Term
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Definition
| the flow of financial transaction in a business. |
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Term
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Definition
| payment to a provider that covers each plan member's health care services for a certain period of time. |
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Term
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Definition
| a company that recieves claims from a provider, prepares them for processing and transmits the payers on HIPPA-compliant format. |
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Term
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Definition
| precentage of charges that an insured person must pay for healthcare services after payment of the deductible amount. |
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Term
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Definition
| a standardized value that represents a patients illness, signs and symptoms. |
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Term
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Definition
| a plan, program or organization that provides health benefits. |
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Term
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Definition
| private or goverment organization that insures or pays for health care on behalf of beneficiaries. |
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Term
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Definition
| a person or entity who buys an insurance plan. |
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Term
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Definition
| the periodic amount of money the insured pays to health plan for insurance coverage. |
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Term
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Definition
| a code that indentifies a procedure. |
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Term
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Definition
| to electronically put prescriptions in digital format |
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Term
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Definition
| standard indentifier for health care providers, 10 numbers |
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Term
| Electronic Data Interchange |
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Definition
| exchanging transactions from one computer to another. |
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Term
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Definition
| payments given after a patients visit. |
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Term
True or False
Many patient information forms contain a place for the patient to sign authorize the patients health plan to send payments directly to a provider. |
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Definition
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Term
True or False
CPT codes have 8 digits |
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Definition
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Term
True or False
Coinsurance refers to a fixed fee that must be paid by the patient at the time of an visit. |
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Definition
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Term
True or False
The HIPPA Electronic and Code Sets standards specify standard medical code sets such as ICD-90-CM and CPT-4 |
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Definition
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Term
True or False
Electronic prescribing is a care function of an electronic health record. |
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Definition
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Term
True or False
Computer programs use audit trails to help ensure the privacy and confidentiality of patient healthcare information. |
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Definition
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Term
True or False
All medical offices, regardless of size, must use HIPPA-standard X12-837 claim. |
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Definition
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Term
True or False
The HIPPA standards require a practice that uses a clearing house to have a contract that states the procedures that must be followed to ensure HIPPA compliance. |
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Definition
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