MEDICAL BILLING/SOFTWARE

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99 Cards. Created by Paul ().
 
Term  
Definition

Accelerator Key

Used to move ahead quickly: It allows the user to perform another function by choosing the appropriate key.

Accept Assignment

Checking "yes" in this checkbox informs the insurance company that the physician/provider is agreeing to accept allowed amounts of the paper.

Account Adjustment

Any adjustment (+/-) to an account is an ________________.

Accounts Receivable

Money coming into the practice.

Admitting Diagnosis

The initial reason for admission to a hospital even though it may be changed/updated later.

Aging Report

Report that shows open insurance/patient balances and how long they have been due.

Allowed Charge

The maximum amount that the insurance company will offer as payment on a CPT.

Alphanumeric

Data entry consisting of letters, numbers and/or symbols.

Appointment Schedule

A listing of patients to be seen at any given time.

Assignment of Benefits

An authorization signed by the patient that allows the practice to receive reimbursement directly from the payer.

Back-up

__________ is done daily to secure a copy of the information entered and saved in the software.

Batch

A group of claims sent together electronically.

Billing Routine

The way in which a specific office performs its regular billing activities, such as transaction entry and monthly statement generation.

Birthday Rule

A ruling that determines the primary insurance for dependents, when there are two policies providing coverage.

Bundled Code

A CPT that represents more than one individual procedure/service.

Carrier

The name and address to which claims are sent.

Case

A group of claims grouped together with one thing in common: insurance carrier or diagnosis.

Charge Slip

A list of the most commonly performed procedures and diagnoses used in the practice is the ________________ and is used for billing. Also included on form: patient name, referral information, payment information, provider, etc. (Also known as encounter form/superbill)

Chart Number

Usually consists of 8 characters and is used internally by the practice to identify the patient in the software.

Charting

The provider's entries into the patient's medical record.