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

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This document provides a structured study guide for AMCA Medical Administrative Assistant (MAA) billing and coding topics. It covers essential areas such as medical terminology, insurance billing procedures, CPT and ICD coding fundamentals, claims processing, and healthcare reimbursement systems. The material is designed to support exam preparation, reinforce key administrative healthcare concepts, and improve understanding of medical office billing and coding workflows.

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AMCA MAA BILLING & CODING
Study online at https://quizlet.com/_f8npo7
1. Co-Payment: Some contract insurance plans require a "fixed amount" be paid for
the office visits. This amount is usually collected at the time of the visit.
2. Term Deductible: Amount of money that the insured must incur before the policy
begins to pay.
3. Network: When multiple computers are linked together and share information
4. Informed Consent: Giving the patient adequate information concerning the
method, risk and consequences prior to a procedure
5. Assignment of Benefits: A statement authoring the insurance company to pay
benefits to the physician
6. Chief Complaint: The symptoms a patient is currently seen for
7. STAT: If the doctor wants test done immediately, the test is said to be ordered on
a "___" basis
8. Patient's Bill of Rights: Health policies concerning the patient's constitutional
right to privacy, confidentiality, and informed consent
9. Physician ends relationship with a patient: Thorough documentation, in writing
to the patient, the reason for withdrawing from the case and offer specified number
of days to seek a new physician
10. Appendix E: List of Three Digit Categories in the ICD-9
11. NEC: Indicates the use of a code assignment for "other" when a more specific
code does not exist
12. Malignant: Used to describe a cancerous tumor that grows worse over time.
13. In Situ: Malignancy that is located within the original site of development
14. CHAMPVA: Veterans with service related to disabilities are eligible for care
under this program
15. Dependents: Family members, such as spouse or children, who are covered
under the member's insurance policy
16. Electronic Medical Records or E M R: Computerized records of one physi-
cian's encounter with a patient over time.
17. Electronic Health Record or E H R: Reflects the data from all sources that have
treated the individual.
18. Personal Health Record or P H R: Maintained and owned by the patient. Patient
makes the decision to share contents with the Physician
19. Acute Care: Most often refers to hospitals, treats patients with urgent problems
that cannot be handled.
20. Ambulatory Care: Refers to treatment without admission to hospital.
21. Clinical Templates: Allows doctors to document patient encounters into an E H
R on a structured form.
22. R A D T: Refers to Registration, Admissions, Discharge and Transfer

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, AMCA MAA BILLING & CODING
Study online at https://quizlet.com/_f8npo7
23. Unique Patient Identifier or U P I: links all clinical observations, tests, proce-
dures, complaints, evaluations, and diagnoses to the patient.
24. Clinical Vocabularies: Set of common definitions for medical terms that ease
communication by decreasing uncertainty.
25. SNO MED C T: Clinical vocabulary designed to encompass all terms used in
medicine
26. LO INC: Terms and codes used for electronic exchange of lab results and clinical
observations.
27. U M L S: Thesaurus database of medical terms
28. Fixed Appointment Scheduling: One patient is scheduled for a specific ap-
pointment time.
29. Cluster Scheduling: To schedule a group of patients around the same block
time who are coming in to receive the same type of service
30. Double Booking: When two patients are scheduled to see the same physician
at once.
31. Wave Scheduling Method: To accommodate a large amount of patients. Pa-
tients are scheduled the first half of each hour and are seen in the order in which
they arrive.
32. Alphabetical Filing System: Filed according to patient's last name
33. Cross Referencing: Blank file for each last name for patient's with a hyphened
last name directing them to the patient's actual file.
34. Numeric Filing System: Information regarding each patient is stored using a
number instead of the patient's last name. A method which helps to mask the
patient's identity.
35. Personal and Financial Information: Insurance data, marital status, next of
kin, and other items collected for personal identification.
36. Medical Information: includes the main reason patient seeks care,family/ pa-
tient medical history, exam results, physical exam forms, lab reports, and any other
report that pertains to the patient's health care.
37. Social Information: includes items such as race, ethnicity, hobbies and
lifestyles choices.
38. Self Insure: employers pay directly for employee's medical bills
39. Sliding Fee Scale: When offices charge fees based on a patient's financial
ability to pay.
40. Beneficiary: Individuals who qualify for the program
41. Premium: The policyholder contributes to his/her policy by paying a set amount
of money
42. Approved / Allowed Amount: The actual charge less then the allowed amount

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