Insurance
This term refers to the amount an insured person must pay out-of-pocket before their insurance company will pay a claim.
What is a deductible?
The amount you pay for your health insurance every month.
What is a premium?
electronic device that accepts text files or images from a computer and transfers them to a medium such as paper or film
What is a printer?
Blood pressure, pulse, respirations
What are vital signs?
the balance of money due to a firm for goods or services delivered or used but not yet paid for by customers.
What is an account receivable?
This type of insurance plan requires you to choose a primary care physician (PCP) and get referrals to see specialists.
What is a Health Maintenance Organization (HMO) plan?
The amount you pay for covered health care services before your insurance plan starts to pay.
What is a deductible?
ets you handle two or more calls simultaneously.
What is a Multi-line Phone System?
a concise statement in English or other natural language of the symptoms that caused a patient to seek medical care
What is a chief complaint?
the obligations incurred by a company during its operations that remain due and must be paid in the short term.
What is an account payable?
This federal program provides health coverage for people age 65 and older, as well as some younger individuals with disabilities
What is Medicare?
The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible
What is coinsurance?
allows the electronic entry, storage, and maintenance of digital medical data
What is an Electronic Medical Record (EMR) System?
the process in which a health care provider educates a patient about the risks, benefits, and alternatives of a given procedure or intervention.
What is informed consent?
all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue
What is a healthcare revenue cycle?
This insurance program is jointly funded by the federal government and individual states to provide healthcare coverage for low-income individuals and families.
What is Medicaid?
your doctor must get approval from Blue Shield before prescribing specific medications or performing a particular medical service or operation.
What is a prior authorization?
a device that allows you to send and receive documents electronically over a telephone line.
What is a fax machine?
written record that captures the details of a patient's health status, treatment progress, and any changes in their condition over time
What is a progress note?
a document we send you to let you know a claim has been processed.
What is an explanation of benefits or EOB?
This term refers to the percentage of costs of a covered healthcare service that you pay (e.g., 20% of the cost).
What is coinsurance?
Private health insurers or public payers (CMS, VA, etc.) may reimburse the insured for expenses incurred from illness or injury, or pay the provider directly for services rendered
What is reimbursement?
What is a scanner?
A record of information about a person's health
What is a health history?
contains information about your claim payments that Medicare Administrative Contractors (MACs) send, along with the payments, to providers, physicians, and suppliers.
What is a remittance advice or RA?