Assessment Prep 2-B/C Flashcards
benefit period
Time during which benefits are payable under a given insurance plan.
birthday rule
The health plan of the parent whose birthday comes first in the calendar year is designated as the primary plan.
Blue Cross and Blue Shield plan
The first prepaid plan in the U.S. that offers health insurance to individuals, small businesses, seniors, and large employer groups.
bookkeeping
Part of the office’s accounting functions, to include recording, classifying, and summarizing financial transactions.
business associates
Individuals, groups, or organizations, who are not members of a covered entity’s workforce, that perform functions or activities on behalf of or for a covered entity.
capitation
The fixed amount a provider receives
certified mail
First-class mail that also gives the mail added protection by offering insurance, tracking, and return receipt options.
CHEDDAR
An organizational approach to keeping medical records: chief complaint, history, examination, details, drugs and dosages, assessment, return visit information.
closed files
Section of medical charts for patients who have died, moved away, or terminated their relationship with the physician.
cluster or categorization booking.
Booking a number of patients who have specific needs together at the same time of day.
coinsurance
A form of cost-sharing that kicks in after the deductible has been met
complimentary closing
The part of a letter that immediately precedes the signature, such as “Very truly yours,” or “Sincerely.”
consent
A patient’s permission
copayment.
A fixed fee for a service or medication, usually collected at the time of service or purchase.
covered entities
Providers, hospitals, laboratories facilities, nursing homes, rehabilitation facilities, health plans, health care clearinghouses, and those that supply care, services, or supplies to a patient and transmit any health information electronically.
