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  2. Current Procedural Terminology - Wikipedia

    en.wikipedia.org/wiki/Current_Procedural_Terminology

    It is necessary for most users of the CPT code (principally providers of services) to pay license fees for access to the code. [19] In the past, AMA offered a limited search of the CPT manual for personal, non-commercial use on its web site. [20] CPT codes can be looked up on the AAPC (American Academy of Professional Coders) website. [21]

  3. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).

  4. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.

  5. Clinical coder - Wikipedia

    en.wikipedia.org/wiki/Clinical_coder

    The diploma, certificate, or degree will usually always include an Internet-based and/or in-person internship at some form of a medical office or facility. Some form of on-the-job training is also usually provided in the first months on the job until the coder can earn an intermediate or advanced level of certification and accumulate time on ...

  6. Procedure code - Wikipedia

    en.wikipedia.org/wiki/Procedure_code

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  7. Capitation (healthcare) - Wikipedia

    en.wikipedia.org/wiki/Capitation_(healthcare)

    It pays a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care. The amount of remuneration is based on the average expected health care utilization of that patient, with payment for patients generally varying by age and health status.

  8. Balance billing - Wikipedia

    en.wikipedia.org/wiki/Balance_billing

    However, out-of-network medical billing has become common for privately insured patients even when they receive care in an in-network hospital, creating a substantial financial burden. [13] Surprise balance billing is when an out-of-network provider bills an individual for services that were not covered by the insurance plan.

  9. Combination antibiotic - Wikipedia

    en.wikipedia.org/wiki/Combination_antibiotic

    because a person may be infected with more than one microbe simultaneously, [3] for example infections of the abdominal cavity after bowel perforation. because antibiotics used together may act synergistically to increase the efficacy of both, [3] because antibiotics used together may have a broader spectrum than each antibiotic used ...