Medical Assistant Comprehensive Study Guide Review

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Description and Tags

Comprehensive vocabulary flashcards covering foundational medical assistant exam topics including clinical terminology, billing and coding, anatomical directions, pharmacology, and EKG placement/interpretation.

133 Terms

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Hemostats

A type of forceps used to help stop bleeding by grasping tissues, equipment, and supplies.

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ICD-10 Modifier

An addition to a diagnosis code that makes it more specific.

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CPT Code Modifier

An addition to a procedural code that adds more information about unusual circumstances.

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HCPCS

A procedural coding system used for Medicare, durable medical equipment, and codes not found in the CPT manual.

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Fahrenheit to Celsius Conversion

Subtract 3232 and multiply by 0.55560.5556 (or 59\frac{5}{9}).

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Celsius to Fahrenheit Conversion

Multiply by 1.81.8 (or 95\frac{9}{5}) and add 3232.

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Teaspoon (Tsp) to Milliliters

Contains 5 mL5\,\text{mL}.

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Tablespoon (Tbsp) to Milliliters

Contains 15 mL15\,\text{mL}.

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Ringworm

Classified as a parasite in the study guide.

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Pinworms

Helminths.

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Yeast / Candida

Fungus.

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Bacteria

Single-cell organisms.

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Herpes

A viral infection transmitted as an STD.

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Chlamydia and Gonorrhea

Bacterial infections transmitted as STDs.

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Trichomoniasis

A parasitic infection transmitted as an STD.

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Multicellular Organisms

Fungi and algae.

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Hemoglobin A1c

A test measuring average blood sugar over a span of 3 months3\,\text{months}.

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Eye Irrigation Technique

Flushing or cleaning the eye by always starting from the inner canthus to the outer canthus.

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Ear Drops Technique (Age 33 and Younger)

Pull the ear back and down.

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Ear Drops Technique (33 Years and Up to Adult)

Pull the ear back and up.

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Encounter Form

A document with preprinted codes used to accurately fill out the claim form.

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CMS-1500

The universal claim form.

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UB-04

The hospital claim form.

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Copay

A fixed payment amount paid by the patient for a covered service.

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Coinsurance

A percentage of medical costs that the patient pays.

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OSHA General Duty Clause

A mandate stating that employers have a duty to keep the workplace safe and free of hazards.

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The Joint Commission Guidelines

Healthcare guidelines that are optional, unlike mandatory OSHA standards.

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HIPAA Provisions

Two main provisions: Portability and Accountability.

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EOB (Explanation of Benefits)

A document sent by the insurer that explains what was paid or denied.

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AOB (Assignment of Benefits)

An authorization form that allows the healthcare provider to bill the insurance directly.

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COB (Coordination of Benefits)

The process of determining which insurance plan is primary, secondary, or tertiary.

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NPP (Notice of Privacy Practices)

A document that explains to the patient how their protected health information (PHI) will be used.

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Medicare Part A

Medicare coverage for inpatient hospital care.

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Medicare Part B

Medicare coverage for outpatient care.

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Medicare Part C

Coverage that includes both inpatient and outpatient services, known as Medicare Advantage.

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Medicare Part D

Medicare coverage for prescription drugs.

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Medicare vs. Medicaid

Medicare is a federal program with no dependents for individuals aged 6565 and above or disabled; Medicaid is state-administered, covers low income, and allows adding dependents.

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HMO (Health Maintenance Organization)

An insurance plan where patients must choose a PCP and need a referral to see specialists.

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PPO (Preferred Provider Organization)

An insurance plan where patients do not need to choose a PCP and do not need a referral for specialists.

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POS (Point of Service)

A hybrid plan between HMO and PPO where patients do not need a referral but must choose a PCP.

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CHEDDAR

A medical record format standing for: Chief complaint, History, Examination, Details of problems, Drugs and dosage, Assessment, and Return visit or referral.

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Accounts Payable

Accounts and debts that the medical practice needs to pay.

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Accounts Receivable

Money owed to the medical practice by patients or insurance companies.

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Superior

Closer to the head.

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Inferior

Closer to the feet.

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Proximal

Closer to the trunk of the body.

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Distal

Further away from the trunk of the body.

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Anterior

Toward the front of the body.

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Posterior

Toward the back of the body.

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Superficial

Closer to the skin.

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Deep

Closer to the organs.

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Retroperitoneal Organs

Organs located behind the abdominal cavity, specifically the kidneys and spleen.

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Right Upper Quadrant (RUQ) Organs

Liver, gall bladder, colon, right kidney, and pancreas.

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Left Upper Quadrant (LUQ) Organs

Stomach, spleen, colon, left kidney, and pancreas.

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Right Lower Quadrant (RLQ) Organs

Appendix, colon, bladder, and ovaries in females.

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Left Lower Quadrant (LLQ) Organs

Colon, and ovaries in females.

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Cephal/o

Head.

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Encephal/o

Brain.

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Hepat/o

Liver.

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Hem/o

Blood.

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Arteri/o

Artery.

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Ven/o or Phleb/o

Vein.

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Nephr/o and Ren/o

Kidney.

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Pneumo- / Pulmono-

Lung.

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Cholecyst/o

Gallbladder.

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Thorac/o

Chest.

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Rhin/o

Nose.

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Arthr/o

Joint.

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Oste/o

Bone.

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-ectomy

Surgical removal; excision.

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-otomy

Cutting into; incision.

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-ostomy

Cutting into to create a hole or opening.

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-centesis

Puncture to remove fluid.

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-otripsy

Crushing.

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-plasty

Surgical repair.

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-rrhaphy

Surgical repair; suturing.

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Pyretic

Hot; fever.

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Febrile

Fever.

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Afebrile

Without fever.

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-algia

Pain.

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-stenosis

Narrowing.

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-sclerosis

Hardening.

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Hyper-

Increased; excessive.

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Hypo-

Decreased; low.

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Macro-

Big; enlarged.

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Micro-

Small.

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Ante-

In front of.

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Post-

Behind.

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Anti-

Against.

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Dys-

Abnormal.

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Eu-

Normal.

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Bi-

Two.

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Lipid

Fats/cholesterol.

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Tension

Pressure.

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-pnea

Breathing.

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Glyc/o

Sugar.

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Antitussive

Cough suppressant.

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Expectorant

Cough medicine that loosens mucous.

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Decongestant

Loosens mucous congestion.

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Antihistamine

Medication for allergies, such as Benadryl and Loratadine (Claritin).