CH 1 - Patient to Payment Flashcards Preview

OST 148 - Medical Insurance and Billing > CH 1 - Patient to Payment > Flashcards

Flashcards in CH 1 - Patient to Payment Deck (20)
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1

Accounts Receivable (AR)

Monies owed to a medical practice by its patients and third-party payers.

2

Fee-for-service

Method of charging under which a providers payment is based on each service performed.

3

Coinsurance

The portion of charges that an insured person must pay for health services after payment of the deductible. Usually stated as a percentage.

4

Copayment

An amount that a health plan requires a beneficiary to pay at the time of service for each health care encounter.

5

Indenmity plan

Type of medical insurance that reimburses a policy holder for medical services under the terms of its schedule of benefits.

6

Deductible

An amount that an insures person must pay for health care services before a health plans payment begins.

7

Managed Care

System that combines financing and the delivery of appropriate, cost-effective health care services to its members.

8

Premium

Money the insured pays to a health plan for health care policy.

9

Third-party payer

Private of government organization that insures or pays for health care on the behalf of beneficiaries

10

Benefits

The amount of money a health plan pays fir services covered in a insurance policy

11

When a patient has insurance for which the practice will create a claim, the patient bill is usually done:

After the health claim has been transmitted and the payer's payments is posted.

12

Insurance that protects against financial loss as a result of unintentional failed work performance is:

Errors and omissions

13

AP

Accounts Payable

14

AR

Accounts Receieveable

15

EHR

Electronic Health Record

16

HIT

Health Information Technology

17

MCO

Managed Care Organization

18

PMP

Practice Management Program

19

RA

Remittance Advice

20

RCM

Revenue Cycle Management