Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
22 Cards in this Set
- Front
- Back
|
Accounting |
A system for classifying, recording, and summarizing finacial information |
|
|
Billing |
Securing and processing money patients owe |
|
|
Bookkeeping |
The recording part of the accounting practice |
|
|
Claim |
A form submitted to a third party player for reimbursement |
|
|
Contract |
A legally binding agreement between two parties |
|
|
Copayment |
A small fee paid to a provider at the time services are rendered |
|
|
CMS-1500 |
A standard health insurance claim form |
|
|
Current Procedural Terminology Codes |
Standard codes to designate procedures and tests |
|
|
Customary |
Term used to describe a providers fee; denotes the fee is usual and acceptable |
|
|
Deductible |
Amount of money that is the patients share of the costs of treatment |
|
|
Exclusions |
Treatments or services that health insurance comapnies will not pay |
|
|
Guarantor |
Person or organization that has agreed to pay the bill(s) for medical services |
|
|
Health maintainence organization (HMO) |
A type of health insurance company |
|
|
International Classifications of Diseases (ICD) |
Standard codes for diseases, signs, and symptoms |
|
|
Itemized |
Detailed explanation of a medical bill; gives a line by line list of everything that was done and all the supplies and medications were used |
|
|
Medicare |
Government provided health insurance for older adults, retired individuals, and some people who have disabilities |
|
|
Medicaid |
Government provided health insurance for the indigent or some people who have disabilities |
|
|
Out of pocket |
The amount of money the patient must pay for medical care |
|
|
Precertification |
The process of obtaining approval from a health insurance company for an admission, a test, procedure, or medication, also called preauthorization |
|
|
Premiums |
The costs for health insurance |
|
|
Protected health insurance (PHI) |
Any information concerning a patients health, medical condition, diagnoses, or treatment; it can include finiacial information |
|
|
Provider network |
The physicians and health care facilities that have contracted with a health insurance company to provide services |
