CBCS exam Word Scramble
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Question | Answer |
What is the difference between co-pay and coinsurance? | Coinsurance is a percentage and copay is a set amount |
What is the definition of UCR? | Amounts commonly charged for a service within a particular geographic region |
What does EDI stand for? | Electronic Data Interchange |
What is capitation? | Pre-established payments to providers for enrollees over a period of time, whether the patient is seen or not by the provider |
What is the definition of "deductible"? | The amount the patient is financially responsible before an insurance policy provides payment |
What is the name of the standard claim form used to submit physician office services to Medicare and other insurance payors? | CMS1500 |
What is an EOB? | A report with details the results of processing a claim or called an Explanation of Benefits |
What is RBRVS? | Payment system for reimbursement of physician practice expenses base on the physician work, practice expense and malpractice insurance expense |
What is the definition of a TPA? | Company that provides health benefits claims administration, processes claims and other outsourcing services for self-insured companies |
What does COB mean? | Prevents multiple insurance plans from paying benefits covered by other plans when the patient has more than one policy |
Created by:
drea08
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