Principles of Healthcare Reimbursement: Chapter 9 Key Terms
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
---|---|---|---|---|---|
AR | accounts receivable- department in a healthcare facility that manages the amounts owed to the facility by customers who have received services but whose payment is made at a later date
🗑
|
||||
CHARGE CAPTURE | the process of collecting all services, procedures, and supplies provided during patient care
🗑
|
||||
CDM | charge description master- database used by healthcare facilities to house the price list for all services provided to patients
🗑
|
||||
COPAYMENT | cost-sharing measure in which the policy or certificate holder pays a fixed dollar amount (flat fee) per service, supply, or procedure that is owed to the healthcare facility by the patient. may vary by type of service
🗑
|
||||
DEDUCTIBLE | annual amount of money that the policyholder must incur (and pay) before the health insurance will assume liability for the remaining charges or covered expenses
🗑
|
||||
EOB | explanation of benefits- report sent from a healthcare insurer to the policyholder and to the provider that describes the healthcare service, its cost, applicable cost sharing, and the amount the healthcare insurer will cover
🗑
|
||||
FI | fiscal intermediary- local payment branch of the medicare program
🗑
|
||||
HARD CODING | use of the charge description master to code repetitive services
🗑
|
||||
KPI | key performance indicator- area identified for needed improvement through benchmarking and continuous quality improvement
🗑
|
||||
MAC | medicare administrative contractor- newly established contracting authority to administer medicare part a and part b
🗑
|
||||
MEDICARE CARRIER | contractor with medicare to process medicare part b claims; determines charges allowed by medicare and makes payment to physicians and suppliers on behalf of medicare
🗑
|
||||
MSN | medicare summary notice- statement that describes services rendered, payment covered, and benefits limits and denials for medicare beneficiaries
🗑
|
||||
RA | remittance advice- report sent by third-party payer that outlines claim rejections, denials, and payments to the facility; sent via electronic data interchange
🗑
|
||||
RC | revenue cycle- the regularly repeating set of events that produces revenue
🗑
|
||||
RCM | revenue cycle management- the supervision of all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Created by:
jacquelinerose
Popular Medical sets