Referral
What is An order form a provider to see a specialist
Precertification
What is A request to determine if service is covered by policy
Account Payable
Any financial obligations the organization must pay to operate
CHAMP VA
What is coverage for spouses and children of permanent disability
Financial Policy
What is explanation for patient financial policy
CPT
Part A
TRICARE
Medicare
What is coverage for individuals over 65
NPP
What is Notice of Privacy Practices
HCPCS
Part B
Medical Necessity
What is appropriate services based on clinical standards
Medicaid
What is coverage for limited to low income individuals
Copayment
What is a set amount determined by plan/payer
ICD-10
What is International Classification of Disease 10th revision
Part C
What is gym membership, vision, hearing and dental coverage
Clearinghouse
What is middleman between provider and billing groups
Encounter Form
What is Superbill
AVS
Account Receivable
What is any financial compensation the organization receives
Part D
What is Prescription Coverage
Preauthorization
What is Approval to render services