Busy. Please wait.

Forgot Password?

Don't have an account?  Sign up 

show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.

By signing up, I agree to StudyStack's Terms of Service and Privacy Policy.

Already a StudyStack user? Log In

Reset Password
Enter the email address associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know (0)
Know (0)
remaining cards (0)
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

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

Med. Billing Terms#2

Medical Billing Terms#2-Winter Term

Fee Schedule A physician's listng of all reimbursement fees for all procedues performed in the practice
Fiscal Agent An insurance company that processes and pays claims on behalf of a state Medicare carrier
HICN-Health Insurance Claim Number A ten to eleven digit number assigned by Medicate to its beneficiarie.
Limiting Charge the highest amount a beneficiarycan be charged for a covered service by non-participating providers
Medicaid Provides health coverage for the categorically needy
Medicare primarily for people oldr than 65 and othrs eligible for Social Security; federal insurance program established in 1965 under the Social Security Act.
Medicare Managed Care Plans These are health care choices such as HMO's. Part C of the Medicare program
Medigap Health insurance policies sold by private companies, designed to supplement or fill in the gaps between Medicare and the patient.
Non-assigned claim a claim form which directs payment to the beneficiary.
Non-participating Physician a physician who has not enterted into a written agreement wit an insurance company to accept the plan's fee for services rendered
Participating Physician A physician who has entered into a written agreement with an insurance company to acceptthe plan's fee for service rendered as payment in full
Premium a dollar amount the insured person pays for insurance coverage
Relative Value Studies (RVS) relative values listed by health care procedure codes:allows comparison of reimbursement for different codes.
Relative Value Unit The time that is multiplied by a monetarty conversion factor to establish physician payment for the resource based relative value system or scale
Remittance Notice paper summarized statement for providers including payments/rejections for one or more beneficiaries
Resourced-Based Relative Value System/Scale (RBRVS) a system that calculates physician reimbursement for services using relative value units
Usual, Customary, and Reasonable (UCR) a method used by insurance carriers to establish provider payments based on a compendium of other like provider fee.
Created by: d.holifield