Busy. Please wait.
Log in using Clever

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever

Username is available taken
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.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Didn't know it?
click below
Knew it?
click below
Don't know
Remaining cards (0)
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

PoHR: Chapter 9

Principles of Healthcare Reimbursement: Chapter 9 Key Terms

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
Created by: jacquelinerose



Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

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