Sign-in for accelerated learning & progress tracking. Fri, 02/12/2021 - 14:14. MEASURES THE OUTSTANDING BALANCES IN EACH ACCOUNT. ADDITIONAL INFORMATION ABOUT TYPES OF SERVICES, AND PART OF A VALID CPT OR HCPCS CODES. THIS LAW STATES THAT DEBT COLLECTORS CANNOT USE UNFAIR OR ABUSIVE PRACTICES TO COLLECT PAYMENTS. A federal and state assistance program that pays for health care services for people who cannot afford them. Created by. PRACTICES THAT DIRECTLY OR INDIRECTLY RESULT IN UNNECESSARY COSTS TO THE MEDICARE PROGRAM. One of the most frequently used medical billing terms. An online service which allows providers to look up patient's insurance information. PROVIDERS EXPLAIN MEDICAL OR DIAGNOSTIC PROCEDURES, SURGICAL INTERVENTION, AND THE BENEFITS AND RISKS INVOLVED, GIVING PATIENTS AN OPPORTUNITY TO ASK QUESTIONS BEFORE MEDICAL INTERVENTION IS PROVIDED. Don't refresh. PERMISSION GRANTED BY THE PATIENT OR THE PATIENT'S REPRESENTATIVE TO RELEASE INFORMATION FOR REASONS OTHER THAN TPO. This page has a more complete listing of Medical Billing Terms. To ensure the best experience, please update your browser. Start 427. work from home jobs. One of the medical billing terms for the statement that comes with the insurance company payment to the provider explaining payment details, covered charges, write offs, and patient responsibilities and deductibles. Civilian Health and Medical Program of the Department of Veterans Affairs/for military dependents and retired Veterans, U.S. government health insurance plan for all active military personnel, Centers for Medicare and Medicaid Services, A policy that covers a number of people under a single master contract issued to the employer, physician maintain individual or group practice but contract with HMO with a fee, health insurance plans that help pay expenses not covered by Medicare, The guidelines that determines which of two married parents with medical coverage from different employers has the primary insurance for a child; the parent whose day of birth is earlier in the calendar year is considered primary. For a fuller list of medical billing vocabulary, download our ebook. Key Concepts: Terms in this set (43) Audit. You'll need to be fast on your feet in terms of understanding services, procedures, and complex insurance terms. A PRIVATE HEALTH INSURANCE THAT PAYS FOR MOST OF THE CHARGES NOT COVERED BY A & B. To ensure the best experience, please update your browser. Start. Uniform throughout the world. FORM THAT INCLUDES INFORMATION ABOUT PAST HISTORY, CURRENT HISTORY, INPATIENT AND INSURANCE INFORMATION. AMA – American Medical Association. Fundamental unit of each medical word. BILLING PATIENTS FOR CHARGES IN EXCESS OF THE MEDICARE FEE SCHEDULE. Oh no! P Palmetto GBA Effective September 2, 2008 Palmetto is the Medicare contractor for Jurisdiction 1 Part A/B. Feb 27, 2018 - Quizlet is a lightning fast way to learn vocabulary. FUNDED AT THE STATE AND NATIONAL LEVEL. Flashcards. Introduction to medical terminology chapter 1 answer key quizlet Introduction to medical terminology chapter 1 answer key quizlet SOFTWARE THAT SUGGESTS CODES BASED ON DOCUMENTATION. to settle or determine with a court of law, a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). A formal request to an insurance company asking for a payment for services. Section 2.01. Test. PLAN THAT ALLOWS PATIENTS TO ONLY GO TO PHYSICIANS, OTHER HEALTH CARE PROFESSIONALS, OR HOSPITALS ON A LIST OF APPROVED PROVIDERS EXCEPT FOR EMERGENCY.