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med. billing part
medical billing chapter 1 part 1
| Question | Answer |
|---|---|
| Accounting cycle | flow of financial transactions in a business |
| Accounts receivable (AR) | term used to describe money coming in to 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 the patient is responsible for paying |
| Co-payment | a small fixed fee paid by the patient at the time of an 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 the procedures |
| Explanation of beneifts (EOB) | document form a health plan that list the amount of a benefit and explains how it was determined |
| Fee-for-service | insuramce plan in which policyholders are reimbursed for health care cost |
| Health maintenance organization (HMO) | 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. |
| Ploicy holder | individual who has contracted with a health plan for coverage. |
| Preferred provider organization (PPO) | a network of health care providers who agree to provide services to plan members at a discounted fee |
| Premium | payment made to a health plan by policyholder for coverage |
| Procedure code | a number that represents medical procedures performed by aprovider |
| Remittance advice (RA) | an electronic document from a health plan that lists the amount of benefit and explains how it was determined. |
Created by:
ivablake
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