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
