Section 1

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A= initial encounter

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Last updated

6 years ago

Date created

Mar 1, 2020

Cards (21)

Section 1

(21 cards)

A= initial encounter

Front

not necessarily mean Initial visits define, when the pt is receiving active tx for the condition - for 1st time

Back

"with" "in" "assoc with", "due to", 2nd to

Front

A G.L. states the 2 conditions must be clearly documented as linked.

Back

CKD

Front

chronic kidney disease - a condition during which serum creatinine and BUN levels rise, which may result in impairment of all body systems

Back

encounter means

Front

2 different days 2 different doctors

Back

COPD

Front

chronic obstructive pulmonary disorder

Back

definitive

Front

of a conclusion or agreement) done or reached decisively (and with authority.)

Back

Demographics

Front

the characteristics of a population with respect to age / race / gender/ expected payer / Hospital I.D.

Back

Brackets ( )

Front

alternative workding or explantory phrases. Ex. Code A (Code B) . both codes must be listed- in this order.

Back

G.L = On Chapter Specific, what do you code 1st? (double check.........

Front

- Poisoning - Obs - HIV - N.B

Back

HEPCS = HEPCS 1. HEPCS 2.

Front

Book for MD and outpatients in: ER / OBS / SDS (same day service) HEPCS 1. HEPCS 2.

Back

Main term = expresses?

Front

Main term = expresses A NOUN

Back

POA

Front

present on admission-a condition present at the time of admission. Conditions that develop during an outpatient encounter, including the ER, observation or outpatient surgery are considered present on admission. you cannot code a Medicare inpatient case without also assigning the POA indicator.

Back

S=sequela

Front

a condition produced, after the acute phase of ilness or injury has terminated. there is not time limit. (months, years, )

Back

ASC ?

Front

ASC - Ambulatory Surgery Center people being treated for an injury or illness who are able to walk, and who, when treated in a hospital, are usually not staying for the night: - Same day service. - for out patient service.

Back

angioplasty

Front

surgical repair or unblocking of a blood vessel, especially a coronary artery. See also balloon angioplasty.

Back

What does this mean? A=? D=? S=?

Front

A= initial encounter D= subsequent encounter S=sequela

Back

D= subsequent encounter

Front

define, when the pt is receiving active tx for the condition.

Back

Principle procedures (inpatient )

Front

is definitive treatment altermate procedure to TREAT & CURE condition. ex: infection, can be tx

Back

CAD

Front

coronary artery disease

Back

encounter means

Front

interaction btw a pt and doctor

Back

acquired

Front

developed or learned; not naturally occurring

Back