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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