MA-120-3
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15 terms
Terms | Definitions |
|---|---|
 Adjustments | Any change to Pt account |
| Capitated plan | Insurance plan where 3rd party pays 2nd party fixed amt each month for 1st party |
| Capitation payments | Payments from 3rd party to 2nd party, made on monthly basis on behalf of 1st party |
| Case | Grouping of transactions surrounding 1 condition |
| Charges | Amounts provider bills for services |
| Chart | Folder containing records pertaining to pt. |
| Clearinghouse | Third party that reviews & sends claims to carrier & returns uncompleted claims to Dr's office |
| Modifiers | 1 or 2 digits added onto & alter procedure code |
| Multilink code | Groups of CPT codes related to activity/condition |
| Office Hours Breaks | Predetermined time Dr is unavailable to see pt. |
| Office Hours Schedule | Time within schedule Dr is available to see pt. |
| Payments | Money received from pt or insurance |
| Record or treatment and progress | Dr. notes about pt's condition & treatments |
| Referring provider | Dr. who recommends pt to another Dr for specialty services |
| Sponsor | Active member with health coverage from military |
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