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week 2 terms

TermDefinition
Continuity Of Care the delivery of services provided to a person that proceeds without a lapse or interruption, with the intended purpose of maintaining a level of health and treatment
Copayment a specified amount the insured must pay toward the charge for professional services rendered at the time of services
Deductible an amount to be paid before insurance will pay
Fee Schedule a list of predetermined payment amounts for professional services provided to patients
Accreditation a process in which an education institution or program establishes credibility or legitimacy by complying with predetermined standards
Capitation the health care provider is paid a fixed amount per member per month for each patient who is a member of a particular insurance organization regardless of whether services were provided
Fee of Service payment for each service that is provided; individuals who choose to pay high premiums so that they have the flexibility to seek medical care from health care professionals of their choice
Gatekeeper one who regulates access to someone or something; in insurance, a primary care physician who coordinates the patients referral to specialists and hospital admissions
ICD International Classification of Disease
HMO Health Maintenance Organization
HIPPA Health Insurance Portability Accountability Act
HCPCS Health Common Procedural Coding System
FECA Federal Employment Compensation Act
ERA electronic remittance advice
EOB Explanation of Benefits
EHR Electronic Healthcare Records
EFT Electronic Funds Transfer
IPA Independent Provider Organization
IPO Integrated Provider Organization
Created by: priscilla.c