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week 2 terms
Term | Definition |
---|---|
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 |