Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
CBCS exam
CBCS Billing definitions and terms
| Question | Answer |
|---|---|
| What is the difference between co-pay and coinsurance? | Coinsurance is a percentage and copay is a set amount |
| What is the definition of UCR? | Amounts commonly charged for a service within a particular geographic region |
| What does EDI stand for? | Electronic Data Interchange |
| What is capitation? | Pre-established payments to providers for enrollees over a period of time, whether the patient is seen or not by the provider |
| What is the definition of "deductible"? | The amount the patient is financially responsible before an insurance policy provides payment |
| What is the name of the standard claim form used to submit physician office services to Medicare and other insurance payors? | CMS1500 |
| What is an EOB? | A report with details the results of processing a claim or called an Explanation of Benefits |
| What is RBRVS? | Payment system for reimbursement of physician practice expenses base on the physician work, practice expense and malpractice insurance expense |
| What is the definition of a TPA? | Company that provides health benefits claims administration, processes claims and other outsourcing services for self-insured companies |
| What does COB mean? | Prevents multiple insurance plans from paying benefits covered by other plans when the patient has more than one policy |
Created by:
drea08
Popular Medical sets