Medical Billing & Coding- Terminology Rated A+

Medical Billing & Coding- Terminology Rated A+ Adjudication Processing and settlement of claim by the insurance payer per their payment rules and guidelines Appeal Process of objecting to insurance payer decision to deny payment Assignment of benefits (AOB) Insurance payments to healthcare provider for patient treeatment Beneficiary Person covered by the health insurance plan receiving the benefit Cleaninghouse Service that transmits a batch of claims to individual insurance carriers after checking for errors CoPay Amount paid by patient at each visit CoInsurance Percentage or amount defined in the insurance plan for which the patient is responsible Coordination of Benefits Coordination of insurance coverage when a patient is covered by more than one insurance plan Credentialing Application process for a provider to participate with an insurance carrier Crossover claim When claim information is automatically sent from primary to secondary payers Day Sheet Daily summary of patient treatments, charges, and payments Deductible Amount you must pay before you begin receiving any insurance coverage fee schedule Cost associated with each treatment CPT medical billing codes Guarantor A responsible party and/or insured party who is not a patient Inpatient Admitted to the hospital overnight (24 hours) Insured Person through which the health insurance policy is issued Modifier Modifier to a CPT treatment code that provide additional information Medical Necessity Service or procedure that is performed on for treatment of an illness of injury and determined to be necessary Medicare Insurance provided by federal government for people over 65 or people those with certain restrictions