Advance Beneficiary Notice (ABN) - ANS A form provided to the patient when the
provider believes Medicare will probably not pay for services received
Allowed Amount - ANS The maximum amount a third-party payer will pay for a
particular procedure or service
Copayment - ANS a small fixed fee paid by the patient at the time of an office visit
Coinsurance - ANS a provision under which both the insured and the insurer share the
covered losses, typically 80:20
deductible - ANS specific amount of money a patient must pay out of pocket before the
insurance carrier begins paying
Explanation of Benefits - ANS a form created by the insurance company to explain
what charges were covered, denied, or need more documentation based on the claims
submitted by the physician's office
Participating provider (PAR) - ANS Providers who agree to write off the difference
between the amount charged by the provider and the approved fee established by the
insurer
Medicare - ANS A federal program of health insurance for persons 65 years of age and
older by Part A (hospitalization) or Part B (routine medical office visits)
Tricare - ANS U.S. government health insurance plan for all military personnel
CHAMPVA - ANS covers surviving spouses and dependent children of veterans who
died as a result of service-related disabilities
Medicaid - ANS provides health insurance to the medically indigent population through
a cost-sharing program between federal and state governments for those who meet
specific eligibility criteria
,Managed Care - ANS is an umbrella term for plans that provide health care in return for
preset scheduled payments and coordinated care through a defined network of
providers and hospitals
CMS-1500 form - ANS Standard insurance form used by all government and most
commercial insurance payers.
- 33 blocks
- divided into three section
CMS-1500 Section 1 - ANS Carrier Block: contains the address of the insurance carrier
and is located at the top of the form
CMS-1500 Section 2 - ANS Patient/insured section: contains information about the
patient or insured; includes boxes 1-13
CMS-1500 Section 3 - ANS Physician/Supplier Section: contains information about the
physician or supplier: boxes 14-33
Supine Position - ANS
Dorsal Recumbent Position - ANS
Sims' Position - ANS
Knee-elbow position - ANS
Fowler's Position - ANS
Lithotomy Position - ANS
Epidural Injection - ANS epidural space of the spine
Intra-arterial Injection - ANS injection into an artery (to break up clots)
Intra-articular Injection - ANS injection into joint space
Intradermal Injection - ANS Skin of the upper chest, forearms, upper pack. 5-15º angle
intramuscular injection - ANS deltoid, vastus lateralis, ventrogluteal muscles
, Intraosseous Injection - ANS Bone marrow
Intraperitoneal Injection - ANS within the peritoneal cavity
Intrapleural Injection - ANS pleural space (lungs)
Intrathecal Injection - ANS Subarachnoid space (brain)
Fat soluble vitamins - ANS A, D, E, K
Water Soluble vitamins - ANS B1, B2, B3, B6, Folate, B12, Pantothenic acid, biotin, C.
Erikson's stages of psychosocial development - ANS 1. trust vs. mistrust
2. autonomy vs. shame and doubt
3. initiative vs. guilt
4. industry vs. inferiority
5. identity vs. role confusion
6. intimacy vs. isolation
7. generativity vs. stagnation
8. integrity vs. despair
Grief Cycle - ANS denial, anger, bargaining, depression, acceptance
Sagittal Plane - ANS divides body into left and right
Coronal Plane - ANS divides body into front and back
Transverse Plane - ANS horizontal division of the body into upper and lower portions
Right Upper Quadrant (RUQ) - ANS Right lobe of liver, gallbladder, right kidney,
portions of stomach, small and large intestine
Left Upper Quadrant (LUQ) - ANS Left lobe of liver, stomach, pancreas, left kidney,
spleen, portions of large intestine
Right Lower Quadrant (RLQ) - ANS cecum, appendix, right ovary and tube, right ureter,
right spermatic cord
Left Lower Quadrant (LLQ) - ANS contains parts of the small and large intestines, left
ovary, left fallopian tube, left ureter
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