Insurance and Coding
Billing
Finance terms
Anything Goes
Types of plans
100
Copayment
What is the set charge, required by HMO's and some other insurers.
100
A service bureau that collects electronic claims form many different medical practices and then forward the claims to the appriate insurence carriers
What is Clearinghouse
100
a fund containing small amounts of cash used for expenses.
What is petty cash
100
EFT
What is electronic funds transfer
100
HMO
What is Health Maintaenance Organization
200
Birthday Rule
What is a guideline for determining which parent has the primary insurance
200
the total earnings of all employees in the practice
What is payroll
200
the practice used when schedule is full, of entering overflow patient appointments in a second column.
What is double booking
200
PCP
What is primary care provider
300
PPO
What is perferred provider organization.
300
A list mailtained by each physician or medical practice of the usual procedure the office performs and the corresponding charges.
What is Fee Schedule
300
the accounting method whereby income is recorded as soon as it is earned.
What is accrual method
300
The federal law that protects the security and privacy of health information by regulating how electronic patient infomation is stored and shared.
What is HIPAA
300
Worker compensation
What is State Law and insurence plan requiring employers to obtain insurance in case of employee accident or injury.
400
third party payer
What is the insurence company when the company agrees to carry the risk of paying for medical services.
400
person related to a policyholder, such as a spouse or child.
What is a dependent
400
the presence of only a signiature to enable a check to be cashed or deposited.
What is Blank endorsement
400
the patients agreement that is not stated outright but is shown by the patients having come to the DR's office.
What is implied consent
400
TRICARE
What is the Dept of Defense Health Insurance
500
PAR
What is provider patient encounter for
500
a subtraction of an amount from a patients bill: entered into the patient ledger as an adjustment.
What is a write off
500
a simple accounting system widely used inmedical practices, using a board to align several forms on top of each other.
What is pegboard accounting
500
a law designed to protect a physican who provides emerency care from liabilities for civil damages that may arise from the circumstances.
What is the Good Samaritan Act
500
CHAMPVA
What is Civilain Health and Medical Progrma for Veterans Administration
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