Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

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.
We do not share your email address with others. It is only used to allow you to reset your password. For details read 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.
Don't know
remaining cards
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

CBCS exam

CBCS Billing definitions and terms

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