bradycardia

A slow cardiac rhythm that is less than 60 beats per minute.

Drug Enforcement Administration (DEA)

Regulates provider registration and all handling of controlled substances in the office.

Remittance Advice (sent by Medicaid to provider; gives breakdown of reimbursement for services billed)

Wage Garnishment Law

Requires an employer to withhold the earnings of an individual for the court ordered payment of a debt. The law sets a dollar limit that can be attached to person's wages or property.

genic

producing, causing, originating

nonlanguage

sounds made while the message is transmitted such as crying, laughing, humming, grunting, and sighing

schedule V Drugs

drugs in this category are still abused * OTC drugs can be included

tympan

eardrum, middle ear

Color Coding

easy retrieval ; less misfiles

phagia

eating, swallowing

rrhaphy

surgical suturing

ostomy

surgically created opening

onych, ungu

nail

parathyroid hormone (PTH)

Target: Intestines, bones Major Function: Increases absorption of calcium into bloodstream; raises excretion of phosphates in urine.

Burns

1st degree: A superficial burn involving just the epidermis such as a rug burn. It results in very little edema. 2nd degree: A partial-thickness burn involving the epidermis and part of the dermis. Blistering and edema occur. 3rd degree: A full-thickness burn involving all 3 layers of skin, which has a pale or charred appearance with edema. * If the body surface area affected is more than 15% the burn is considered serious.

6 helpful ways to search for a code with the Alphabetic Index

1) Procedure or service performed (e.g., incisions, ECG) 2) Anatomic site or organ (e.g., abdomen, kidney) 3) Condition (e.g., lesions, adhesions, tumors) 4) Synonym (e.g., throat=pharynx; heart=cardiac) 5) Eponym; the proper name of the inventor or discover (e.g; colles fracture) 6) Abbreviation (e.g., EEG, ECG, MRI)

arche

1st, beginning

2, life

Pyelonephritis

A bacterial infection affecting the renal pelvis. An acute form usually results from a bladder infection moving up the ureters to the kidneys. The chronic form is caused by repeated undetected urinary tract infections (UTIs) that periodically affect the kidneys. Eventually the kidney becomes less efficient, and waste products accumulate in the body. kidney or bladder stones can also be a source of infection. Symptoms include fatigue, frequent urination, itching skin, and nausea.

confabulation

A behavioral reaction to memory loss in which a patient fabricates ideas and uses inappropriate words to fill in forgotten information; seen in dementia and other conditions such as stroke.

Aponeurosis

A broad covering sheet of fibrous connective tissue that binds muscle to muscle or muscle to bone

Database

A collection of related information used as a foundation from which information may be retrieved.

Amphiarthrosis (slightly movable)

A fibrocartilaginous disk is located between 2 bones or a ligament unites 2 bones (e.g. intervertebral disks)

Condyle

A large rounded knob that usually fits with anoter bone

Scoliosis

A lateral, sideward curve of the spine

Spondylosis

A lateral, sideward curve of the spine.

synovial fluid

A lubricating fluid for joints, bursae, and tendon sheaths to make smooth movement of a joint possible

Magnetic Ink Character Recognition (MICR) code

A magnetic ink code is printed across the bottom of a check it is used by the bank for sorting checks. A part of the code is the ABA routing number.

Hernia

A protrusion of an organ through the wall of the containing cavity.

Crest

A ridge on a bone

Osmosis

A type of diffusion in which the movement of water or other selected substances in solution pass through a semipermeable membrane. The membrane allows some substances to pass through it but excludes others. This is a form of passive transport.

Money Order

A type of guaranteed payment is purchased for a small fee through the U.S. Postal Service, banks, and some stores.

Gigabyte (GB)

A unit of storage representing 1 billion bytes (1,000 megabytes (MB)

Affidavit

A verbal or written voluntary statement sworn to be true under oath before an authorized official.

Herpes genitalis

A viral infection consisting of painful fluid-filled vesicles on the genitals. It can cause female cervical cancer.

Meningitis

A viral or bacterial infection of the meninges covering the brain.

Contract

A voluntary agreement between 2 parties that create enforceable obligations and rights.

Title II: Administrative Simplification

Addresses fraud and abuse prevention, medical liability reform , and other patient information. * Standards are in place to protect medical records and other patient information. * Patients have more control over health information (access, inspect, copy their record; request amendment to their record, obtain record of disclosures made of their record; complain regarding violations of the regulations and the provider's own information policies). *Safegards are in place to protect patient records * Distinction is made between public responsibilityto disclose information and violation of patients rights. * Civil and criminal penalties are imposed on violators.

Byte

Describes a unit of data having 8 bits. Each byte represents a character such as a letter, number or symbol.

General journal (day sheet)

Detailed chronological record of services give, charges, and receipts.

Diagnosis-related groups (DRGs)

Determines payment for a hospital claim under Medicare Part A. This is arrived at by using a system based on a patient's primary diagnosis , the course of treatment, and length of stay in a hospital. A finalized ? claim is then submitted to Medicare.

Birthday rule

Determines which insurance company is billed 1st (primary). The rule is enforced if the covered individual is the beneficiary of more than 1 health insurance policy.

Supplies

Front Office area and examination rooms should be checked and replenished with all regular supplies for a given morning or afternoon/evening. Order additional supplies if the medical office supply is low.

Alzheimer disease (AD)

Frontal and temporal lobe nerve cells die in this degenerative, dementia-like disease that impairs physical abilities, lessens intellect, and results in gradual total memory loss.

Hypertension

High BP (greater than 140/90 mmHg)

kerat

Horny tissue, hard

ABA number

Identifies the exact bank location of a check's origin; it is located on the upper right of a check.

Botulism

Illness caused by toxins from clostridium botulinum. usually acquired from ingesting contaminated food.

Privacy Rule

In place to protect all PHI transferred, held, or transmitted by a covered entity.

Saddle

In this joint, opposing surfaces are reciprocally concavoconves: movement includes flexion, extension, abduction, adduction, and circumduction (e.g., thumb, carpometacarpal joint)

Instructional notes

Includes: seen after category. It defines or gives examples. Excludes: This term is used when 2 conditions cannot occur together or when the excluded condition is not part of the condition represented by the code. See and See Also: This indicates that another term ahould be referenced within the alphabetic index. Code also: Two codes may be required. Code 1st Sequence the underlying condition 1st, followed by manifestation (signs and symptoms)

Colitis

Inflammation of the colon. This affects only the innermost lining, not the deep tissues.

Right Dose

Many medications come in different strengths. Be sure you have the correct dose of medication. Errors could cause serious injuries to your patient, even death.

Goniometry

Measures joint movement and angles

Mental age

Single entry system

Method of accounting in its simplest form. It is not self-balancing because simple summaries are listed once only for the patient ledgers, general ledger, and checkbook. Finding entry errors is most difficult with this system.

Solo Practice

One medical practitioner owns the practice, makes all the decisions and retains all profits, costs and liabilities.

Projection

One's own unacceptable urges or qualities are attributed to others.

OCR (Optical Character Recognition)

Optical scanning software that converts text on a printed page into text that can be used in word processing software. Without OCR, a scanner scans the printed page as a picture.

Do not resuscitate order (DNR)

Order originating from the patient as a directive to the health-care provider to withhold cardiopulmonary resuscitation if the patient experiences cardiac or respiratory arrest.

Sympathetic Nervous System (SNS)

Responsible for the automatic reactions to stress (the "flight or fight" response) For example, heart rate and strength increase, and bronchial tubes dilate.

Administrative service/voicemail

Retrieve, document , and respond to messages left after office hours from the previous day.

Truth in Lending Act (Regulation Z)

Signed agreement for full debt payment in more than 4 payments ; agreement also stipulates applied or nonapplied finance charge.

Objective

Signs read in test results that are heard, measured or observed.

Icons

Small graphic symbols used as visual representations of files, menu functions, or application software.

Construction by adhesions

The abnormal growing together of two surfaces that normally would be separated.

Immunity

The body's protection against infectious disease and harmful organisms. Active: Natural: Produced by body's production of antibodies after exposure to disease-causing organisms. Artificial: Acquired from immunizations composed of dead or weakened organisms inactivated toxins, or recombinant DNA; body produces antibodies to become immune. Passive: Natural: Maternal antibodies produced outside body and passed on while breastfeeding or in uterus. Artificial: Acquired from immunizations composed of antibodies or globulins to fight specific disease-causing organisms readily, if exposed.

External respiration

The exchange of o2 and CO2 in the lungs and blood capillaries.

C) Tiny hair-like structures in the airways that sweep mucus up and out of the lungs.

The definition of cilia is A) Mucus-secreting cells in the lower bronchial tree b) structures in the airways that trap and hold foreign material. c) Tiny hair-like structures in the airways that sweep mucus up and out of the lungs. D) Cells composed of macrophages and that destroy inhaled pathogens. E. Collecting ducts joining the renal pelvis located within kidneys.

Glands

The dermis layer contains the glands associated with the skin.

Zygote

The fertilized egg cell produced when the sperm head unites with the nucleus of the ovum.

Physician Preference

The first consideration in creating the practice's scheduling system is the physician's preference.

Fee Profile

The given physician's usual charges for various procedures compiled over time.

Autoimmune disorder

The immune system produces antibodies against its own cells (antigens). These disorders affect most body systems (rheumatoid arthritis, multiple sclerosis, Crohn disease, diabetes mellitus type I, lupus and more)

Color blindness

The inability to distinguish certain colors, most commonly reds from greens , results from the absence or deficiency of a single type of cone. Red/green blindness is more common in boys and men. It is usually present at birth and is inherited.

Allowed charge

The maximum dollar amount an insurance carrier will cover for a provided service.

Blood-brain barrier

The mechanism of the capillary walls of the brain regulates what materials (e.g., drugs) in the bloodstream are permitted to enter the brain. Chemical excesses or deficiencies cause the arteries to either dilate or constrict until a balance is restored.

Community resources

The office should have an up to date listing of local organizations that support patients' health needs, with addresses, telephone numbers, and other contact information. Examples of these resources include legal aid, adult day care, and CPR training.

Penis

The organ for copulation and urination *It contains erectile tissue that becomes engorged with blood, which stiffens the penis when stimulated. * The erection enables entry into the female vagina, where sperm is ejaculated. * The penis glans is the penis tip and is slightly wider than the rest of the organ. * The prepuce (foreskin) extends over the glans.

Parietal pericardium

The outer layer of the Pericardium sac is called?

Cystocele

The outpouching of the bladder. It protrudes into the vagina and may cause urinary urgency.

goodell sign

The softening of the cervix 5 to 6 weeks after fertilization.

Wheeze

The squeaking, whistling breath sound caused by narrowed tracheobronchial airways. It occurs in asthma, bronchitis, and other respiratory disorders.

USB (Universal Serial Bus)

The standardized cable and plug used to connect computer peripherals to computers.

Cochlea

The stapes (middle ear ossicle) communicates withthe cochlea. It is spiral shaped, contains fluid sacs and tubes, and has neural cells for hearing. Sound waves start fluid moving within the cochlea, so hairs bend to carry a nerve impulse to the acoustic nerve (cranial nerve VIII) and then to the temporal lobe to interpret sound.

ology

The study of

Residual volume

The volume of air left in the lungs after forced expiration.

Vulva

The vulva is a collective term for the external genitals.

Paralanguage

The way a message is stated instead of the words in the message; refers to pitch, inflection, volume, speed of words spoken, and so forth.

Determination

The willpower to overcome obstacles to complete the task at hand.

Platelets

These are also known as thrombocytes. They are cell fragments that help blood clot. The average count is 200,000mm3

Ceruminous glands

These are found in the ear and secrete cerumen (ear wax) for protection.

sebacceous glands

These are located near hair follicles and secrete oily sebum to lubricate the skin and hair.

Maintenance agreement

These are made for periodic upkeep (cleaning) of computers, copiers, fax machines, autoclaves, microscopes, and other equipment.

Spinal Nerves

Thirty-one pairs of ? extend from the spinal cord and are named for their originating vertebrae, as follows: Cervical plexus C1-C4 Brachial Plexus C5-T1 Lumbosacral Plexus T12 -end

Glaucoma

This abnormally high pressure on the optic nerve. This condition can cause blindness because O2 cannot reach the rods and cones.

Herpes Zoster

This acute viral infection is commonly known as shingles. The cause is the dormant varicella (chicken pox) virus reactivated later in life. It is characterized by painful skin eruptions that follow the route of inflamed nerves.

Conjunctivitis (pink eye)

This allergic reaction or contagious bacterial or viral infection causes blood vessels in the conjunctiva to inflame, which turns the eye white to red or pink. Symptoms are red itchy eyes, swollen eyelids and a watery or sticky discharge.

Release of records with authorization

This allows sending of record copies to the designated physician.

systemic lupus erythematosus (SLE)

This autoimmune disease disorder, also known as Lupus, affects few or many organ systems. More women than men are effected. The actual cause is unknown, but SLE may result from drugs or bacterial infections. Some signs and symptoms include general body aches, weight loss (anorexia), "butterfly" rash on the face, sensitivity to sunlight, nosebleeds, and seizures.

Cell

This basic unit of life is the building block for tissues, organs and so forth.

non-Hodgkin lymphoma (NHL)

This term describes all lymphomas other than Hodgkin lymphoma. It may be fast growing or slow growing. Malignancy is found throughout the lymph tissues. It generally occurs in older adults.

Plan

Treatment based on the diagnosis (e.g. medication, further tests, education, therapy)

Right Patient Right Drug Right Dose Right Route Right Time Right Technique Right Documentation

What are the 7 rights of medication administration?

Duty, dereliction, direct cause, damages

What are the four D's of negligence?

Epithelial connective muscle nerve

What are the four types of tissues?

Tort & Contract

What are the types of Civil Law?

asking closed-ended questions

Which of the following examples is a roadblock to therapeutic communication? a) asking closed-ended questions b) giving advice c) taking notes d) paraphrasing e) gesturing

Psychological Disorders

abnormal behavior patterns that affect one's ability to function or that cause psychological discomfort. Common disorders include the following: Anxiety, anorexia nervosa, bipolar disorder, bulimia nervosa, dysphoria, hypochondriasis, major depression, seasonal affective disorder (SAD), Obsessive compulsive disorder, panic attack, paranoia, phobia, Agoraphobia, Acrophobia, claustrophobia, hydrophobia, social anxiety disorder, post-traumatic stress disorder, schizophrenia, somatization.

pnia

abnormal reduction in number

BPM

beats per minute (heart rate)

inter

between, among

cholangi

bile duct

culd

cul-de-sac

poly

many

Afferent

movement toward the center (core) Afferent nerves carry information to the central nervous system (CNS) from the peripheral nervous system (PNS)

my, myos

muscle

Abraham Maslow

proposed that people have categories of needs and these needs are arranged in a hierarchy. * People are motivated to satisfy or maintain the conditions that will first meet their lower-level needs. * Generally, a person does not progress to the next level until the needs of the previous level have been met. * People are protective of the selves, and any action that stands in the way of their basic needs, or endangers the defenses that protect them, is considered a threat. A person may respond negatively, even violently, to such a threat.

Kinesics (body language)

the study of body movements and gestures as a form of non-verbal communication. Behavior: May indicate: *tapping foot restlessness * drumming fingers Indifference, apathy * head scratching uncertainty, bewilderment * eye contact Looking away or down, noninterest, avoidance, or respect (culture a factor) Looking directly: interest *gesturing with hand -Emphasis of ideas & emotions or arm movements -need to enhance message * Leaning forward -interest toward a person * posture - standing or sitting erect: self- confidence, slumped posture sadness, or lack of self confidence.

Circumcision

the surgical removal of the foreskin (perpuce) of the penis

Colposcopy

the visual examination through a colposcope of the vaginal wall and cervix for any abnormal cells.

Nephrons:

these are the kidney's functioning units. * They carry out 3 functions: filtration, reabsorption, secretion. * There are approximately 1.25 million per kidney * Each is surrounded by blood capillaries. * The anatomical features of a nephron here

Sclerderma

This condition causes the skin to thicken and become rigid

durable power of attorney

Document allowing a designated person to act on behalf of patient to determine use of heroic or extraordinary measures.

Missed OVs

Document in the medical record and make a notation in the day's schedule planner.

Efferent

Movement away from the center. Efferent nerves carry information away from the CNS to muscles and glands.

Abduction

Movement away from the midline of the body

Flexion

Movement in which a limb is bent ( bringing the hand up to touch the shoulder)

Extension

Movement of a limb into a straight position (straightening of the fingers of the hand)

Laminectomy with spinal fusion

A procedure to stabilize the vertebra by removing part of it

Computers

Are electronic devices for storing and processing data. They can be laptops, desktops, or tablets, or they can be built into medical equipment.

Medical or Accounting Records Error Correction

* Draw a line through the error * Writhe the correct data above or below the error, add the date and time, and initial it. * Do not attempt to erase or use correction fluid or tape; all medical records are legal documents.

Self-insured plan

* Employer-provided staffed health facility on site to cover employee needs. * Drug testing, physical examinations, special job-related testing.

Medicare

* Federally Funded * For individuals in the following categories -more than 65 years old with a minimum of 10 years of Medicare-improved employment; disabled; end-stage kidney disease, kidney donors; or retired railway employees.

Medicaid

* Federally and state funded * Title XIX; for medically indigent (low-income individual and families) * Last health-care coverage to bill if there is other coverage * If patient treated, assignment is automatic and allowe payment is considered payment in full * cannot bill patient for covered services

CHAMPVA

* Federally funded * Covers disabled veterans * covers families of veterans with total, permanent service-related disabilities and those who died in the line of duty.

Independent Practice Association (IPA)

* Formally organized groups of MDs working independently * MDs paid by subscriber (policyholder) funds * Partial payment of allowable risk withhold paid at end of fiscal year.

48 inches

4 foot

acromegaly

A condition in which an abnormally high level of growth hormone is found in adults. The usual cause is a pituitary gland tumor.

Aneurysm

An outpouching of weakened blood vessel wall that may be caused by trauma or may be genetic.

Printer

An output device that produces hard copies, usually on paper, of documents and images from a computer. Laser printers produce the highest quality (resolution), but they are more expensive tan ink jet printers.

Toprol XL (metoprolol succinate)

Angina

Pectoris major

Chest

seasonal affective disorder (SAD)

Depression that occurs mostly in the fall and winter.

EPSDT

Early and Periodic screening, diagnosis and treatment

ESL

English as a Second Language

EOMB

Explanation of Medicare benefits (sent to provider, gives breakdown of reimbursement for services billed)

EOB

Explanation of benefits (sent by insurances carrier to provider, gives breakdown of reimbursement for services billed)

Concise

Expressing a message clearly while using as few words as possible.

Using medical terminology

Medical terms and abbreviations should not be used unless they are explained.

Statement of income and expense

Profit and loss. This is a summary of all income and expenses for a time period.

Major depression

Profound loss of all hope, feelings of sadness, lo self-esteem, and loneliness, affecting the body and mind and causing physical and mental problems.

Americans with Disabilities Act of 1990

Prohibits discrimination (with 15 or more employees) in employment practices, hiring, fringe benefits, leaves, and terminations. Public accomodations must be made in a facility's architecture and to practice policies.

Proximal tubule

Reabsorption begins; the concentration or chemical content of urine is determined.

Osteomalacia

Softening and deformation of the bone caused by vitamin d deficiency and result in a loss of calcium and phosphorus. It is known as rickets in children.

Office Equipment

Some equipment should be turned on for the day (e.g. copy machines, printers)

Denial

Someone fails to recognize or acknowledge the existence of anxiety-provoking information.

Reaction formation

Someone thinks or behaves in extreme opposite of the unacceptable urges or impulses

Deposit Requirements

The employer is required to deposit the FICA percentage to a federal deposit account in a Federal Reserve or authorized bank each month.

Dollar Amount due

The employer pays the federal tax withheld plus double the FICA tax withheld.

Cirrhosis

The end stage of liver disease in which there is chronic liver cell destruction.

Diarthrosis; synovial (freely movable)

The ends of bones are joined together by a joint capsule containing synovial fluid for lubrication.

Aortic semilunar valve

The valve that opens to allow o2 rich blood to flow out of the left ventricle and into the aorta, which carries the blood to all parts of the body except the lungs

Active transport

The movement of molecules from an area of high concentration to low concentration. This is made possible because of adenosine triphosphate (ATP), a high energy compound.

Terabyte (TB)

The term used to represent 1,000 gigabites

Thorax

This cavity contains the lungs

Loop of Henle

Urine formation continues

inner ear (labyrinth)

Vestibule: This is a mall chamber containing receptors for balance and position sense.

Open hours (tidal) scheduling

* 1st come, 1st served * common scheduling format in urgent care centers.

Maslow's Hierarchy of Needs

5) Self-actualization, fulfillment * self-realization, sense of fulfillment in accomplishments 4) esteem and recognition * sense of self-worth, the respect of others, growth oriented, prestige in community. 3) Love and belonging * giving and receiving of affection, social interaction, companionship. 2) Security and safety * physical safety and security 1) physical * food, water, air, shelter.

* The 1st number of a listed procedure code refers to a specific section of the coding manual. On the examination, you can use the section number to determine whether the code correctly matches the definition. For example: 30150, a correct match in rhinectomy, partial. An incorrect match is office or other outpatient visit

99201 - 99499 Three main components: *History (HPI) History of present Illness, PFSH Patient family, social history * Examination ROS (Review of systems): one or more body systems * Decision Making (straightforward to highly complex) Three counseling, coordination of care 00100-01999, 99100-99140 Anesthesiology 10040-69990 Surgery (The largest section) 70010-79999 Radiology 80049-89399 Pathology and laboratory 90281-99199 Medicine (accept anesthesiology)

type 2 diabetes mellitus

: Insulin resistance, non-insulin resistance, non-insulin dependent diabetes Mellitus (NIDDM), adult onset; resulting from obesity or pregnancy, most common type

Claudication

A circulation problem of the arms and legs that points to a vascular disease. Symptoms are limp and calf pain on walking that subsides at rest.

molecule

A combination of 2 or more atoms that together make the smallest unit of a substance. An element or compound can be a substance. The water molecule H2O is made up of 2 hydrogen atoms and 1 oxygen atom.

Password

A combination of characters used to verify that you have permission to access a computer or computer system. Passwords are assigned to each employee typically. Management may use the password to trick employee computer activity.

Modem

A communication device that allows one computer to connect to another or to the Internet through telephone or cable lines.

CD-R

A compact disk used for one-time date recording and storage.

Fiscal agent (fiscal intermediary)

A company that processes insurance claims on behalf of a health insurance plan. It is used by Medicare and Medicaid in each state.

Cretinism

A congenital condition of hypothyroidism found in infants and children. It results in an abnormally developed brain.

Cleft palate

A congenital deformity that occurs when the palatine bones have improperly closed. This leaves a passage between the mouth and the nasal cavities.

Bursa

A fibrous sac that acts as a cushion to ease movement

Online Payment

A form of banking available through the internet. An online bill paying account is established with a bank or other business. Payment for a single bill is made automatically when the bill is due. * Banking is available 24 hours a day * Transactions are accomplished in seconds.

Graves Disease

A form of hyperthyroidism (thyrotoxicosis) caused by destruction of the thyroid gland and evidenced by a high metabolic rate, exophthalmia, and anxiety.

Naegele Rule (to figure out birth due date)

A formula to calculate the estimated date of confinement or estimated date of delivery.

Muscular dystrophy

A genetic disease characterized by wasting of skeletal muscles

Chlamydia

A genitourinary infection caused by chlamydia trachomatis. This is the most common sexually transmitted disease. It can cause a woman to develop PID

Trichomoniasis

A genitourinary parasitic (Trichomonas vaginalis) infection that can result in vaginitis.

Local Area Network (LAN)

A group of computers is linked together either directly with wires or through wireless connections. * LANs are typically limited to computers within an office or building * A LAN is less secure than a VPN.

System

A group of organs that work together to perform a specific function. For example, the urinary system is made up of a specific function. For example the urinary system is made up of the following organs: kidneys, ureters, bladder, and urethra. This system cleanses the blood of waste products and provides a route for waste (urine) to exit the body.

arteriosclerosis

A hardening, thickening, and loss of elasticity in the artery walls. The most common form of arteriosclerosis is atherosclerosis.

Foramen

A hole in a bone serving as a passageway for vessels and/ or nerves

Down Code

A less complicated and/or simpler management code is substituted for a more complicated and/or complex code when irregularities are found within a submitted claim. The result is lower financial reimbursement by an insurance carrier to the provider.

Diabetes mellitus

A metabolic disorder caused by deficient insulin production in the pancreas or increased cell resistance to insulin.

Syphilis

A multistage genitourinary infection by treponema pallidum. It is characterized during the disease's 1st stage by the lesions (chancres) on any organ or body part.

Damages

A negative act resulted in the patient sustaining harm.

Cramp

A painful involuntary contraction by skeletal muscle

New Practice

A patient who has not received service in the past 3 years from particular physician or tat physician medical practice.

Established Patient

A patient who has received service within the past 3 years from a particular medical provider or that providers medical practice

Protected Health Information (PHI)

A patient's identifiable health information that may be transmitted or maintained by electronic or other media.

Introjection

A person identifies with the attitudes or characteristics of another individual.

Process

A prominent projection on a bone

Nonparticipating (NON-PAR) provier

A provider of services who does not have an agreement with an insurance carrier. The provider expects full payment from the patient for billed services.

Schizophrenia

A psychosis evidenced by delusions, hallucinations, and disorganized speech and behavior.

Arthrocentesis

A puncture performed to remove fluid for pressure pain relief or analysis

Closed-ended questions

A question that requires a simple "yes" "no" or number response

Myxedema

A severe type of hypothyroidism that is most common in women who are more than 50 years old. Causes may be obesity, thyroid removal, or radiation to the neck area. Some symptoms are as follows: fatigue; abnormally low body temperature; swelling of the face, hands, and feet; and hair loss.

laptop (notebook)

A small portable computer that includes the screen, keyboard, and track pad or track ball to replace the mouse. Laptops weigh just a few pounds. They can operate on battery power or with an AC adapter. Laptops are commonly used in examination rooms to input data on patients into the EMR system.

tubal ligation

A sterilization procedure accomplished by severing, knotting, or blocking the fallopian tubes.

CVA (stroke)

A sudden loss of neurological function caused by brain circulation block or vessel rupture. The loss of function depends on the location of the brain damage.

TIA

A sudden loss of specific neurologic function for which a full recovery within 24 hours is expected . A ? serves as a warning of a possible upcoming stroke. It is caused by an embolus to the brain that is resolved by the body's circulatory system.

Seizure

A sudden surge of electrical brain activity commonly referred to as an "electrical storm" A ? has an effect on behavior and overall feeling for a short time. Various types of seizures have different effects: Petit mal Grand Mal Focal seizure Temporal lobe seizure

Disbursement record (journal)

A summary of monies paid over a specific time period ( a part of accounts payable management). * It shows each amount paid out, date and check number, category of payment (e.g. office suppplies, medical supplies)

Goiter

A swollen neck from an enlarged thyroid is the result of iodine deficiency or conditions that cause an underactive or overactive thyroid.

Right Documentation

Again, These records are legal documents and could be subpoenaed to court at any time! A person's life could depend on this. Be sure to take your time, and remember the 6 C's of charting: a) Clients own words, b) clarity must be achieved when recording information c) completeness d) conciseness e) chronological order information f) confidentiality of patient is mandatory

Patient's Bill of Rights

American hospital Association (AHA) statements guaranteeing patient's certain rights (e.g. confidentiality, receipt of updated information regarding diagnosis, treatment, physical examination; receipt of all information regarding procedures, bill examination and understanding.)

Acidosis

An abnormal accumulation of the acid products of metabolism. This is seen frequently in uncontrolled diabetes mellitus

Tort

An accidental or intentional wrongful act by someone against another person or against property.

Hydrocele

An accumulation of fluid within the testes.

Truth in Lending Act

An act which requires lenders to inform borrowers of all direct, indirect and true costs of credit.

Croup

An acute virus affecting the larynx, trachea, and bronchi with inflammation and spasm. This disease of early childhood and infants causes a pronounced barking cough and horseness.

date of birth (DOB)

An example of demographic information in a medical records is? a) school sports physical examination outcomes b) date of birth (DOB) c) chief complaint d) laboratory reports

Pancreas

An exocrine organ, the pancreas produces pancreatic juices for digestion. It is also an endocrine gland that secretes insulin into the bloodstream.

Phobia

An extreme or irrational fear of a thing, environment, or situation.

Bronchitis

An inflammation of the bronchi. * Acute: common complication of ordinary cold, usually a secondary bacterial infection. Symptoms include fever, dyspnea, sneezing, yellow-green sputum, and productive cough Chronic: one of the diseases of chronic obstructive pulmonary disease (COPD); leads to lung damage, eventual respiratory failure, and death. Symptoms are similar to those of acute bronchitis, but they occur over long periods and several times each year.

Epicondylitis

An inflammation of the forearm, tendon (tennis elbow)

Hepatitis

An inflammation of the liver. The 8 types are A, B, C, D, E, F, G, and H.

Sprain

An injury in which ligaments around a joint are torn, but not severed

Credit balance

An overpayment, often when payments are made from different sources.

Hypothyroidism

An underactive thyroid causes a deficiency in hormone secretion resulting in a decreased metabolic rate, of fatigue, depression, and cold sensitivity.

Suppression

An unpleasant past is deliberately put aside or forgotten. This is the conscious form of repression.

Makes callers think they have the wrong number

Answering the office telephone by only saying "Hello" a) Saves time b) Makes a caller feel rushed c) Is okay if you are in a hurry d) Makes callers think they have the wrong number

Zithromax (azithromycin)

Antibiotic/Antinfective

Glucophage/Metformin

Antidiabetic

Gabapentin (Neurontin)

Antiseizure/Reduce nerve pain

Repression

Anxiety-producing thoughts, feelings, or impulses are completely excluded from consciousness. Repression is a basic defense mechanism.

Principal diagnosis code

Applies only to inpatient settings. After study, it is the condition responsible for a patient's admission to the hospital.

obsessive-compulsive disorder (OCD)

Behavior involving repetitive thoughts and actions.

perception

Being aware of your own feelings and the feeling of others

stereotyping

Believing that all group members (e.g. race, religion) share the same attitudes, attributes, or appearances.

Certified

Certification is granted by a professional organization meeting its requirements and pay the certification fee. The examination is usually for national certification. *CMA through AAMA * RMA through AMT * MA (NCMA) through NCCT * CMAS through AMT *NCMOA through NCCT * Medical Laboratory Technician (MLT) * Medical Technologist (MT) * Certified Medical Transcriptionist (CMT) * Certified Coding Associate (CCA) * Certified coding specialist (CCS

Column (Spine; 26 bones)

Cervical C1-C7 curve inward Atlas (head movement for up-down) C-1 Axis ( head movement side to side ) C-2 Thoracic: T1-T12 curve outward Lumbar: L1-L5 curve inward Sacral 5 fused vertebrae, curved out Coccyx: 4 fused vertebrae

Right Route

Check your drug book! Certain medications could be more potent or not as effective if given incorrectly.

CC or cc

Chief Complaint or cubic centimeters

Tactfulness

Choosing words carefully so as not to offend or upset someone receiving information from you.

Debit

Debt, money owed for services charged

Libel

Deliberately defamatory written communication

Special Delivery

Delivery is as soon as possible once the mail reaches the local post office for final delivery.

Cash flow statement

Displays all expenses and income activity within the time frame, plus depreciation and liability activity withi time frame, plus depreciation and liabilities. It shows the account balance and cash on hand from start to end date. It reflects amount of money available to cover expenses, to invest , or to take profits.

Cancellations

Document in the medical record and make a notation in the day's schedule planner.

advance directive (

Document states patient's wishes should he or she become incapable of making competent decisions; signed and witnessed.

Wages

Earnings paid based on an hourly rate. * If working more than 40 hours per week 1.5 times hourly age is paid for each overtime hour.

Employees withholding allowance certificate. It is completed by a new employee before the first pay period. The number of tax exemptions (Individuals who depend on the employee's financial support) is noted here. This document kept in the employers personnel file and is update annually or any time changes occur.

Form 941

Employer's quarterly federal tax return to report federal income tax and FICA taxes withheld from employee paychecks. It is due within 1 month after each quarter: April 30, July 31, October 31 and January 31.

Deductions

Employers are required to withhold the following from employee earnings: * federal income.tax * Social security tax; referred to as FICA (Federal Insurance Contributions Act) * Medicare tax * State tax (depending on location)

Fair Credit Billing Act (1974)

Establishes time limits in billing complaints - the patient has 60 days to complain; the medical facility has 90 days to respond.

Hydrophobia

Fear of water

Federal tax form given to employees by January 31. In details the previous year's wage detail (gross icome total various witheld taxes).

Capitation

Fixed dollar amount paid by the insurance company to the PAR provider, usually 1 or 2 times per month, for each enrolled patient. The number and types of services provided to a patient do not influence the dollar amount paid.

Safety hazard prevention

Floors should be free of any area rugs and electrical cords, and there should be wide enough areas to have good office traffic flow.

Pulmonary edema

Fluid accumulation in lungs from blood capillaries around alveoli resulting from a malfunction of the heart. It is associated with CHF. Symptoms are progressive dyspnea, nonproductive cough, and cyanosis.

Meeting Agenda

Focuses meeting by using an orderly line of items to be discussed.

Restrictive

For deposit only stamped on check back immediately upon receipt.

Emphysema

Form of COPD in which enlargement and loss of alveoli and decreased elasticity of the lungs lead to a progressive loss of function. The usual cause is smoking or a previous history of smoking. the symptom is increasingly difficult, rapid, shallow breathing.

Accreditation

Formal recognition that a facility meets predetermined standards for policies, practices, performance, and procedures. An outside agency grants accreditation after an on-site evaluation and survey and a self-study survey by the facility.

Wilms tumor

Forms on the outside of kidney and metastasizes into the bloodstream, to the liver, and sometimes to the brain. It usually occurs in children less than 5 years old and has the highest survival rate of all childhood cancers. Symptoms may be weight loss, anorexia, vomiting, and blood in urine.

Endocrine

Function: *Secretes hormones; works with the nervous system * controls rate of certain chemical reactions * Helps transport substances through membranes affecting cell activities * Helps regulate water and electrolyte balance * Influences growth, development and reproductive processes. Cells, Tissues, Organs: Hypothalamus gland Pituitary gland (under brain) Pineal gland (center of brain) Thyroid gland (below larynx) Parathyroid glands (thyroid lobes) Adrenal glands (kidney tops) Pancreas (In duodenum curve) Gonads (sex organs)

Special senses

Function: Gustatory (taste) Olfactory (smell) Hearing -sense of balance or position Cells, Tissues, organs: Papillae, soft palate Mucous lining (nasal, epithelium) Eyelids, eyelashes, eyebrows, tears, lacrimal glands, eyeball (three layers and interior) Outer ear, middle ear, inner ear.

Urinary

Functions: *Body waste elimination through blood filtration * Balance of fluids and electrolytes of body * Assistance i detoxification of liver * Regulation of blood chemical makeup Cells, tissues, organs kidneys ureters bladder urethra

skeletal system

Functions: Movement of body * support of body (framework) * attachment for muscle; gives muscle support * Formation of red blood cells in red bone marrow * storage of calcium * protection of internal organs Cells, Tissues, organs * joints * ligaments * cartilage * Bone

Essential tools for every medical office

General and medical dictionaries are: a) Not necessary if you have a word processing spell check in your computer b) Necessary only if you have trouble with spelling c) Essential tools for every medical office d) books to study and learn from while you are in school.

Cranial Nerves

I. Olfactory: Sense of smell II. Optic: vision III. Oculomotor: Movement of eyeball and eyelid and regulation of pupil size IV. Trochlear: Movement of eyeball V. Trigeminal: Sensation in head and face: chewing VI. Abducens: Eyeball movement VII Facial: Taste, facial expressions, and secretions of tears and saliva VIII. Acoustic: Hearing and balance IX. Glossopharyngeal: Taste, swallowing, and secretion of saliva. X. Vagus: Sensation in larynx, trachea, heart, stomach and other organs; organ movement XI. Spinal accessory: Movement of shoulders and head. XII. Hypoglossal: tongue movement.

Diabetes insipidus

IN this disease, low levels of antidiuretic hormone (ADH) result in polydipsia, polyuria, dehydration, and dry skin.

Physician's Personal Mail

If mail has been marked "Personal," it should be placed unopened on the physician's desk in an easily visible area (e.g., on top of he day charts.)

Registered Mail

In addition to delivery confirmation, registered mail includes insurance and additional security services for high dollar value or irreplaceable items (e.g., jewels, medication). The item is placed in a lock box that is signed by each postal worker as it changes hands on the way to its destination.

In the ICD-10-CM manual the number of digits (characters) that could be required to provide the highest level of specificity is? a) 4 b) 5 c) 6 d) 7 e) 8

Packing slip

Included with the product delivery. It describes the enclosed items

Atelectasis (lung collapse)

Incomplete lung expansion. The absence of air in the lung(s) and alveoli causes structures to collapse. It may be caused by cancer, asthma, or pneumonia. Symptoms of dyspnea and hypoxia.

Pneumonia

Infection and inflammation of the lung tissue. Pus and other liquids present in the alveoli and bronchioles make it difficult for air to reach the alveoli. Causes may be bacteria, fungi, viruses or inhaled agents. The type of pneumonia is named for the causative agent.

Epididymitis

Inflammation of the epididymis causing pain on urination as well as pain and swelling of the scrotum.

eustachian tube (auditory tube)

It begins in the middle ear cavity within the temporal bone. The area is full of air and is connected to the nasopharynx. The tube is full of air and is connected to the nasopharynx. The tube is normally flattened and closed, and it opens with yawning or swallowing. The tube's purpose is to equalize the pressure on both sides of the tympanic membrane.

Renal calculi

Kidney stones of calcium that may block urinary flow. These stones are more common in men.

CPU (Central Processing Unit)

Known as the computer's "brain". This microprocessor interprets and executes program data. It is the most important part of the computer hardware.

Freedom of Information Act (1966)(FOIA)

Law allowing full or partial disclosure of previously unreleased information and documents controlled by the U.S. government. The Act * Defines agency records subject to disclosure. * Outlines mandatory disclosure * Grants 9 exemptions to the statute (confidential information) Many state acts may be similar but not identical

(L)

Left

LOS

Length of Stay

Ulcers

Lesions located in the mucous membrane lining of an organ.

Current Procedural Terminology (CPT)

Level 1 coding is divided into 3 categories Category 1 * Procedures that are consistent with current medical practice and are widely performed * In the main body of the CPT manual * consisting of 5 digits Category II * supplementary tracking codes that are used for performance measures * Use optional; not a substitute for category I * consists of 4 digits followed by the letter "F" Category III * Temporary codes for emerging technology or services * Retired within 5 years if not adopted as category I * Payment for these services based on policies of payers and not on a yearly fee schedule. * Consists of 5 characters followed by 4 digits followed by the letter "I"

Reciprocity

License to practice granted when one state recognizes and accepts another state's licensing procedure.

Coordination of benefits

Limits benefits to 100% of the cost of service when there is more than 1 insurance carrier used for coverage. The primary insurance pays the required contractual amount; the secondary insurance pays the remainder of the allowable amount.

Formulary

Listing of insurance covered prescription medications. The purpose is to lower costs through use of generic drugs.

Thalamus

Located below the cerebrum. It processes impulses relayed to and from cerebrum and the sense organs.

Hypothalamus

Located just below the thalamus. It regulates the emotional responses, body temperature, hunger sensations, thirst sensations, sleep-wakefullness cycles. pituitary and endocrine system action, and autonomic nervous system including heart rate, BP, respiratory rate and digestive actions.

Femoral artery

Located on the inner upper thigh, this artery carries blood from the inguinal ligament, branches and then terminates at the popliteal artery. The femoral artery is used as a pulse site.

Radial artery

Located on the thumb side of the wrist, it carries blood to the hand. It carries blood to the hand. It is the most commonly used pulse site.

Epithelial

Location: skin, tubes, ducts, some glands, linings of cavities. Function: protection, absorption, secretions, excretions.

connective

Locations: bones, cartilage, tendons, muscles, sheaths, blood Functions: supports, connects other tissues and structures.

Disorientataion

Loss of memory for time, person, and place is a communication barrier.

Schedule IV Controlled Substances

MA may hand write prescription under the direction of the physician

Modifier

Made up of 2 characters that provide additional information for the procedure code identified. A modifier does not change the code meaning, but identifies any special circumstances that should be considered by the claim recipient. It is similar to an adjective used to describe a noun. The following are examples of modifiers and their description. 21 Prolonged evaluation and management (E & M) services. 26 Professional component 52 Reduced services 54 Surgical care only; another physician provided preoperative and postoperative services 56 Preoperative management only.

Right Patient

Make sure you have the right patient. More than one patient in your clinic have the same name. If you are unsure, match up the birth date.

Inspecting

Making sure the physician has indicated that each document needs to be filed within a chart.

Anabolic steroids

Male testosterone related, these substances are commonly used to increase muscle mass and strength. Mental side effects are violence, mood swings; physical side effects include breast development in men, testicular shrinkage, changes in body chemistry, and liver damage.

Facial (the major bones)

Mandible: lower jaw Maxilla: upper jaw zygomatic: Arch of cheek; high portion of (cheekbone) Nasal: Upper part of nose bridge Palatine: Hard palate of mouth and floor of nose

Parcel Post (standard post)

Maximum weight is 70 lbs. with 130 inches in combined length and distance around the thickest part; 2 to 8 day delivery. This is used for books, catalogues, and general merchandise.

Invoice

May be included with the delivered items. It displays the amount due for each item.

Pineal Gland

Melatonin: Target: Pituitary (LH), gonads Major Function: Regulates sexual development, timing of puberty.

American Association of Medical Assistants Code of Ethics

Members of AAMA dedicated to the conscientious pursuit of their profession, and thus desiring to merit the high regard of the entire medical profession and the respect of the general public which they serve, do pledge themselves to strive always to: A) Render service with full respect for the dignity of humanity B) Respect confidential information obtained through employment unless legally authorized or required by responsible performance of duty to divulge such information. C) Uphold the honor and high principles of the professional and accept its disciplines D) Seek to continually improve the knowledge and skills of medical assistants for hte benefit of patients and professional colleagues E) Participate in additional service activities aimed toward improving the health and well-being of the community.

Overdraft, nonsufficient funds (NSF)

Money in the checking account is too low to cover the check amount.

Accounts Payable

Money owed by the medical practice. These are operating expenses.

Accounts Receivable

Money owed to the medical ractice or the medical practice's income.

Disbursement

Money that is sent from a business as payment for what is owed to others (i.e.. rent, leased equipment, medical supplies)

Liabilities

Monies (debts) owed to others (e.g rent, phone, equipment leases)

Acquired Immunodeficiency Syndrome (AIDS)

Most advanced stage of infection with the HIV virus characterized by a significant disease in immunity evidenced by a low T-cell count

desktop

Most common computer in medical offices. It sits on a desktop at workstations and uses a separate keyboard and mouse or touch pad as the input devices.

Keyboard

Most common input device. It resembles a typewriter, but with the addition of function keys, arrow keys, and a numerical pad.

Blank

Most common, signature only

Active files

Most often, the patient has been treated within the last 6 months to 3 years (depending on the practice specialty).

Giving unwanted advice

Most people do not like being told what they should or should not do. As a medical assistant, it is outside your scope of practice to offer advice to patience.

Atrophy

Muscle wasting resulting from lack of use

Anorexia

No appetite and an aversion to food, especially when the condition is caused by disease.

Passive transport

No cellular energy is required to move water and dissolved substances.

Intussusception

One part of the small intestine slides into or over (telescopes) an adjacent parts. It is sometimes found in infants and young children and is rare.

Hyperthyroidism

Overproduction and secretion of thyroid hormones increase the metabolic rate and result in weight loss, sweating and nervousness.

Prilosec (omeprazole)

P.P.I or GERD

Gout

Pain, usually in the great toe of the foot and possibly other body joints. This condition is brought on by a build up of crystalizing uric acid resulting from high purine metabolism and other symptoms.

Payroll record

Part of accounts payable management. It is kept separate from other payables because of necessary tracking of each employee's gross income and withholds.

Pineal gland

Part of the endocrine system , it produces and secretes melatonin. This gland remains inactive during daylight but activates when darkness occurs. Melatonin helps control the sleep-wake cycle.

Uninformed consent

Patient gives permission without full understanding

Liability

Refers to damages resulting from a negligent act in which someone is directly responsible.

Occupational Safety and Health Administration (OSHA)

Regulates employee safety from known hazards causing death or injury. Mandates the MSDSs on hazardous products at sites are available to employees.

Patient Self-Determination Act of 1990

Requires written information regarding rights, medical decision making, and execution of advance directives be provided by health care worker.

parasympathetic nervous system

Responsible for the conservative/restoration of energy and elimination of waste. For example, heart rate decreases (with no direct effect on strength) and bronchial tubes constrict.

(R)

Right

Hazard Communication Standard (HCS)

Sites must have a hazard plan for accidental exposure; manufacturers and chemical importers must provide material safety data sheet (MSDS) information and container labels.

Murmur

Sound resulting from blood flow turbulence through a narrowed or deformed valve.

Ergonomics

Space, furnishings, and equipment should incorporate good ? (i.e., designed for effectiveness, safety and comfort)

Size

Standard * 8.5x11 inches (general business and professional correspondence) * Monarch (executive): 7.25 x 10.5 inches (office memorandum * Baronial: 5.5x8.5 inches (1/2 of standard paper sheet); used for very short letters or memoranda

In loco parentis

Status of person(s) assigned by the court system to represent the parent(s) in the legal rights, responsibilities, and duties toward a child. This is a legal doctrine.

acute respiratory distress syndrome (ARDS)

Sudden onset of lung dysfunction making breathing extremely difficult. It affects both lungs and is caused by trauma, sepsis, pneumonia or shock.

Adrenocorticotropic hormone (ACTH)

Target: Adrenal glands (cortex) Major Functions: Maintenance of gland, stimulates secretion of cortisol.

Insulin

Target: All cells except brain cells Major Function: Promotes use and storage of glucose into cells.

Cortisol (ACTH)

Target: All cells except liver cells Major Functions: Increases breakdown of fats; assists in stress; raises blood glucose.

Calcitonin

Target: Bone Major Functions: Inhibits bone loss, lowers blood calcium concentration.

Androgens

Target: Gonads Major Function: Stimulates development of secondary sex characteristics (especially female)

Thyiiodothyronine (T3)

Target: Tissue Cells Major Functions: Increases metabolic rate.

Discretion

The avoidance of commenting negatively about another medical office professional when speaking to patients. Discretion also includes not giving advice to patients unless specifically directed by the health-care provider to do so.

hypochondriasis (illness anxiety disorder)

The belief that one has a disease despite reassurances that the disease is not present.

Matrix

The blocked-off time slots during which no appointments are scheduled

600

The body contains more than ? muscles.

Visual acuity test

The commonly known Snellen eye chart test is used to measure distance vision, near vision and color vision by using the Ishihara methods for evaluation.

Ectopic pregnancy (extrauterine)

The condition requires surgery because the fetus has implanted outside the uterus.

a)double vision

The diagnostic term diplopia is defined as a) Double vision B) condition of the white pupil c) pain in the eye d) farsightedness e) nearsightedness.

Balance

The difference between the fee charged and the payment made toward that fee.

Mitosis

The division of 1 cell into 2 identical cells

Meiosis

The division of sex cells for organisms that sexually reproduce.

Centers for Medicare and Medicaid Services (CMS)

The division of the US Department of Health and Human Services (HHS) is the regulating agency or CLIA

Net

The earned income after deductions are made: "take home pay"

Internal respiration

The exchange of o2 and Co2 between the capillaries and tissue cells.

Confidentiality

The expectation that when entrusting an individual with private information, it will remain a major ethical area of concern for all health-care professionals. Information is gained as a result of the physician patient relationship. It is also referred to as privileged communication.

Expiratory reserve volume

The extra air forcibly exhaled after normal exhalation.

Cryptorchidism

The failure of the testes to descend into the scrotum before birth.

Mons pubis

The fatty tissue over the pubic bone.

Pericardium

The heart is located within the ? (a fluid filled sac).

Heart block

The hearts electrical conduction from the sinoatrial (SA) node to the atrioventricular (AV) node is interrupted.

Urinary incontinence

The inability to maintain control of urination

Rales

The increased secretions in the bronchi causing crackling breath sounds.

Guardian

The individual assigned by the court to protect and make decisions on behalf of an individual who is not capable of making competent decisions.

Ejaculatory ducts

The merging of the vas deferens and seminal vesicles. The ducts pass through the middle of the prostate "donut hole" and join the urethra.

Allergy testing

The methods used include the scratch test, patch test, intradermal test, and the radioallergosorbent test (RAST)

Epidermis

The outermost skin surface is made up of single cell layers (strata) *It contains melanin (the pigment that gives skin its color). Melanin is produced by melanocytes. * It prevents water loss from the body by way of keratin.

Diffusion

The passive movement of dissolved particles through a membrane from areas of high concentration to low concentration. Diffusion is the most common transportation mechanism.

Fee Schedule

The present dollar amount an insurance company allows for each service or procedure (e.g. physician charges $75 for 99213, insurance fee schedule allows &68 for 99213)

HTTP (Hypertext Transfer Protocol)

The protocol that defines how messages are formatted and transmitted across the Internet. HTTP determines what web services and browsers do in response to commands such as entering a search term.

Dereliction

The provider neglected a professional obligation to act or acted improperly

Bank statement

The record of all checking account (checkbook) financial transactions.

Vasectomy

The removal or knotting of the vas deferens for sterilization.

Child Abuse Prevention and Treatment Act of 1974 (CAPTA)

The state mandates for all professionally trained personnel (e.g. physicians, medical assistants, teachers) working with children to report suspected child abuse and neglect.

Cushing syndrome

The symptoms caused by long-term exposure to high levels of ACTH or an adrenal gland tumor. The evidence of this syndrome is a "moon face", thin limbs, and an obese torso.

Ischemia

The temporary drop in blood flow to an organ or tissue

Alopecia

The term describes the absence or loss of hair to the entire body or body area.

Teratogen (potent)

The term used to describe toxic substances (alcohol, various drugs, various pathogens) that are able to cross the placental membrane and harm the developing embryo. The term means "monster producing).

Jargon

The terminology commonly used by those in a given specialty field (medical terminology should not be used when speaking to individuals non educated in the field)

frenulum linguae

The tongue has ? , tissue that anchors the tongue to the mouth floor.

Gross

The total amount earned in a ay period before deductions are made.

Account receivable control

The total money owed to the practice at the close of each business day.

Total Lung Capacity (TLC)

The total volume of air that can be in the lungs at one time.

D) Cornea

The transparent anterior part of the sclera is the? a) Iris b) pupil c) Retina d) Cornea e) Pinna

Record Ownership

The treating physician owns the record material, whereas the patient owns the information on the record. * Records are used to provide: -best medical care - statistics -liability case defense (good documentation is part of risk management) -quality of treatment assessment

Filtration

The use of mechanical pressure to diffuse liquids through membranes. This is a form of passive transport.

Pulmonary semilunar valve

The valve that opens to allow o2 to flow out of the right ventricle and into the pulmonary artery, which carries the blood to the lungs.

semicircular canals

These canals also contain receptors balance and position sense.

Brachial Plexus (C5-T1)

These nerves supply the skin and muscles of the shoulder, arm, forearm, wrist and hand.

Sensory neurons

These neurons transmit impulses from rest of the body to the CNS.

Motor neurons

These neurons transmit impulses from the CNS to muscles and glands.

Sweat glands

These produce and secrete sweat to assist in body temperature regulation and rid the body of waste.

Brainstem

This consists of 3 parts: Medulla oblongata Pons and mid brain

Eczema

This continuous or returning form of dermatitis is possibly an abnormal reaction of the body's immune system. It causes itching, redness, cracking, oozing, blistering, or bleeding.

Lund-Brown chart

This is a method to estimate the percentage of body that has been burned. It is more accurate than the "rule of 9" because it takes the patient's age and body portions into consideration.

Electrocardiogram (ECG)

This is a printed tracing of a cardiac rhythm.

Rule of 9

This is a quick method to estimate the percentage of body that has been burned. It is not accurate in children. A =1/2 of head: B = 1/2 of one thigh C = 1/2 of one lower leg

Body density x-ray

This is a radiographic image of the hip bone to measure the degree of calcium loss.

Chest x-ray

This is a radiological picture of the lungs

Nevus

This is a raised congenital spot on the skin surface; a mole

Impetigo

This is a very contagious bacterial skin infection caused by streptococcus and staphylococcus.

congestive heart failure (CHF)

This is a weakening of the heart's ability to pump blood effectively to meet the body's needs. This condition can cause pulmonary edema.

Acne

This is an inflammation of the sebaceous glands.

Mammogram

This is an x-ray of the breasts.

premenstrual syndrome (PMS)

This is characterized by symptoms of anxiety, bloating, irritability, headache, and depression.

Severe Combined Immunodeficiency (SCID)

This is congenital. Children succumb to minor infections.

Cursor

This is either the arrow seen on the computer screen indicating the position of the mouse or a blinking line indicating the position where the next character keyed will appear in a line of text.

Retina

This lines the interior of the eyeball and is made up of rods (detects grey tones) and cones (light and color), with the greatest concentration at the back of the eye's interior.

Refraction assessment

This procedure checks for necessary visual correction or glasses.

Night blindness

This results from a lack of vitamin A

Papule

This term is used for a pimple

Diaphoresis

This term is used to describe excessive sweating

Cilia

Tiny hair-like projections located on the surface lining of the trachea, bronchi, and just inside of the nostrils. They function to filter incoming air and to move mucus or particles out of the respiratory tract. (? are also located in other body systems)

Ambulatory Health-care Employee credentials

To be awarded a credential, an ? ? ? ? must pass an examination given by the state or other accrediting agency. The credentials bestowed on these individuals entitle them to authority and confidence in their field of education.

Partnership

Two medical practitioners own te practice through a written agreement. They share costs, liabilities, profits and decision making

Deltoid

Upper shoulder and arm (site for adult injections)

Collecting duct

Urine formation is completed, and urine passes to the pyramids. Normally, glucose and amino acids are reabsorbed into the blood from the nephron tubules; however, if there are excess amounts in the blood, renal threshold occurs, and these become a part of the urine content.

Resource-based Relative Value Scale (RBRVS)

Used by Medicare to determine the fee schedule for Medicare Part B. The dollar amounts are based on factors involving the procedure performed and the provider's geographic location.

UCR

Used to determine payable insurance benefits for performed procedures: U: Usual fees a physician charges for most frequently used procedures C: Customary fees charged by physicians in the geographic area and specialty R: Reasonable fees that are justifiable when the usual procedure is more complicated.

Patient account ledger

Used to record and maintain account of each patient's financial transactions (charges and payments) The ledger can either be a paper or computer accounting system.

Clearinghouse

Used to scrutinize claims for correctness after they have been electronically transmitted from the healthcare provider, but before the insurance carrier receives them. A clearinghouse may be part of the software package used by the provider.

Magnetic resonance imaging (MRI)

Using a magnetic field and radio waves, this imaging procedure gives pictures of the brain's soft tissue.

sorting

Using the alphabetical method to subdivide the documents to be filled in charts.

Dictation

Using the correct words pronounced carefully, to be clear and effective

Unlisted procedure or service

Usually identified by the "99" in the last 2 characters. When reporting this service code, a special report must accompany the submission.

Varicose veins

Veins that have become distended and twisted. Most commonly, they are found in the superficial veins of the leg and are caused by long periods of standing over time, or they are seen as anal hemorrhoids.

Anorexia Nervosa

Voluntary starvation and excessive exercising. This false perception of body image of fear of gaining weight are characterized by being abnormally thin.

Solo, partnerships, group practice, professional service cooporation

What are the types of medical practice?

What is the result of failing to adhere to medical ethical standards?

a) negative reputation b) suspension of certification or license by licensing or certifying board c) Revocation of certification or license by license or certifying board

Breasts

are the mammary glands that produce milk.

away from

distal

away from point of origin; from the trunk or point of attachment - hand is distal to elbow

pre

before, in front of

CXR

chest x-ray (film)

path

disease

diseased, abnormal condition

close fracture (simple)

does not go through the skin

female gonads (ovaries)

estrogen Target: Breasts, uterus Major Function: Stimulates breast growth, uterus and secondary sex characteristics Progesterone target: Uterine Lining Major Function: Prepares uterus for pregnancy

viscer

internal organs

cheil

lip

ical, ial, ic, ior

pertaining to

ory, ose, ous

pertaining to

Thoracic

pertaining to the chest

vas

vessel, duct

opia

vision

opt

vision

emesis

vomiting

Voucher check

with detachable part giving payee additional information (ie., payroll checks)

Cerebrum

(Left, right hemispheres) *The largest part of the brain. * It is the control center for sensory, motor, and intellectual function. It is covered with cerebral cortex of gray matter about 2 to 4 mm thick arranged in folds to fit as much of it into the space the skull allows. * the bulk of the ? is composed of white matter. * It contains 10 to 14 billion neurons and synapses. * The 2 halves are not completely separate. The fissure between the hemispheres is bridged in the center by a band of white fibers called the corpus callosum, which serves to communicate between teh left and right sides. * The left hemisphere is for logic, complex mathematics, and language. The right hemisphere is for creativity, music and art appreciation. * Each hemisphere has 4 lobes: frontal, parietal, temporal and occipital.

Stare decisis

(Let the decision Stand) Adherence to precedents made in cases that have already been decided.

Guarantor

(Sometimes referred to as the insured or subscriber) This individual is financially responsible for payment for himself or herself or for a family member..

Licensed Medical Practitioners

(Subject to the highest amount of regulation) * Medical Doctors (MD) * Doctors of Osteopathy (DO) * Registered Nurses (RN) * Licensed Practical Nurses (LPN) * Licensed vocational Nurses (LVN)

Common law

(judge-made law) Traditional laws based on earlier cases (precedents). The decisions are made by judges (courts) and take into account case-specific information . Because new precedents may be established, the principles of these cases continue to evolve. Settlers from England brought these laws with them.

Negligence

(most common tort) Failure to perform professional duties prudently, according to the accepted standard of care.

Malpractice

(professional negligence) professional misconduct, lack of skill, wrongful practice; results in injury to another.

Civil

(tort and or contract) concerns disputes or alleged wrongs committed against an individual or property by an individual or organization. The individual or group prosecutes, and if the defendant is found guilty, the result is monetary compensation.

Double booking

* 2 or more patients scheduled with the same physician at the same time, overbooking * Not good schedule planning; causes many delays

Weight

* 20-24lb (the higher the number, the heavier the paper) * 500 sheets per ream

Visually impaired Patients

* Announce your presence * Offer your arm to guide patient through the facility * Explain all procedures thoroughly * Describe the surroundings to the patient * If necessary, leave the patient alone for only short amounts of time * face the patient when speaking.

Memoranda

* Begin typing 2 inches (line 13) from the top of the page. * The heading includes the following: date, to, from, and subject.

Blood circulation in the kidney

* Blood enters in kidney through the renal artery, and waste products are removed as blood circulates through the nephrons within the kidney. * Each minute the heart pumps about 1/5 (1,200mL) of the body's blood supply through the kidneys. 2nd to the brain in complexity *kidneys are located between the 12 T and 3L vertebrae. They are behind the abdominal cavity. * Kidneys secrete erythropoietin, which acts to stimulate the production of RBCs * Each kidney has a bean shape. The center of the kidney's concave side is called hilus. The renal artery enters through the hilus, and the ureter and renal vein exit here.

Larynx

* Contains the glottis and vocal chords (voice box) and is located just below the epiglottis * It consists of cartilage and muscle * It is a backup for the epiglottis. The epiglottis moves to cover the larynx, and then the muscles of the larynx squeeze shut.

Individual Insurance

* Coverage purchased by individual * Usually requires physical examination to qualify * High premium costs * Medigap, crossover: A supplemental policy purchased by an individual more than 65 years old to pay Medicare deductibles and 20% co-insurance.

Workers Compensation

* Employer medical and disability insurance for employee death, injury, illness o the job or related to the job * physician sends "First Report of occupational Injury" within 72 hours of patient's first visit" * Patient not billed

Geriatric Patients

* Ensure the patient's comfort, privacy, and safety examination room. * Face the patient when speaking * speak clearly and slowly. Do not shout

Children's Health Insurance Program (CHIP)

* Federally and state funded * Managed by individual states

Style of business letter

* Full Block: All typed lines begin at the left margin. It is the most efficient style, but it is less attractive on the page. * Modified block: All typed lines begin at the left margin, but the date line and complimentary closing are centered on the page. *Indented Modified Block : Each new paragraph begins with an indented line (5 spaces) by using the tab key. * Simplified: All typed lines begin at the left margin, and the salutation and complementary closing are omitted. The subject line is typed in capital letters on the 3rd line below the inside address.

Seminal vesicles

* Glands that secrete a fructose-rich fluid. The fluid mixes with sperm passing through the vas deferens.

Liability Insurance

* If injury occurs on site: covers homeowner and/or business * if injury results from vehicle accident: covers occupants

Exclusive Provider Organization (EPO)

* In network coverage only * Employer must contract only with EPO * Out o network coverage is available for emergencies or travel outside of service area only.

Lymphatic Vessels

* Lymphatic vessels form an extensive network, and every body organ has them. * The lymph from the right arm ad right side of the body drains into the right lymphatic duct. * Lymph from the rest of the body drains into the thoracic duct.

Lymphocytes

* Lymphocytes are WBCs formed in red bone marrow. * Lymphocytes mature within the spleen, liver and lymphnodes to trap and destroy microorganism and fight against pathogens. They are nongranular. *T-Cells: mature in the thymus and reside in lymph tissues (spleen) and the blood. *T Cells attack through cell-to-cell contact Phagocytosis (cell-mediated immunity) * B-cells mature in bone marrow and reside in lymph tissue (spleen) and the blood . B cells indirectly attack by secreting antibodies (antibody-mediated immunity)

Envelopes

* Matching bond and color of letterhead paper * Preprinted with office name and address in upper left corner * commonly with a transparent address window used to view the recipient's mailing information printed on invoices and patient statements. * Number 10: for standard paper; most common business size (14 lines from top, 4 in indent from left, 1 in indent from right, 5/4inch min. from bottom) * Number 6 1/4: for baronial paper

Small Intestine

* Most absorption of nutrients takes place here through the circular folds in the wall with fingerlike projections called villi. *

Business Letter Essentials

* Most business letters should be less than 1 page in length. * The letter should be "you" oriented * It should be carefully organized * A draft of the letter should be written first; this allows an opportunity to reorganize and make corrections before finalization.

Telephone Message Essentials

* Name of the person for who the call was intended * Date and time of the call * Name of the individual * Caller's cell phone number, work phone number, home phone number; hours in which to use each number * Detailed reason for the call * Action that is required (e.g., call back, prescription refill * Initials of the person taking the message

Passive listening

* No feedback is required * The listener is an audience member

Group Insurance

* Offered by employers to employee groups * Low premiums * All employees may join in lieu of physical examinations * Typically uses managed care plans such as HMOs * Usually no physical examinations required to join.

* Office personnel communicating by e-mail must use the same professional tone as they use in a business letter. * As with conventional letters, there are many formats and templates for e-mail letters. *Use a variation of simplified letter style, without the inside address and subject line. * If the message is patient related, it must remain confidential. A printed copy of the e-mail is placed in the patient chart. * An e-mail may be used to remind patients of schedule appointments. * E-mails do not need a letterhead, inside address, or dateline * The message must use proper grammar and punctuation in the body of the letter. Common "texting" acronyms should never be used. * be sure to edit and proofread all e-mail messages before sending them. * Business contact information should be added following the body of the message, including the business name, telephone number, fax number, and other contact information. Usually, an e-mail signature block has already been created to insert here.

Preferred Provider Organization (PPO)

* Patient can use services in and out of network * MD rewarded for using in network services only * Patient pays deductibles and co-insurance

Managed Care

* Patients choice of physician is limited to PAR providers * The patient's access is limited to PAR facilities * The patient selects a PCP * Utilization review by the plan evaluates the proposed or current patient treatment. * It may require the se of referrals from the PCP to specialists. * It includes preventive health-care medicine

Record Organization

* Problems are numbered *Includes database. Demographics

Non-English speaking patients or those with limited use of language

* Provide an interpreter if the patient has no friend or family to help interpret. * Face the patient when speaking * Speak clearly using short, simple sentences. * Use visual aids (demonstrations, pictures, and gestures)

Arteries

* Pulsate to transport blood away from the heart and have the thickest-muscled vessel walls. * They are rich with O2 saturation. The only exception is the pulmonary artery, which exits the right side of the heart and transports co2 to the lungs.

Visual components

* Receptors for vision are in the retina. * Eyelids, eyelashes, eyebrows, and tears: These protective structures clean and moisturize the eye. * Lacrimal glands: These glands secrete tears and are located on the outside upper edge of each eye.

Medical Ethics

* Refers to moral conduct of people in medical professions * Every medical profession has a code of ethics * Medical ethics contributes to the well-being of the community * Because of their responsibility to society, medical professionals must remain current in their knowledge and skills.

Clustering (grouping) scheduling

* Same type of office visits all scheduled in the same block (Certain day, a.m. or p.m. ) * higher efficiency and speed

Electronic Medical Record (EMR)

* Software is used to create and use records. The goal is a paperless office. * EMR usually works with the practice management (financial) functions of the office. * It includes the patient's demographics: insurance and billing information; previous medical history, current condition, treatment, and progress. * Advantages: -efficiency: It can reduce medical errors -Accessibility: Security is ensured through the use of a user password -Speed: Patient information is available quickly -Productivity: Providers may access patient information. -Legible: INformation is typed into a medical record *Disadvantages: -Initial cost -Time investment (training) -Operational tasks.

children

* Speak to children eye-to-eye (at their level) * Always speak calmly and gently, and use short simple sentences that are age appropriate. * Always state the truth. * Allow privacy from adults (especially adolescents) during assessment if desired. * Encourage questions

Indemnity insurance plan

* Specific dollar amount paid for each service. * Patient pays any remaining amount due * works on a fee-for-service basis.

Health Maintenance Organization (HMO)

* Staff Modes: salaried MDs work only for plan * Network Model: -MD groups are contracted _MD may also contract with other health insurance organizations -MD refers patients to PAR providers only patient pays copayments -patient is restricted to using a PCP belonging to the network

vagina

* The ? is a muscular tube that leads from the uterus to outside the body. * the inner layer has rugae cells for expansion. * It is surrounded and partially covered by a thin membrane called the hymen. * The ? has the following functions: a) Serves as the lower end of the birth canal b) it receives the male organ and sperm c) It provides a passageway to the outside for menstrual flow.

Spinal cord

* The ? is made up of grey and white matter. It serves as the pathway for impulses to travel to and from the brain. It begins at the medulla oblongata and extends to the 2nd lumbar vertebra in adults. * The ? is protected by the skull and vertebrae. * It is enclosed in meninges (membranes) : dura mater (outermmost layer, arachnoid (lacy spiderweb) and pia mater (innermost layer)

The U.S. Federal Government's Adaptions of the ICD

* The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) is the comprehensive manual used for inpatient procedural codes. The CMS agency is responsible for maintaining the inpatient procedure code set. This manual as developed as a replacement for volume III of the ICD-9-CM manual

Bladder

* The bladder is a hollow organ that serves as the reservoir for urine. * It has mucous membrane lining of rugae cells that allow it to stretch to a 350 to 450 mL capacity. An empty bladder folds to become the approximate size of a walnut. * An amount 150 to 250 mL of urine is enough to stimulate micturition (voiding of urine) * Urine exits the bladder via the internal sphincter (involuntary muscle), located where the urethra connects to the bladder.

Outer ear

* The external auditory canary extends from the pinna outward, inward, forward, and downward into into the interior of the skull to the eardrum.

Business letter format

* The letter should be single spaced * Dateline: Typed on line 15 if using no letterhead; 2-3 lines below letterhead. Type the full name of the month, day, and full year (e.g.; September 9, 2014). * Inside address: This is typed on the 4th line below the dateline. * Salutation: Typed on the 2nd line below the inside address. A colon follows the Salutation. * Subject line: Typed on the 2nd line below the inside address. It can begin at the left margin, indented 5 spaces or it is centered. * Body of letter: Begin typing on the 2nd line below the salutation or subject line. * Complementary closing: This is typed on the 2nd line below the last line of the letter body. -Formal style: "respectfully yours" "Respectfully" -General Style: "Very truly yours" or "Truly yours" "Sincerely" or "Sincerely yours" -Informal Style: (When using 1st names): "Regards" or "Best Wishes" * Keyed signature: This is typed on the 4th line below the complimentary closing. * Reference initials: Typed at the left margin, on the 2nd line below the keyed signature. A slash or colon is used to separate the composer from the typist; use upper case for the composer and lower case for the typist. * Enclosure notation: If needed, type directly below the reference initials. * Copy notation: If needed, type directly below the previously typed line. * Postscripts: If needed, type on the 2nd line below the previously typed line. * Continuation page: -Begins 1 in (line 7) from the top of the page -Required heading information for the 1st typed line -Name of addressee -Page number -date -The heading is used in the event that the pages of the document become separated. -The body of the letter begins on the 3rd line below the heading (10th line from the top)

Lungs

* The main respiratory organ * in the thoracic cavity, the lung is protected by the surrounding bone structures (rib cage, sternum, vertebrae) and by the intercostal and diaphragm muscles. * the left ? has two lobes (the heart is also in the left thorax), and the right ? has 3 lobes.

Instant Messaging

* The sender sets up a specific list of contacts, which may include professional contacts outside the medical office and patients, to receive this form of communication. * It is often used to communicate with other personnel within the office. * It should be checked frequently throughout office hours for risk management. Risk management involves identifying assessing, and controlling actions to minimize and prevent loss to a business because of legal liability.

Fallopian tubes

* The tubes curl around the top of each ovary and connect to the top corners of the uterus to transport ova to the uterus * Fertilization by sperm occurs here.

Ureters

* The ureters are slender tubes that extent from the kidney's hilus to the lower surface of the bladder * Urine is propelled through the ureters by peristalsis and flows through a mucous flap into the bladder.

uterus

* The uterus is a hollow, muscular organ that contains and nourishes the developing embryo and fetus. * The top of the uterus is called the fundus * The upper 2/3 is called uterus, and the lower 1/3 is called the cervix. * The inner wall of the uterus is called the endometrium.

Tonsils

* There are 3 pairs of tonsils * Palatine: Located at the opening of the oral cavity, this is the pair usually removed in a tonsillectomy. * Pharyngeal (adenoids): Also called adenoids, these are located near the opening of the nasal cavity in the upper pharynx. This pair is removed when they interfere with breathing. * Lingual: These are located in back of the tongue.

Editing & Proofreading

* These steps are preformed when the 1st draft of a letter is completed. * Editing is done by checking for clarity, flow of the letter, factual accuracy, conciseness, and correct letter style. * Proofreading involves checking a document for any errors in grammar, spelling and format. * a good practice is to read the document from top to bottom for flow and clarity and then read it from bottom to top for spelling. * use the following tools for editing and proofreading: dictionary, medical dictionary, thesaurus, physicians desk reference, computer spell checker (do not rely on this alone), and English grammar manual. * When complete, have someone else proofread the letter as well.

Scrotum and Testes

* These testes are suspended in a sac of loose skin (scrotum) * Before birth the testes move from the abdominal cavity to the scrotum. * The testes produce sperm.

Vas Deferens

* These tubes move the sperm from the epididymis to the seminal vesicles.

Epididymis

* This tightly coiled tube is attached to the side of each testis. * sperm mature and are stored here. * One end is connected to the testes; the other end leads into the vas deferens.

Health Savings Account (HSA)

* Uses a savings account from which a deductible is paid * Preventive care at no cost: no deductible applied * High-deductible health insurance plan * Monthly premiums based on age, geographic area, and deductible. * No taxes on withdrawals if used for medical expenses.

wave scheduling

* Usually 4 patients see per hour * All scheduled for top of hour, seen in order of arrival

First Class Mail

* Weighs 13 o or less * Maximum size for a large envelope: 15 inches long by 12 inches high by 3/4 thick. * Maximum size for a package: 108 inches in combination length, and distance around the thickest part * Number 10 envelopes, postcards, green diamond bordered envelopes * Must be rectangular * 2-3 da delivery

Alveoli

* air sacs at the bronchiole ends; 1 cell thick * This is where exchange of gasses occurs. O2 enters surrounding blood capillaries and cO2 enters alveoli from the surrounding blood capillaries. The process is known as external respiration.

Hearing impaired Patient's

* communicate in quiet environment * Speak clearly and slowly. Do not shout * Explain procedures carefully * Face the patient when speaking * Use a pen and paper for you and the patient to assist in communicating.

Epiglottis

* consists of cartilage flap * functions as a valve; moves to cover the larynx as you swallow.

Veins

* contain many valves to prevent blood backflow and transport blood to the heart. * They have poor o2 saturation. The only exception is the pulmonary vein, which enters atrium on the left side of the heart with o2 rich blood from the lungs.

tone

* controlling the overall sound quality of the voice to express a feeling such as confidence, authority, compassion, or concern. * using a pitch (highness or lowness) and timbre (resonance) of the voice that should be easy to listen to

Level II codes

* developed by the Health care financing administration (HCFA); now centers for Medicare and Medicaid (CMS) * Their use is required for Medicare and Medicaid patient care * These codes are used by providers to describe specific items and services provided in health-care delivery (e.g., laboratory, pathology, pharmaceutical, supplies and durable medical equipment, and ambulance services) that are not covered by CPT level 1 codes. * Alphanumeric: Each code begins with a letter

Stream (time specified) scheduling

* each patient given own specific time * Most common method of scheduling

Demographics

* name, address, date of birth, health insurance, contact information * profile history, chief complaint (cc), case conceptualization * Past assessments and test results; treatment plan; procedures, medications. * Instructions; progress notes, continuous care notes.

Nonverbal communication

* or body language is the expression of a person's attitude transmitted by posture, facial expression, touch, eye contact, or the spatial relationship between communicating parties. * Your self-concept determines your behavior: how you react to the world in general and those around you. Most of your communication is decided by the desire to preserve and increase your self-image. How you choose to communicate determines your relationships with those around you. * Your attitude affects all communication you have with others. Attitude is 90% of who you are to others and what you represent to them. The following are examples : "She's got a bad attitude" (someone who expresses negative emotions) or the " She gives off good vibes" (Someone who makes you feel good and comfortable). *Recognizing human behaviors and communicating effectively are essential to success in the field.

Pronunciation

* saying words correctly to avoid any misunderstanding * Avoiding the use of slang words, incorrect word contractions (e.g., whatcha, gotta) and words unfamiliar to the receiver of the message)

courtesy

* using polite behavior (etiquette) * treating the caller with respect and tact * Remaining calm at all times * Answering an incoming call by identifying the office reached, followed by the office's telephone greeting policy * Picking up a ringing telephone on the 1st ring and definitely b the 3rd ring.

Carcinoma (skin cancer)

*Basal cell Cancer: located in the basal cell layer, this cancer is very slow spreading, and when diagnoses is usually found on fair-skinned individuals. * squamous cell cancer: This involves the squamous cell layer and metastasizes more quickly than basal cell cancer. *Malignant melanoma: Also known as melanoma. Tis is the most serious type of skin cancer and occurs in the melanocytes. This usually begins with a change to a mole (size/shape) and irregular color and/or border) and metastasizes quickly.

Mouth

*Takes in extra air when needed, such as during exercise or when nasal passages are blocked. * Does not have any moisturizing capacity. Inhaled air takes the available moisture, thus drying the mouth.

International classification of disease

*The WHO develops and uses the ICD code system to compile data on morbidity and mortality. It is the classification standard for established diseases and other health conditions, * Codes are made up of characters (numbers and letters) Three characters make up a coding category, which may be further subdivided or used if it cannot be further subdivided. Subcategories are made up of r,5, 6, 7 characters to provide greater detail. For a code to be valid, it must be coded to the full number of characters required for that code.

Spleen

*The largest lymphoid organ. * The spleen filters the blood and serves as a blood reservoir. * this organ destroys old RBCs and has a role in erythropoiesis.

Source-Oriented Medical Record (SOMR)

*The recorded is divided into sections (e.g. laboratory , progress notes, physical examinations , consultation reports). * Each section is arranged in chronological order; the most recent document is on top in each section.

Capillaries

*are 1 cell layer thick * They allow for the exchange of nutrients and waste products throughout the body.

Lymph

*is tissue fluid formed from plasma. * It is composed of water, electrolytes, metabolizing cell waste, and protein.

Proximity

*refers to the distance you are from the personal space area that surrounds someone * Observing space boundaries (comfort zone) between patient and caregiver shows respect for the patient. * Culture, age, and gender can influence a patient's sense of personal space > Personal space: 1.4 to 4 feet > social space: 4 to 12 feet > Public space: 12 to 35 feet

The chapters within the Tabular listing are the folllowing

1) Certain Infectious and parasitic diseases (A00-B99) 2) Neoplasms (C00-D49) 3) Diseases of the blood and blood forming organs and certain disorders Involving the Immune Mechanism (D50-D89) 4) Endocrine, Nutritional, and Metabolic diseases (E00-E90) 5) Mental and Behavioral Disorders (F01-F99) 6) Diseases of the Nervous System (G00-G99) 7) Diseases of the Eye and Adnexa (H00-H59) 8) Diseases of the Ear and Mastoid Process (H60-H95) 9) Diseases of the Circulatory System (I00-I99) 10) Diseases of the Respiratory System (J00-J99) 11) Diseases of the digestive System (k00-k94) 12) Diseases of the skin and subcutaneous Tissue (L0-L99) 13) Diseases of the Musculoskeletal System and connective Tissue (M00-M99) 14) Diseases of the Musculoskeletal System and connective Tissue 14) Diseases of the Genitourinary System (N))-N99) 15) Pregnancy, childbirth, and the puerperium (O00-o9A) 16) Certain conditions originating in the perinatal period (P00-P96) 17) Congenital Malformations Deformations and chromosomal (Q00-Q99) 18) Symptoms, sings and abnormal Clinical Laboratory Findings (R00-R99) 19) Injury and poisoning and certain other consequences and external causes ( S00-T98) 20) External causes of Morbidity (V01-Y99) 21) Factors Influencing Health status and contact with health services (Z00-Z99)

Pathway of the heart

1. Superior Vena Cava 2. Pulmonary Artery 3. Right Atrium 4. Right Ventricle 5. Pulmonary arteries 6. Pulmonary Veins 7. Left Atrium 8. Left Ventricle 9. Aorta

Licensed revocation or suspension

>convicted of a crime >guilty of unprofessional conduct (dishonesty, falsifying records) > Incapable professionally or personally (substance abuse, practicing outside trained scope)

EMR

? information about a patient is created and maintained in a format that allows the information to be shared nationally with other authorized healthcare provider computer systems because of its interoperablility.

Subjective Objective Assessment Plan

? is a common method used to document iformation about a patient during the OV.

Self-confidence

A belief in oneself and one's abilities. Self-confidence is demonstrated by taking the initiative when working as a team member and is seen by the level of comfort patients ad physicians have in the medical employee

Thrombosis

A blot clot formation. A piece of the thrombus may break off and travel through the blood vessels this is known as embolus. The embolus may then become lodged in the lungs (pulmonary embolism) or in the brain resulting in a stroke (cerebral accident CVA) or transient ischemic attack (TIA)

Checkbook

A book of blank checks with a log (register) for recording written checks and deposits. * summaries of receipts called deposits are recorded in the checkbook's log. * bills (accounts payable) are paid from this checking account.

Third-Party Check

A check not originally written to the party receiving it. The check is written by an unknown party to the payee; therefore, if it were to become an overdraft (bounce) on cashing or deposit, it would become very difficult to track the originator of the check for payment. * only accept insurance checks written to the patient as payment.

Bank draft

A check written by a bank against its funds in another bank.

Fibromyalgia syndrome

A debilitating chronic condition characterized by specific or widespread muscle, bone, or joint pain, fatigue and other symptoms.

Parkinsons disease

A debilitating disease caused by an abnormally low supply of dopamine that produces an increase in body tremors, involuntary movement, and loss of balance.

Referral

A directive, executed by the primary care physician (PCP), for the patient to seek specialized care from a preferred provider. This is commonly used for managed care plans.

Medical Record

A document containing the administrative and clinical information of a patient seen within a medical practice. The record may be in hard copy (paper) or in a digital format- only medical staff may have access to these records. Maintaining the medical record is a component of professional work ethic.

Postage Meter

A machine that prints postage, cancellation marks, and dates directly onto envelopes or onto package labels. Most postage meters are connected to scales to weight the piece. Offices must purchase the amount of postage each machine can print, which is programmed into the machine by the U.S. Postal Service.

Double entry

A method of accounting based on the following equation: Assets=liabilities + capital (owner equity) * Entries are listed twice, based on each transaction. Certified Public Accountants (CPA's) nd specifically trained bookkeepers use this form of accounting . It detects errors easily.

Labia minora

A modified form of folded skin tissue, similar to the labia majora. These folds provide further padding and protection to the area.

WAN (Wide Area Network)

A network of computers spread across a larger geographical area than a LAN. ? are usually connected by telephone lines.

Phlebitis

A painful inflammation of a vein caused by venous infection, thrombosis, or intravenous fluid irritation.

Emancipated Minor

A person less than 18 years old who si responsible for his or her own debts.

Regression

A person retreats to behavior characteristics of an earlier stage of development (e.g. sucking a thumb)

Participating or member (PAR) provider

A physician who has an agreement or is contracted with an insurance carrier to accept the company's allowed charge as 100% payment. The physician writes off the difference between the physician's fee and the allowed charge.

Placenta previa

A placenta that is attached to the lower uterine wall and partially or fully blocks the birth canal.

Flash Drive

A portable device for temporary storage of files featuring a built-in Universal Seral Bus (USB) connection that plugs into the computer with a USB port. It is also known as a jump drive, thumb drive, or keychain drive

Risk withhold

A portion of the capitation payment to a provider that is withheld until the end of the year or defined fiscal year. This is done to create incentive for efficient care.

Arthroscopy

A procedure to view the internal structures of a joint and provide surgical access

Tachycardia

A rapid cardiac rhythm greater than 100 beats per minute.

Balance sheet

A record of total assets, liabilities, and capital of a business for a specific date.

post-traumatic stress disorder (PTSD)

A response to physical or psychological trauma, usually long lasting, with symptoms that can include recurring flashbacks, nightmares, sleeplessness, loss of interest in things previously cared about, anger, irritability, and feeling emotionally cut off.

Firewall

A security system that protects a network or computer from damage by unauthorized users. Such users include hackers attempting to install malicious software or steal information through the internet.

Tablet

A tablet is a small, flat computer with a touch screen interface instead of a keyboard and mouse. Tablets are smaller and more portable than laptop computers.

bolus

A term used to describe food after it has been chewed and mixed with saliva

Assault

A threat that is made with the capibility of doing physical harm.

Pelvic inflammatory disease (PID)

A widespread bacterial infection of the reproductive organs.

Quickening

A women's initial awareness of the movement of the fetus within her uterus. It usually occurs between 18 and 20 weeks of gestation.

Referral

A written form, verbal notification by telephone or other communication that is needed to send a patient from in which the referral is accomplished depends on the insurance carrier.

Age Analysis

Age analysis tracks the age of debts by assigning accounts receivables into categories, such as the length of time from the date of service.

Rider

An addition made to an insurance policy. It usually stipulates exclusions for preexisting chronic conditions and/or procedures for a specific time (e.g., 1st 6 months)

Express Contract

An agreement between 2 parties that details the responsibilities of both parties, written or oral. If written, it is signed by both parties. 1) Truth in Lending Act 2) Medical Assistant Employment

Consent

An agreement between legally capable parties, legal intent is made; an offer is made and accepted, and transaction (service, payment) is made.

Perineum

An area of muscle located between the anus and the external genitals. It provides support for internal organs of the pelvic cavity.

Rheumatoid arthritis

An autoimmune disease causing painful and swelling joints resulting in deformities

Myasthenia gravis

An autoimmune neuromuscular disease caused by abnormal transmission of nerve impulses that result in muscle fiber atrophy shrinkage, which inhibits normal movement, and extreme muscle weakness

Facsimile (Fax)

An electronically scanned copy of a document that is quickly transmitted from 1 location to another over the telephone lines. The sender places the document into the fax machine and keys in a destination telephone number to transmit the document. Fax machines also receive documents. * Use only when necessary because violating patient confidentiality is a higher risk. * Confirmation is received when the transmission is complete. * Fax machines use designated telephone numbers * Use of a cover sheet is required and must state the following: -The confidential content, briefly - The number of pages being transmitted, including the cover sheet. -The name and fax number of the sender * Proper grammar and punctuation must be used.

Endorsement

An endorsement is a signature on the back of a check that may or may not have more information noted below the signature. The name of the last endorser of the check shows who last received the money. The common types of endorsement are: blank, restrictive, limited, qualified and voucher.

benign prostatic hypertrophy

An enlargement of the prostate that is commonly seen in men more than 50 years old.

A&P

Anterior and Posterior, auscultation and percussion

A & P

Anterior and posterior or auscultation and percussion - The frontal plane divides the body into anterior and posterior portions. - Auscultation and percussion are used to assess the lungs.

Judicial Branch

Branch of government that decides if laws are carried out fairly.

CMS

Centers for Medicare and Medicaid Services

Traveler's checks

Checks purchased at face value from issuing bank for a small fee. the checks are protected against theft or loss, and they are commonly used hen traveling to where personal checks may not be accepted. * available in small or large denominations: $10, $20, $50, $100

Rheumatic heart disease

Damaged coronary valves resulting from rheumatic fever brought on by an untreated streptococcal upper respiratory infection.

Living Will

Documentation of a patient's wish not to have certain life threatening measures taken when prognosis is imminent death.

coding

Each reason a patient comes to a medical office results in at least 1 diagnostic code and 1 procedure code. The procedure code manuals (CPT and Healthcare common Procedure Coding System HCPCs) and the diagnostic coding manual (ICD) are updated annually.

Equal Credit Opportunity Act (ECOA)

Ensures all patients are offered extended credit; denial of an offer must be based on inability to pay rationale.

Phenylketonuria (PKU)

Excess accumulation of phenylalanine occurs when a defective enzyme cannot metabolize the substance. It can cause brain damage.

Defense Mechanisms

Fear, Insecurity, or not knowing what else to do may keep you or a patient from communicating in a positive way. People use the following behaviors as techniques for dealing with uneasy situations they encounter in daily living.

Charge

Fee incurred for a provider serice

Lower Extremities

Femur: (thigh bone) largest, longest, strongest bone Greater Trochanter: knob @ top of femur Patella: knee cap Tibia (Shin bone) largest lower leg bone Fibula: lower leg bone, on the lateral side of the leg. Tarsals: ankle bones, calcaneus: heel bone Metatarsals: foot bones Phalanges: Toe bones

Fimbriae

Finger-like projections on fallopian tubes that produce a pulling action on an ovum to draw it into the tubes after rupturing from the ovary.

Message, Sender, Receiver

For communication to take place there must be a ?, a ? of the message, and a ? for he message.

Cranium (skull: seams are sutures)

Frontal: Forehead and eye sockets Temporal: sides around ear & lower jaw Parietal: Sides above temporal and top Occipital: Back of head and skull base Ethmoid: Between nasal cavity and orbits Sphenoid: supports nasal cavity

Muscular System

Function: * Movement through cellular chemical reactions: muscle contracts and shortens and pulls a bone * Maintains posture and alignment * Protects bones and internal organs * generates heat Cells, Tissues, Organs Muscles * Smooth (visceral): involuntary within the walls of hollow organs; contractions cause movement (peristalsis) * Skeletal: voluntary, attached to bones; striated * cardiac: Involuntary, make up the walls of the heart; all cells work together for rhythmic cell pulse; striated Tendsons: connective, attach muscle to periosteum of bone Ligaments: Attach bone to bone (Anterior cruciate of knee)

Lymphatic and Immune System

Functions * Disease defense, active and passive immunity * Stores red blood cells * Returns excess interstitial fluid to the blood * produces lymphocytes * transports lipids Cells, Tissues, Organs * lymph * lymphocytes * Lymph nodes * Lymphatic vessels * spleen * tonsils: 3 pairs: palatine, pharyngeal, lingual * Thymus

Cardiovascular System

Functions: * Transports nutrients and oxygen to tissues * Transports waste to organs for removal * Assists in regulating body temperature * Blood cells assist immune system (white blood cells) * Assist in maintaining proper pH (O2, and CO2) normal blood pH is 7.35-7.45 Cells, tissues Organs Heart Blood; 4-6 liters in a normal adult 55% is plasma 45% is formed elements suspended in the plasma Blood vessels

Nervous system

Functions: *controls and integrates body activities * adjusts body functions for homeostasis * Initiates thoughts and emotions * generates sensations * Receptors for smell, taste, sound and vision Cells, Tissues, organs: CNS: Brain, spinal cord PNS: spinal nerves and ganglia cranial nerves and ganglia

Integumentary System

Functions: *controls body temperature * 1st line of defense from infection * Assists in preventing dehydration * Synthesizes and secretes vitamin D * Detects touch, pressure, pain, and temperature. Cells, Tissues, organs * skin: epidermis, dermis, subcutaneous * sensory receptors * Glands: sweat, ceruminous, sebaceous Accessory components * Hair * Nails

Reproductive System

Functions: Female: Produce ova (singular ovum) * provide favorable environment for fetus to grow * give birth to and feed newborn * produce female hormones Cells, tissues, organs * ovaries, fallopian tubes, uterus, vagina, vulva, breasts Male: produce sperm * Deposit sperm into female reproductive system * produce male hormone cells, tissues, organs: scrotum and testes, epididymis, vas deferens, seminal vesicles, ejaculatory ducts and prostate gland, Cowper (bulbourethral) glands, male urethra and penis.

Respiratory System

Functions: Inhalation:Inhaling nutrients to the body (e.g. O2) Gas exchange: supplying and removing gases to and from the blood. Maintains pH balance of the body. Produces sound Traps and removes inhaled pathogens and debris. Cells, tissues, Organs: Upper Tract: Nose, sinuses, mouth, pharynx, epiglottis, larynx Lower Tract: Trachea, bronchi, Alveoli, lungs, diaphragm, pleura, thorax

Effective use of silence

Giving the patient some time to think before responding; the patient may use the time to add helpful new information.

Certified Mail

Guarantees the delivery of an item. On delivery, the postal carrier obtains the signature of the receiver. The words printed on paper (e.g., contracts, birth certificates) have more value than the paper they are printed on.

American Medical Technologist standards of Practice

I. While engaged in the arts of sciences that constitute the practice of their profession, AMT professionals shall be dedicated to the provision of competent and compassionate service and shall always meet or exceed the applicable standard of care. II. the AMT professional shall place the health and welfare of the patient above all else. III. When performing clinical duties and procedures, the AMT professional shall act within the lawful limits of any applicable scope of practice, and when so required shall act under and in accordance with appropriate supervision by an attending physician, dentist, or other licensed practitioner. IV. The AMT professional shall always respect the rights of patients and of fellow health care providers, shall comply with all applicable laws and regulations governing the privacy and confidentiality of protected healthcare information, and shall safeguard patient confidences unless legally authorized or compelled to divulge protected healthcare information to an authorized individual, law enforcement officer, or other legal or governmental entity. V. AMT professionals shall strive to increase their technical knowledge, shall continue to learn, and shall continue to apply and share scientific advances in their fields of professional specialization. VI. The AmT professional shall respect the law and pledges to avoid dishonest, unethical or illegal practices, breaches of fiduciary duty, or abuses of the position of trust into which the professional has been placed as a certified healthcare professional . VII. AMT professionals understand that they shall not make or offer a diagnosis or dispense medical advice unless they are duly licensed practitioners or unless specifically authorized to do so by an attending licensed practitioner acting in accordance with the applicable law. VIII. The AMT professional shall observe and value the judgment of the attending physician, dentist, or other attending licensed practitioner, provided that so doing does not clearly constitute a violation of law or pose an immediate threat to the welfare of the patient. IX. AMT professionals recognize that they are responsible for any personal wrong doing, and that they have an obligation to report to the proper authorities any knowledge of professional abuse or unlawful behavior by any party involved in the patient's diagnosis, care and treatment. X. The AMT professional pledges to uphold personal honor and integrity and to cooperate in protecting and advancing, by every lawful means, the interests of the American Medical Technologists and its members.

Pelvic Girdle

Ilium: wing-shaped portion Ischium: Inferior portion of hip; sit support Pubis; Anterior union of hip bones Sacrum: Posterior wall of the pelvis; 5 fused bones Coccyx (tail bone): 4 small fused vertebrae and ligaments

Misfeasance

Improper performance of an act; results in injury to another.

Medical Assistant Employment

Includes employee and employer duties, changes in job responsibilities, compensations, benefits, grievances procedures, terms of contract termination, termination procedures, and other special provisions.

Tuberculosis (TB)

Infection with Mycobacterium ? causing nodules in lungs, damage to lung tissues, scarring where active bacteria are present, and dyspnea. ? will progress, if not treated, and be fatal. symptoms include slight fever, fatigue, weight loss, unproductive cough and eventual bloody pus-filled phlegm.

Appendicitis

Inflammation of the appendix possibly caused by blockage of it by feces, tumor, or infection, The McBurney point is the site of tenderness associated with appendicitis.

Glomerulonephritis

Inflammation of the glomeruli within the kidney nephrons affecting the filtration and reabsorption processes. With this condition the glomerulus loses the ability to be selectively permeable. Chronic ? is among the causes of chronic renal disease. it is caused by renal diseases, immune disorders, and bacterial infections. Some symptoms include drowsiness, coma, seizures, nausea, anemia, and high BP.

Iritis

Inflammation of the iris tissue. Cells from the tissue may begin to flake off and float in the aqueous humor which then interferes with vision. The affected eye becomes red and painful. If left untreated, iritis may cause acute glaucoma.

Pleursy/Pleuritis

Inflammation of the pleura that causes sharp pain with each breath taken. The cause may be injury beneath the pleura or influenza

Sciatica

Inflammation of the sciatic nerve. The symptom is sharp pain along the nerve and its branches, and this pain usually radiates from the buttocks into the hip and thigh areas.

Office Manual Policy

Information for employees regarding office operations, policies and regulations, as well as workplace laws. The manual should always be read and periodically reviewed as necessary by employees and agencies. Includes: Mission statement confidentiality patient's rights office organizational chart position interviewing, hiring, and firing sick leave and vacation personnel evaluations dress code staff meetings workflow office maintenance

Routine urinalysis

Laboratory analysis of urine checks its physical properties, specific gravity, and basic chemistry.

type 1 diabetes mellitus

Little or no insulin production, insulin dependent diabetes mellitus (IDDM), onset before age 30 years, heredity or resulting from a viral infection.

International Classification of Diseases, 10th revision clinical Modification

Manual is used by physicians and other health-care providers to classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care in the united states. It is published by the WHO and uses unique alphanumeric codes to identify health-related conditions, diseases, signs and symptoms, and injuries and their causes. The National Center for Health statistics (NCHS) is responsible for maintaining the manual which includes more than 68,000 codes. Health-care providers use this coding system in outpatient diagnostic care The Manual is divided into 2 sections: the Alphabetic index and the Tabular Listing (alphanumeric ) * The Tabular listing is divided into 21 chapters and code ranges that are based on body systems (site or condition) *This section is the final step for code confirmation. * Use the alphabetic index to begin your search for a code. It includes the following: - Diseases and injuries -external causes of injuries -neoplasm table - drugs and chemicals table

Federal Withholding Tax

Money withheld from employee's gross earnings to pay federal income tax. The employer deposits this money into a tax liability account..

Accounts Payable

Monies owed by the business (e.g., rent and supplies)

Accounts Receivable

Monies owed to the business from patients

Abbreviations

NEC (Not elsewhere classified) Specified code not available. NOS (Not otherwise specified ) unspecified

Battery

Nonconsensual touching of a person, without a legally justifiable reason, that is considered to be harmful or offensive; an international tort.

We learn as infants

Nonverbal communication is the language a) we learn as infants b) we learn as toddlers c) we learn after verbal communication d) that has to be taught e) none of the above

Meeting Minutes

Official record of meeting proceedings * Assist attendees with decisions or suggestions for next meeting * Must be approved by a motion * Contents: name a committee, date, time and type of meeting (no summaries) motions made, approved, and rejected; adjournment time, next meeting date if any.

Herpes

Painful blister-like sores are caused by a virus, Inadequate rest, poor nutrition, and stress may increase the likelihood of outbreaks. * Herpes simplex 1 : Virus causing a cold sore or fever blister to lips, mouth, face; very contagious, spreads through saliva. * Herpes simplex 2; Virus causing genital herpes; sexually transmited.

Petty cash

Part of accounts payable management. These monies are used to pay for small, unexpected office expenses and are kept separate from the business office accounting. The petty cash account usually has no more than $200 in it at any time. It is funded by the office's own checking account.

Informed consent

Patient's right to know before agreeing to treatment, procedures, and care. Information disclosed to patients before treatment includes the potential benefits and risks of the receiving and not receiving the treatment, as well as alternatives. The American Medical Association (AMA) suggests obtaining this at the age of 15 years.

Limited (special)

Pay to the order of followed by signature of patient paying

Life Insurance

Pays beneficiary a set dollar amount in the event of the policyholder's death.

Equal Employment Opportunity Act (EEOA)

Prohibits inquiry on job applications of race, color, sex, religion, national origin, medical history, arrest records, and past substance abuse.

Needle Stick Safety and Prevention Act

Promotes use of safer needles; identifies and documents devices used to ensure safety and new equipment monitoring effective 2003

Health Insurance Portability and Accountability Act (HIPAA)

Provides national guidelines for health-care privacy protection. Employees must be trained in HIPAA law and in the policies and procedures of a health-cafe office. There are 2 main sections of the law:

Fair Labor Standards Act of 1938

Regulates employee wages, pay records, overtime pay, and child labor.

Uniform Anatomical Gift Act of 1968

States that any living individual of sound mind who is more than 18 years of age may donate all or parts of his or her body after death into tissue bank placement, or transplant or research. * the physician who determines the time of death cannot participate in the removal or transplant procedures or use the body part for research. * The physician cannot be sued for accepting the body parts if the physician did so in good faith tat the proper documents were in place.

Thyroid Stimulating Hormone (TSH)

Target: Thyroid gland Major Functions: Growth, development, and thyroid activity as metabolism regulator.

Thyroxine (T4)

Target: Tissue cells Major Functions: Increases metabolic rate

Oxytocin

Target: Uterus, breasts Major Function: Stimulates birth contractions, and causes milk ejection.

Growth Hormone (GH)

Target: bone, muscle, soft tissue Major Functions: Stimulates tissue growth; decreases glucose

dacry, lacrim

Tear, tear duct

RAM (Random Access Memory)

Temporary memory a program uses to speed up its retrieval of operating data computers with more RAM can run more complicated software programs more quickly.

Direct billing

Term used to describe the electronic claim submission transmitted from the provider to the insurance carrier for processing. No vendor is used to examine claims for correctness.

orchid, orchid, orch, test

Testis

Exam Hint

The 1st letter of a diagnosis code refers to its chapter location. For instance, a code beginning with the letter N means it is from the genitourniary system chapter The examination may have questions asking you to determine whether the code correctly matches its definition For example: N48.1 a correct match would be Balanitis. An incorrect match would be cellulitis of the left finger.

Labia majora (vulvar lips)

The 2 folds of skin tissue that enclose and protect the urethral and vaginal openings. There is hair on the outside.

Upper Respiratory Tract

The ? , the trachea, and the bronchus comprise the passageway for air to the lungs. The exchange of o2 and Co2 takes place in the lungs.

Large Intestine

The ? ? absorbs water and stores material until it is eliminated. * No digestion takes place in the large intestine

Peripheral Nervous System (PNS)

The ? consists of the nerves and ganglia located outside the CNS. A nerve consists of many neurons bundled together with blood vessels, wrapped in connective tissue. Types of nerves are as follows: *Sensory neurons * Motor neurons *Interneurons

Senses

The ? function as a part of the nervous system. They have complex ? organs unlike any other in the nervous system.

Pharynx

The ? is also called the throat. It passes the formed bolus to the esophagus

Cerebellum

The ? is located below the cerebral hemisphere and attached to the posterior brainstem * is known as the little brain * It maintains muscle tone, balance, posture, and fine motor movement.

Skin

The ? is the largest organ; it covers all the body.

oral cavity

The ? is where mechanical and chemical digestion starts

CPT

The ? manual is divided into 2 main sections. * Alphabetic index: This is where you begin to search for a procedure code. * Tabular (Numeric) index: You are led to this section from the alphabetic section to finalize the proper code to use.

The E & M codes located in the CPT manual begin with which of the following 2 digits? A) 00 b) 90 c) 99 d) 97 e) 96

Procedure Coding

The HCPCS is used in the United States. It is based on the American Medical Association's CPT. The procedures and services performed in a medical office are translated into numbers and alphanumeric codes. HCPCS includes 2 currently used levels: * Level I codes are known as CPT codes (numeric) * Level II codes are known as national codes (alphanumeric)

Clinical Laboratory Improvement Amendments (CLIA)

The HHS developed these federal regulations in 1988 to set standards for quality assurance performed in a laboratory and the accuracy of test results in the United states.

Z codes

The ICD-10-Cm codes that refer to factors that may influence a patient's health are 1) E codes 2) z codes 3) V codes 4) A codes 5) H codes

Elizabeth Kubler-Ross

The Stages of Death and Dying: 1) denial: a buffer against the harsh reality by denying existence of the problem : "No, not me" 2) Anger: Rage at the unfairness of the situation "Why me" 3) Bargaining: Spiritual bargaining with God and/or health-care workers: "I'll be good if I can have 1 more day" 4) Depression: 2 parts: a) quiet grieving, severe, sadness b) Realizing the loss of self, job, family 5) acceptance: Resigned to fate and planning for it, possibly with a sense of calm and peacefulness, fear of dying is eliminated. * The stages are not always distinct from eachother, they may overlap. * A person may repeat or skip stages. * These stages may enable us to understand all grieving people who are facing death, loss of a loved one, amputation, loss of various body functions, loss of a preferred lifestyle, economic loss, or divorce.

Posting

The act of recording information (noting payment in the day sheet, account ledger, etc.)

AIDS

The advanced stage of infection with the HIV virus characterized by a significant decrease in immunity. At this time, a cure does not exist.

Functional residual volume

The amount of air left in the lungs after a normal expiration.

Premium

The dollar amount paid (by patient and/or employer) for insurance coverage. * Factors that lower the cost of the premium 1. Deductible: out of pocket money before insurance makes payment. 2. Copayment: set amount patient pays for each office visit (e.g. $10, $15) 3. Co-insurance: percentage that the patient pays for each office visit (usually 20%)

Credit adjustment

The dollar amount written off (the office will not collect it). * It is the difference between the amount charged and the amount allowed by the insurance carrier. * It may be the result of provider participation with the patient's insurance plan. * It may be the result of discounts given because of special circumstances

Renal failure

The gradual loss of renal function caused by repeated infections or by other diseases. It can be acute or chronic.

4 chambers

The heart has ? ? : 2 upper atria and 2 lower ventricles. The left ventricle is larger and thicker.

Phagocytosis

The ingestion and digestion of substances by phagocytic cells (e.g. white blood cell neutrophils) This process requires cellular energy.

Menarche

The initial onset of female menses. It usually occurs between 9 and 15 years of age.

Visceral Pericardium

The inner membrane of the pericardium is called the?

Software

The installed programs and applications that enable the computer to perform specific tasks and functions. The computer's operating system is the software that starts and controls the computer.

Peristalsis

The involuntary rhythmic movement begins in the esophagus and moves first the bolus and then the chyme through the digestive tract.

Ball and socket (enarthrosis)

The joint allows the widest range of motion: flexion, extension, abduction, adduction, rotation, and circumduction (e.g. hips and shoulders)

Assignment of benefits

The patient authorizes the insurance carrier to pay the physician directly. The patient's signature is required. Assignment is automatically in place if the provider is a participating (PAR) provider with the insurance carrier

Inversion

The patient does the opposite of what he or she wants; he or she reverses feelings about someone after being rejected by that person. For example, an individual may be rejected by someone he or she loves and then conclude it is best to hate that person to deal with the rejection.

inactive files

The patient has not been treated within the last 6 months to 3 years (depending on the practice specialty)

Balance Billing

The patient is billed for the differences between the charge and the insurance payment * This is done if the provider is not participating with the patient's insurance plan

Closed files

The patient is not expected to return (moving age limit in pediatrics, death)

Monitor

The television-like screen that shows the computer's open programs. These programs include image software, word processing, information management programs, e-mail, and internet browsing programs.

Embryo

The term for a fertilized egg through 8 weeks of development

Urethra

The urethra conveys urine out of the body * It is about 4cm long in a woman and 20cm long in a man. * In a woman, the urethra leads directly from the bladder to the urinary meatus. * In a man, the urethra passes through the prostate before exiting through the urinary meatus. * The urethra has an external sphincter (voluntary) that signals the urge to void.

Papillae

These are raised areas on the tongue that detect only 4 tastes: sweet, salt, sour, and bitter. Sensitivity to bitter tasting substances is especially pronounced.

Reception and Front Office

These areas need to be prepared for cleanliness and neatness.

Focal seizure

These begin with uncontrollable twitching in a single part of the body (e.g. thumb) that spreads to surrounding structures and eventually the full body. The patient is conscious during theis type of seizure.

RBCs (erythrocytes)

These biconcave cells have no nucleus, and contain hemoglobin. They live 120 days and carry o2 and co2. The average count is 5,000,000 mm3 (5million per cubic millimeter)

malleus, incus, stapes (ossicles)

These bones move an pass vibrations from the middle to the inner ear.

Schedule II drugs

These drugs may NOT be refilled. The ordering of these drugs requires a DEA 222 form. The returning of out-of-date schedule II drugs requires a DEA 222 form. These drugs have a high abuse potential that may lead to sever physical or psychological dependence * Potential for abuse is less than schedule I * Physician must have a special DEA license to write these prescriptions * Must be stored under lock and key * Be familiar with own state regulations.

Cowper or Bulbourethral Glands

These glands secrete an alkaline fluid that makes up 5% of semen.

Steroid

These hormone-like substances either pharmaceutically produced or secreted by endocrine glands re used to relieve inflammation for conditions such as a strong allergic reaction, asthma, and other conditions.

Grand Mal

These may occur at any age. The patient falls down unconscious, goes rigid, twitches or jerks rhythmically, and then slowly regains consciousness. The episode is usually followed by deep sleep or confusion. The seizure may be preceded by an aura or warning

Lumbosacral Plexus (T12 to end)

These nerves supply the skin and muscles of the external genitalia, buttocks, lower abdominal wall, and lower extremities. The major nerve emerging from the plexus is the sciatic nerve (longest nerve in the body)

Cervical Plexus (C1-C5)

These nerves supply the skin and muscles of the neck. The major nerve emerging from the plexus is the phrenic nerve (controls the diaphragm)

Release of records without authorization

These records might be released because of a life-threatening circumstance (e.g. unconscious patient)

Petit mal

These seizures usually occur in childhood. The person has a mental shutdown (goes blank) for up to 30 seconds. The patient does not know what is happening and after the episode does not know that it occurred.

Patellar, Babinski, Achilles, and corneal reflex tests

These tests are performed to evaluate motor neuron function.

Median cubital, cephalic and basilic veins

These veins drain blood from the forearm and hand that are the most commonly used veins for venipuncture. The most preferred site is the median cubital vein, the 2nd is the cephalic vein, and the 3rd is the basilic vein. All are located in the antecubital fossa (small depression inside the bend of the elbow and forearm)

Jejunum

This 2nd and middle portion (8 feet long ) is the site of some digestion and absorption.

Keloid

This benign growth occurs in a scar or as a result of skin injury; excessive scar tissue is made up of collagen and fibrous tissues. The appearance of this scar is raised often disfiguring.

Spina bifida

This birth defect exposes the spinal column usually in the lumbar region.

WBC differential

This blood test determines the percentage of the different types of leukocytes present. The percentages change during infections, allergic responses of certain diseases.

Cerebral palsy

This brain damage occurs in utero or at birth and causes mental retardation, seizures, and spastic moves.

Consenter

This can be a competent adult, emancipated minor (less than 18 years old), minor in the armed forces, minor parent with custody, or minor seeking sexually related treatment.

Axon

This cell part carries impulses from teh cell body to other neurons or body tissues.

Trial balance

This checks the accuracy of accounts to ensure the books are in balance. * Account receivable control should match total of all patients' accounts receivable ledgers. * The total amount of the checks written should equal the total disbursements (the expense columns in the general ledger).

Crohn disease

This chronic autoimmune inflammatory bowel disease is usually seen in the ileum. It penetrates every layer of tissue in the affected area.

Tickler File

This chronological file is arranged by date and time set as a reminder to perform tasks.

HTML (Hypertext Markup Language)

This code determines the structure and layout of a web document.

Otitis media

This common middle ear infection in infants starts at the throat and travels up the eustachian tube often the result of an upper respiratory infection.

CD-RW

This compact disk for recording and storage of data can be erased and reused.

Eclampsia (toxemia of pregnancy)

This condition causes elevated BP, edema, and protein in the urine. If left untreated, it causes death.

Strabismus

This condition is commonly known as "crosseyed" because of the poor alignment of eye muscles. Eyes do not focus together; 1 eye or both eyes will turn inward or outward. Common symptoms are blurred vision and poor depth perception.

Consultation

This consists of advice and/or opinion of a physician asked for by another physician.

Temporal

This controls the interpretation of sound, smell, the personality, behavior, emotion and memory.

CT scan

This cross-sectional radiographic scan is performed to seek the cause of gland enlargement or the loss of hormone production.

seasonal affective disorder (SAD)

This depressive mood disorder occurs during the winter months. It is possibly linked to increased melatonin production.

Health Card Scanner

This device automates the archiving process and transfers images of medical and insurance cards into a patient's electronic forms.

Disk Drive

This device reads the data or software from a CD or a DVD

BP reading

This diagnostic measurement is preformed to determine the force of blood against artery walls.

Scanner

This electronic equipment converts hard copied documents into a format that a computer can read. It is commonly used in a paperless electronic medical record (EMR) system medical practice.

fax (facsimile) machine

This electronic equipment scans copies of documents and transmits them from one location to another over telephone lines. Fax machines also receive documents. Fax machines need to be located in an area inaccessible to the public to maintain confidentiality of the transmitted information.

Synapse:

This gap between neurons and/or muscle tissue is designed so that impulses can travel in a single direction from axon to dendrite. * Released neurotransmitter chemicals assist or inhibit impulse transmission to cross the synapse to another cell.

Lymphoma

This general term describes benign or malignant tumors affecting lymphoid tissues. The 2 most common types are: -Hodgkin lymphoma (Hodgkin's disease) -Non-Hodgkin's lymphoma

Pulmonary function tests

This group of tests is used to measure various lung capacities such as the amount and rate of air taken in and released (spirometry)

Limited check

This has a time limit (90 days) or is preprinted for maximum amount limit.

Pons (bridge)

This helps in regulating breathing.

mononucleosis (mono)

This highly contagious viral infection is commonly known as "the kissing disease". Infection is from the Epstein-Bar virus or from cytomegalovirus (CMV). It is characterized by extreme fatigue, fever, sore throat, and an enlarged spleen and lymph tissue.

Cell body

This holds the nucleus of the cell and other regular cell parts; however, it does not have a centriole and therefore cannot reproduce. The cell body is protected in the brain, spinal cord or ganglion.

Myelogram

This imaging procedure uses a radiopaque medium and x-rays to view the interior of the spinal cord.

computed tomography (CT) scan

This imaging procedure uses a series of x-rays to create a cross-sectional 3 dimentional picture of a bodily structure.

Negative body language:

This includes facial frowning lack of eye contact, folded arms or crossed legs, and poor voice tone.

Otitis externa

This inflammation or infection of the external ear canal is also know as swimmer's ear. The most common cause is a bacterial infection.

Sigmoid

This is S shaped and connects the colon to the rectum.

Furuncle

This is a boil

Macule

This is a flat skin lesion that is white, rown or red (freckle)

Vesicle

This is a fluid-filled, blister-like sac on the skin.

Sublimation

This is a form of displacement. For example an unwanted sexual urge may be rechanneled into productive nonsexual activities.

Pulse pressure

This is a measurement used by finding the difference between the systolic (maximum) and diastolic (minimum) BP readings.

CSF

This is made in the ventricles of the brain by masses of capillaries. The fluid is in the subarachnoid space between the arachnoidand pia mater. ? is clear, colorless, and watery. It functions to make the meninges into a fluid-filled cushion.

Descending

This is on the left side of the abdomen and leads to the sigmoid.

Pituitary gland

This is referred to as the master gland

sclera

This is the "White of the eye"

Esophagus

This is the "food tube" between the pharynx and the stomach.

Ascending

This is the 1st part of the colon and is located on the right side of the abdomen

Duodenum

This is the 1st section of the small intestine (10 inches long). Bile from the gallbladder and pancreatic juices enter here; most digestion and absorption occur here.

Accommodation

This is the action of the eye lens to change its shape to bend light to focus it on the retina. This action allows the eye to adjust for differences in light because of distance; the lens becomes convex or concave. The greater the bulge, the more light will be bent.

Dialysis

This is the artificial filtration of waste material from circulating blood.

Cashier's check

This is the banks own check and is signed by a bank representative.

Primary diagnosis code

This is the chief (most significant) condition for which services or procedures were provided in an outpatient setting.

Subscriber or policyholder

This is the primary person covered by insurance.

Mitosis

This is the process describing 1 cell beginning to multiply through division.

Blind spot (optic disc)

This is the region where the optic nerve leaves the eyeball and therefore does not contain rods and cones.

Atom

This is the smallest chemical unit of matter

Bit

This is the smallest unit of data a computer uses to operate or display information. It is either 0 or 1.

FICA (Federal Insurance and contribution Act

This is the social security and Medicare percentage of income withheld from employee paychecks.

Cesarean section

This is the surgical removal of a fetus from the mother. It is performed when the delivery process is difficult or hazardous and poses high risks for the mother and/or fetus.

Vertigo

This is the term for dizziness.

Third-party Payer (administrator)

This is usually the paying insurance carrier

scabies

This itchy skin condition is caused by a mite burrowing under skin.

vitreous humor

This jelly-like substance fills the chamber behind the lens. Its function is to maintain the shape of the eye and to support the retina.

condyloid

This joint allows all forms of angular movement except axial skeleton rotation (e.g. jaw)

Pivot (trichoid)

This joint allows the rotation of bone (e.g. cervical spine C1 atlas [up and down] and C2 axis [side to side]

Hinge (ginglymus)

This joint has only a single forward and backward motion: flexion or extension (e.g. elbow)

Gliding (arthrodia)

This joint permits a single bony surface to slide on another, in a simple motion only (e.g. carpals)

Hodgkin Lymphoma (HL)

This malignancy with an enlarged spleen and lymphocytes known as "Reed-Sternberg cells" generally occurs in young men.

Procedure (how to) manual

This manual contains descriptions of situations and tasks. Includes sections on: *Job descriptions (Clinical medical assistant, licensed practical nurse, receptionist * Step-by-step guide for each procedure in a given position situation handling

prostate-specific antigen (PSA) test

This measures the blood level of the PSA protein released by the prostate. It is used as an indicator for prostate cancer.

Midbrain

This nerve tissue connects the pons to the lower part of the cerebrum. Vision and hearing reflexes are located here.

sudden infant death syndrome (SIDS)

This occurs when the autonomic respiratory system stops.

Liver

This organ produces bile and cholesterol. It stores glycogen and vitamins B12, A, d, E, and K. The ? detoxifies blood and aids metabolism.

Gallbladder

This organ stores and secretes bile to aid in digestion, and it emulsifies fats.

Professional service corporation

This organization comprises various professionals (e.g. one or more medical providers or lawyers). Benefits may include profit sharing and pensions, individual liability, and state law regulation.

Sweat chloride test

This procedure detects cystic fibrosis (CF) by measuring the salt content of sweat.

Fasting plasma glucose test (GTT)

This procedure determines a patient's normal blood glucose level

Dilation and curetage (D & C)

This procedure dilates the cervix and scrapes the walls of the uterus to remove tissue.

Manipulation

This procedure examines range of motion; it is used in physical therapy

Bronchoscopy

This procedure provides an interior view of bronchial air passages.

Pap Smear (Papanicolaou test):

This procedure takes a cell scraping of the cervix and vagina to test for abnormal cell growth.

Lower gastrointestinal (GI) series

This procedure uses a barium enema to enhance x-rays of the lower GI tract.

Upper GI series

This procedure uses a barium swallow to enhance x-rays of the upper GI tract.

Amniocentesis.

This procedure uses a needle inserted into the amniotic sac to remove fluid for analysis.

Pariental

This process sensory information from skin and controls depth perception, size, and shape.

Macular degeneration

This progressive deterioration of the macula causes loss of central vision. It occurs because the retina no longer receives an adequate blood supply. This is the most common cause of vision loss in the United states.

x-rays (skull and spine)

This radiograph imaging procedure is used to diagnose injuries, tumors, and spondylitis of the vertebrae.

Accounts receivable ratio

This ratio measures the speed at which outstanding balances are paid; it begins from the day billing is sent to when payment is received.

Renal Threshold

This refers to the occurrence of certain substances found in urine (glucose, amino acids) as a result of excessive amounts found in the blood. These substances are normally reabsorbed into the blood from the nephron tubules.

Professional courtesy

This represents a reduced charge or fee service to a professional associate.

enzyme-linked immunosorbent assay (ELISA)

This screening test for HIV antibody presence is performed on venous blood and oral fluid samples. It is 85% accurate because of cross-activity from other viruses.

Pharynx (throat)

This serves as a passageway for air and food from the mouth to the hyoid bone.

pinna/auricle (outer ear)

This skin and cartilage make up the shape of the outside ear.

Antivirus software

This software is designed to protect a computer from malicious files known as viruses, malware and spyware. It scans the computer's files nd software to destroy and remove the threats to the system. The process is both automatic and manual.

Operating system

This software provides the needed instructions (read-only memory (ROM) to the computer to function. The system starts working when the computer is turned on.

Placenta

This spongy structure forms on uterine wall during pregnancy and is joined to the fetus by teh umbilical cord. It permits exchange of wastes, nutrients, and o2 between the maternal and fetal systems. It is also a temporary endocrine gland and secreting human chorionic gonadotropin early in pregnancy as it develops.

Interneurons

This system sends behavior information to and from the CNS to skeletal muscles. * Afferent nerves bring sensory information from the different parts of the body (especially skin and muscles) to the CNS. * Efferent nerves bring motor information from the CNS to the skeletal muscles.

Cycle Billing

This system was developed to bill a set of patients at the same time each month according t the first letter of their last name (e.g., patients with last name beginning with A through F are billed the 10th of each month) or some other sorting method. * Rationale -billing workload is reduced by spreading the task throughout he month (less time consuming) * This ensures cash flow throughout the month (payments receipt)

24 hour urine collection

This test for the concentration levels of glucose, calcium, steroid, vitamin K, and other substances.

Arteriogram

This test is an x-ray of the arteries.

stress test

This test measures heart activity during physical activity.

Liver function

This test measures the coagulation factors of prothrombin and fibrinogen.

Audimetry

This test measures the electrical activity in the cochlea in response to sound to determine the cochlea's fluid pressure.

Electroencephalogram (EEG)

This test measures the electrical activity of the brain.

complete blood count (CBC)

This test profile includes a hemoglobin, hematocrit, RBC, and WBC count.

Trachea (windpipe)

This tube is positioned anterior to the esophagus within the neck. Smooth muscle is the reinforced with rings of cartilage; the rings are C-shaped with the open end next to the esophagus. the rings prevent the trachea from collapsing.

Utilization review; examination of services provided; performed by unaffiliated group to determine medical necessity.

They form a full circuit delivering oxygen rich blood for bodily function and ridding the body of waste byproducts (carbon dioxide CO2) resulting from all body functions.

What is the function of the cardiovascular system?

red bone marrow

Where is most blood formed?

b. Equal Employment Opportunity Commission (EEOA)

Which of the following prevents employers from discriminating against individuals on the basis of race, color, religion, sex, age, or national origin? a) Civil Rights Act b) Equal employment opportunity Act c) Immigration Reform Act d) Labor Management Relations Act e) National Labor Relations Act

Clinical Laboratories Improvement Amendments (CLIA 1988)

Which of the following statutes includes regulation regarding the results in the medical office? A) Clinical Laboratories Improvement Amendments (CLIA 1988) B) Controlled substances act C) Food, Drug, and Cosmetic Act D) Medical Practice Act E) Occupational Safety and Health Act

credit policy of office

a) payment due dates b) payment due at time of service c) collection procedures including use of agency d) participating insurance companies and accepting assignment

Equities

are rights to the assets, the portion of the assets that is paid for

Myelin (lipid and protein) sheath

covers the axon of a PNS cell. This is the white matter on nerve cells. * It is made of schwann cells; gaps are called the "Nodes of Ranvier" * CNS neurons do not have myelin sheath and therefore cannot be repaired. They are the gray matter cells (primarily cell bodies, interneurons, and unmyelinated fibers)

LBP

low blood pressure

prone

lying straight down on one's front side; face down

supine

lying straight on one's back, face up

peri

surrounding (outer)

S/R

suture removal

hist

tissue

azot

urea, nitrogen

uria

urin, urination

intra

within, inside

w/o

without

a, an

without, or absence of

gynec, gyn

woman

rhytid

wrinkles

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