3698900168 | Workers Compensation Insurance | Insurance program mandated by federal & state governments, that requires employers to cover medical expenses & loss of wages to workers who are injured on the job or develop job related disorders | 0 | |
3698910531 | Remittance Advice | electronic or paper based report of payment sent by payer to provider | 1 | |
3698914040 | Medical Malpractice Insurance | liability insurance that covers physicians and other health care professionals for liability claims arising from patient treatment | 2 | |
3698920665 | Respondeat Superior | employer is liable for the actions and omissions of employees | 3 | |
3698926561 | Reimbursement Specialists | person who reviews health related claims to determine the medical necessity for procedures or services | 4 | |
3698930867 | preauthorization | prior approval | 5 | |
3698933086 | medical necessity | linking procedure to a condition needed to perform that procedure or service | 6 | |
3698936425 | hold harmless claws | patient isn't responsible for paying what the insurance plan denies | 7 | |
3698940170 | EOB | Explanation Of Benefits | 8 | |
3698942243 | CMS | Centers for Medicare and Medicaid Services | 9 | |
3698944909 | AHIMA | American Health Information Management Association | 10 | |
3698947358 | AAPC | American Academy of Professional Coders | 11 | |
3698957803 | third-party payer | health insurance company that provides coverage such as BCBS | 12 | |
3698960052 | PHR | Personal Health Record | 13 | |
3698961610 | per diem | payment per day | 14 | |
3698961623 | Medicare | reimburses health care services to American's over the age of 65 | 15 | |
3698965510 | Medicaid | state sponsored that pays health insurance | 16 | |
3698967036 | Group Health Insurance | health care coverage subsidized by employers | 17 | |
3698969729 | Fee Schedule | list of predetermined payments for health care services provided to patients | 18 | |
3698971878 | EHR | Electronic Health Record | 19 | |
3698973714 | Deductible | amount for which the patient is financially responsible before an insurance policy provides coverage | 20 | |
3698976860 | Copayment | insurance policy that requires the policyholder or patient to pay a specified dollar amount to health care provider | 21 | |
3698982127 | Coinsurance | percentage the patient pays for covered services after the deductible has been met | 22 | |
3698985755 | CMS-1500 | form used to submit Medicare claims | 23 | |
3698988014 | CHAMPVA | Civilian Health and Medical Program of the Department of Veterans Affairs | 24 |
Medical Billing & Reimbursement Flashcards
Primary tabs
Need Help?
We hope your visit has been a productive one. If you're having any problems, or would like to give some feedback, we'd love to hear from you.
For general help, questions, and suggestions, try our dedicated support forums.
If you need to contact the Course-Notes.Org web experience team, please use our contact form.
Need Notes?
While we strive to provide the most comprehensive notes for as many high school textbooks as possible, there are certainly going to be some that we miss. Drop us a note and let us know which textbooks you need. Be sure to include which edition of the textbook you are using! If we see enough demand, we'll do whatever we can to get those notes up on the site for you!