Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| to fasten on, beneath or under |
|
|
Term
|
Definition
| a word or word element from which other words are formed |
|
|
Term
|
Definition
| a word root to which a vowel has been added |
|
|
Term
|
Definition
|
|
Term
|
Definition
| sudden, sharp, sever; a disease that has a sudden onset, severe symptoms, and a short course |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| accounts receivable management |
|
Definition
| the organization and administration of coding and billing in a medical practice |
|
|
Term
|
Definition
| a transfer, after an event insured against, or an individual's right to collect an amount payable under an insurance contract |
|
|
Term
|
Definition
| a system of payment used by managed care plans in which physicians and hospitals are paid a fixed per capita amount for each patient enrolled over a stated period of time, regardless of the types of services provided |
|
|
Term
|
Definition
| a bill sent to an insurance carrier requesting payment for services rendered, also known as an encounter record |
|
|
Term
|
Definition
| Centers for Medicare and Medicaid Services |
|
|
Term
|
Definition
| Consolidated Omnibus Budget Reconcilliation Act |
|
|
Term
|
Definition
| a cost sharing requirement under the health insurance policy providing that the insured will assume a percentage of the costs for covered services |
|
|
Term
|
Definition
| an insurance policy renewal provision that grants the insurer a limited right to refuse to renew a health insurance policy at the end of a premium payment period |
|
|
Term
| Coordination of benefits (COB) |
|
Definition
| two insurance companies working together to coordinate the payment of the benefits so that there is no duplicate payments |
|
|
Term
|
Definition
| a specific dollar amount that must be paid by the insured before the a medical plan or government program begins covering health care costs |
|
|
Term
|
Definition
| charge slip, multipurpose billing form, patient service slip, routing form, superbill |
|
|
Term
|
Definition
|
|
Term
| exclusive provider organization (EPO) |
|
Definition
| a type of managed health plan that combines features of HMOs and PPOs |
|
|
Term
| Foundation for medical care (FMC) |
|
Definition
| an organization of physicians sponsored by a state or local medical association concerned with the developement and delivery of medical services and the cost of health care |
|
|
Term
|
Definition
| an individual who promises to pay the medical bill by signing a form agreeing to pay or who accepts treatment, which constitutes an expressed promise |
|
|
Term
|
Definition
| a contract between the policyholder or member and insurance carrier or government program to reimburse the policyholder or member for all or a portion of the cost of medical care rendered by health care professionals |
|
|
Term
| Health Maintenance Organization (HMO) |
|
Definition
| a comprehensive health care financing and delivery organization that provides a wide range of health care services with an emphasis on preventive medicine to enrollies within a geographic area through a panel of providers |
|
|
Term
|
Definition
| Health Insurance Portability and Accountability Act |
|
|
Term
|
Definition
| benefits paid to an insured while disabled |
|
|
Term
|
Definition
| a federally aided, state operated, and state administered program that provides medical benefits for certain low income persons in need of health and medical care |
|
|
Term
|
Definition
| a nationwide health insurance program for persons 65 or older and certain disabled or blind persons regardless of income, administered by HCFA |
|
|
Term
| Point of service(POS)plan |
|
Definition
| a managed care plan in which members are given a choice as to how to receive services, whether through HMP, PPO or fee-for-service plan |
|
|
Term
|
Definition
| Preferred Previder Organization |
|
|
Term
|
Definition
| a requirement of some health insurance plans to obtain permission for a service or procedure before it is done and to see whether the insurance program agrees it is medically necessary |
|
|
Term
|
Definition
| the cost of insurance coverage paid annually, semiannually or monthly to keep the policy in force |
|
|
