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35 Cards in this Set

  • Front
  • Back

Advance beneficiary notice (ABN)

Document used to notify a Medicare beneficiary that it is either unlikely that Medicare will pay or certain that Medicare will not pay for the service they are going to be provided. Beneficiaries are required to sign this document if they wish to have the service with the understanding that they will be responsible for payment.

Allowed amount

Assignment of benefits

Accept assignment

Birthday rule

Capitation

Carrier

Coinsurance

Conversion factor

Coordination of benefits

Copayment

Deductible

Dependent

Diagnosis-related group (DRG)

Fee-for-service

Fee schedule

Flexible spending account (FSA)

Gatekeeper

Geographic practice cost index (GPCI)

Health maintenance organization (HMO)

Health reimbursement account (HRA)

Health savings account (HSA)

Indemnity

Independent practice association (IPA)

Medicare

Medicaid

Medigap

Preauthorization

Precertification

Preferred provider organization (PPO)

Primary

Seconday

Subscriber

Utilization review

Waiver