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30 terms
Terms | Definitions |
|---|---|
 diagnosis code | The number assigned to a diagnosis in the International Classification of Diseases. |
| managed care | a type of insurance in which the carrier is responsible for both the financing and the delivery of health care |
| co-payment | a small fixed fee paid by the patient at the time of an office visit |
| clearing house | ...the portion of charges that an insured person must pay for health care services after payment of the deductible amount; usually stated as a percentage |
| procedure code | A code that identifies a medical service |
| capitation | Advance payment to a provider that covers each plan member's health care services for a certain period of time |
| walkout statement | a document listing charges and payments that is given to a patient after an office visit |
| backup data | a copy of data files made at a specific point in time that can be used to restore data to the system |
| chart number | a unique number that identifies a patient |
| guarantor | an individual who promises to pay the medical bill by signing a form agreeing to pay |
| case | ...a grouping of transactions that share a common element |
| chart | a visual display of information |
| capitated plan | Type of health-care plan in which the physician is paid on a per capita (per head) basis rather than for actual treatment provided |
| referring provider | the physician who refers the patient to another physician for treatment |
| adjustments | Changes recorded on a work sheet to update general ledger accounts at the end of a fiscal period. |
| PAYMENTS | Monies that the practice receives from patients and insurance carriers. |
| CHARGES | Amounts that a provider bills for services performed |
| modifiers | ...a two digit character that is appended to a cpt code to report special circumstances involved with a procedure or dervice. |
| capitation payments | payments made to physicians on a regular basis (such as monthly) for providing services to patients in a managed care insurance plan. |
| office hours schedule | a listing of time slots for a particular day for a specific provider |
| standard statements | ...statements that show all charges wheter theinsurancehaspaid for it or not |
| cycle billing | A type of billing in which patients are divided into groups and statements are mailed on staggered schedule through out the month. |
| patient statement | A report that shows the services provided to a patient the total charges adjustments and the balance due |
| aging report | a report that lists the amount of money owed to the practice, organized by the amount of time the money has been owed |
| day sheet | a report that provides information on practice activities for a twenty-four-hour period |
| patient ledger | a record of all charges and payments made on a particular patient's account |
| payment day sheet | A report that lists all payments received on a particular day, organized by provider. |
| patient day sheet | A summary of patient activity on a given day. |
| once-a-month billing cycle | ...a type of billing in which statements are mailed to all patients at the same time each month |
| remainder statements | patient statements that list only those charges that are not paid in full after all insurance carrier payments have been received |
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