glossary

Question 1

AAPC

Answer 1

AMERICAN ASSOCIATION OF PROFESSIONAL CODERS

Question 2

AAMA

Answer 2

AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS

Question 3

AMBA

Answer 3

AMERICAN MEDICAL BILLING ASSOCIATION

Question 4

CPT

Answer 4

CURRENT PROCEDURAL TERMINOLGY

Question 5

HCPCS

Answer 5

HEALTHCARE COMMON PROCEDURE CODING SYSTEM

Question 6

CMS

Answer 6

CENTERS FOR MEDICARE AND MEDICAID SERVICES

Question 7

Fee-For-Service

Answer 7

separate payment to a health-care provider for each medical service rendered to a patient

Question 8

Managed Care Plans

Answer 8

prepaid health plans (generally, health maintenance organizations [HMOs]) that furnish care through a network of providers under a fixed budget and manage costs. Increasingly, the term is also used to include preferred provider organizations (PPOs).

Question 9

Deductible

Answer 9

the amount of financial loss specified in an insurance policy that the insurer will not be held responsible for and that the insurance holder must pay

Question 10

Co-pay

Answer 10

The amount of money that a patient with health insurance pays for each healthcare service, such as a visit to the doctor, laboratory tests, prescription medicines, and hospital stays. The amount of the copay usually depends on the type of healthcare service. Also called copayment

Question 11

Coinsurance

Answer 11

health insurance in which the insured is required to pay a fixed percentage of the cost of medical expenses after the deductible has been paid and the insurer pays the remaining expenses

Question 12

Medicaid

Answer 12

A public health insurance program for some people or families with limited incomes and resources, including children, pregnant women, older adults, and people with disabilities.

Question 13

Medicare

Answer 13

Medicare is the federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

Question 14

Tricare

Answer 14

health care program for uniformed service members, retirees, and their families around the world. TRICARE provides comprehensive coverage to all beneficiaries, including: Health plans. Special programs.

Question 15

Indian Health Services (IHS)

Answer 15

a part of the federal government that delivers health care to American Indians and Alaska Natives (AI/ANs) and provides funds for tribal and urban Indian health programs.

Question 16

Accept Assignment

Answer 16

Physicians (or any other healthcare providers or facilities) who accept assignment agree to take Medicare’s payment for services. They cannot bill a Medicare beneficiary in excess of the Medicare allowance, which is the copayment or coinsurance.