CH 1 - Patient to Payment Flashcards
Accounts Receivable (AR)
Monies owed to a medical practice by its patients and third-party payers.
Fee-for-service
Method of charging under which a providers payment is based on each service performed.
Coinsurance
The portion of charges that an insured person must pay for health services after payment of the deductible. Usually stated as a percentage.
Copayment
An amount that a health plan requires a beneficiary to pay at the time of service for each health care encounter.
Indenmity plan
Type of medical insurance that reimburses a policy holder for medical services under the terms of its schedule of benefits.
Deductible
An amount that an insures person must pay for health care services before a health plans payment begins.
Managed Care
System that combines financing and the delivery of appropriate, cost-effective health care services to its members.
Premium
Money the insured pays to a health plan for health care policy.
Third-party payer
Private of government organization that insures or pays for health care on the behalf of beneficiaries
Benefits
The amount of money a health plan pays fir services covered in a insurance policy
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.
Insurance that protects against financial loss as a result of unintentional failed work performance is:
Errors and omissions
AP
Accounts Payable
AR
Accounts Receieveable
EHR
Electronic Health Record
HIT
Health Information Technology
MCO
Managed Care Organization
PMP
Practice Management Program
RA
Remittance Advice
RCM
Revenue Cycle Management
