Exam (elaborations)
AHM CCMA Week 10 Billing And Coding Terms Questions And Answers Latest Update
- Course
- AHM-250
- Institution
- American Military University
AHM CCMA Week 10 Billing And Coding Terms Questions And Answers Latest Update
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Q&AAHM/CCMA Week 10 Billing And
Coding Terms Questions And Answers
Latest Update
Authorization - Answers When a patient's health insurance plan
requires them to get permission from their insurance providers before
receiving certain healthcare services. A patient may be denied coverage if
they see a provider for a service that needed authorization without first
consulting the insurance company.
Beneficiary - Answers Person who receives benefits and/or
coverage under a healthcare plan may not be the person paying for the
plan, as is the case for young children covered under their parents' plans.
CMS-1500 - Answers paper medical claim form used for transmitting
claims based on coverage by Medicare and Medicaid, and often by
commercial insurance providers.
Co-Insurance - Answers The percentage of coverage that a patient
is responsible for paying after an insurance company pays the portion
agreed upon in a health plan.
Co-Pay - Answers The amount that must be paid to a provider
before they receive any treatment or services, separate from a deductible,
and will vary depending on a person's insurance plan.
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