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AMCA MAA Billing & Coding Study Guide – Medical Administrative Assistant Practice Material

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This document provides a structured overview of billing and coding concepts for AMCA Medical Administrative Assistant (MAA) exam preparation. It covers essential topics such as medical terminology, insurance billing processes, CPT and ICD coding basics, claims submission, and healthcare reimbursement procedures. The material is designed to support exam preparation and strengthen understanding of medical office billing and coding practices.

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AMCA MAA BILLING & CODING

Co-Payment - ANSSome agreement coverage plans require a "constant quantity" be paid for
the office visits. This amount is usually gathered at the time of the go to.

Term Deductible - ANSAmount of money that the insured must incur before the policy begins to
pay.

Network - ANSWhen a couple of computers are linked collectively and share facts

Informed Consent - ANSGiving the patient adequate data regarding the method, danger and
outcomes previous to a manner

Assignment of Benefits - ANSA statement authoring the coverage business enterprise to pay
advantages to the physician

Chief Complaint - ANSThe symptoms a affected person is currently seen for

STAT - ANSIf the health practitioner desires take a look at carried out at once, the check is said
to be ordered on a "___" foundation

Patient's Bill of Rights - ANSHealth policies regarding the patient's constitutional right to privacy,
confidentiality, and informed consent

Physician ends courting with a affected person - ANSThorough documentation, in writing to the
affected person, the motive for withdrawing from the case and offer distinctive number of days to
are looking for a new doctor

Appendix E - ANSList of Three Digit Categories in the ICD-nine

NEC - ANSIndicates the usage of a code project for "other" while a more specific code does
now not exist

Malignant - ANSUsed to describe a cancerous tumor that grows worse through the years.

In Situ - ANSMalignancy this is positioned in the original site of improvement

CHAMPVA - ANSVeterans with provider related to disabilities are eligible for care underneath
this program

Dependents - ANSFamily contributors, which include spouse or kids, who're protected
underneath the member's insurance policy

, Electronic Medical Records or E M R - ANSComputerized records of 1 medical doctor's come
upon with a affected person over time.

Electronic Health Record or E H R - ANSReflects the information from all sources that have
handled the person.

Personal Health Record or P H R - ANSMaintained and owned via the affected person. Patient
makes the decision to proportion contents with the Physician

Acute Care - ANSMost frequently refers to hospitals, treats patients with pressing troubles that
cannot be handled.

Ambulatory Care - ANSRefers to remedy with out admission to hospital.

Clinical Templates - ANSAllows doctors to report affected person encounters into an E H R on a
established form.

R A D T - ANSRefers to Registration, Admissions, Discharge and Transfer

Unique Patient Identifier or U P I - ANSlinks all clinical observations, assessments, techniques,
complaints, opinions, and diagnoses to the patient.

Clinical Vocabularies - ANSSet of not unusual definitions for scientific terms that ease verbal
exchange by lowering uncertainty.

SNO MED C T - ANSClinical vocabulary designed to encompass all phrases utilized in remedy

LO INC - ANSTerms and codes used for digital change of lab outcomes and clinical
observations.

U M L S - ANSThesaurus database of medical phrases

Fixed Appointment Scheduling - ANSOne affected person is scheduled for a particular
appointment time.

Cluster Scheduling - ANSTo agenda a group of sufferers across the same block time who are
coming in to obtain the identical kind of service

Double Booking - ANSWhen two patients are scheduled to look the equal physician
immediately.

Wave Scheduling Method - ANSTo accommodate a huge quantity of patients. Patients are
scheduled the primary 1/2 of every hour and are visible in the order wherein they arrive.

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