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FCC
MFOB
| Question | Answer |
|---|---|
| Accounting Cycle | The flow of financial transactions in a business |
| Accounts receivable | A term to describe money coming into a business |
| Capitation | A fixed amount that is paid to a provider in advance to provide medically necessary services to patients |
| Coinsurance | Under an insurance plan, the portion or percentage of the charges that a patient is respnsible in paying |
| Copayment | A small fixed fee paid by the patient at the time of the office visit |
| Diagnosis code | A value that stands for a patient's illness, signs, or symptoms |
| Encounter form | A form listing procedures relevant to the specialty of a medical office, used to record procedures |
| Explanation of Benefits (EOB) | A paper document from a health plan that lists the amount of a benefit and expalins how it was determined |
| Fee-for-service | An insurance plan in which policy holders are reimbursed for health care costs |
| Health Maintenence Organization (HMO) | A type of managed care system in which providers are paid fixed rates at regular intervals |
| health plan | A plan, program, or organization that provides health benefits |
| managed care | A type of insurance in which the carrier is responsible for the financing and delivery of health care |
| patient information form | A document that contains personal, employment, and medical insurance information about a patient |
| payer | Private or government organization that insures or pays for health care |
| policyholder | An individual who has contracted with a health plan for coverage |
| Preferred Provider Organization | A network of Healthcare Providers who agree to provide services to plan members at a discounted fee |
| Premium | A payment made to a health plan by a policyholder for coverage |
| Procedure Code | A number that represents medical procedures performed by a provider |
| Remittance advice | An electronic document from a health plan that lists the amount of a benefit and explains how it was determined |
Created by:
nwalsh
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