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lori henry
medisoft
| Question | Answer |
|---|---|
| person who buys an insurance plan | policyholder |
| plan,program or organization that provides health benefits | health plan |
| advance payment to a provider that coverds each plan members health care services for a certain period of time | capitation |
| process of assigning standardized codes to diagnoses and procedures | coding |
| series of steps yhat determines whether a clain should be paid | adjudication |
| regular schedule of sending statements to patients | billing cycle |
| document listing charges and payments that is given to a patient after an office visit | walkout statement |
| automated process used to protect data and control access to data | technical safeguards |
| collection of related bits of information | database |
| process of retrieving data from back-up storage devices | restoring data |
| deletion of vacant slots from the database | packing data |
| deleting files of patients no longer seen by provider in office | purging data |
| unique number to identify patients | chart number |
| patient not seen by provider for 3 years | new patient |
| grouping of transactions for visits to Dr.s organized around a condition | case |
| required when there is an investigational device exemption on the claim | IDE number |
| in TRICARE, the active duty service member | sponsor |
| folder that contains patients medical records | chart |
| groups of procedure code entries that relate to a songle activity | multilink codes |
| electronic document from health plan that lists the amount of a benefit and explains how determined | remittance advice |
| flow of financial transactions in a business | accounting cycle |