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Accounts Receivable ✔Correct Answer-Monies owed to a physician for his or her services
Co Payement ✔Correct Answer-A flat fee the patient pays each time for medical services. This is
associated with managed care plans.
Co insurance ✔Correct Answer-A percentage the patiend is responsible to pay of the cost of
medical services. This is associated with indemnity, traditional, and commercial health insurance
plans
Deductible ✔Correct Answer-the amount the patient is responsible to pay before any
reimbursement is issued by the insurance company. This is usually associated with indemnity,
traditional, or commercial plans
Policy Holder / Subscriber ✔Correct Answer-The person who has (carries) the health insurance
CMS ✔Correct Answer-Centers for medicare and medicaid Services - a government agency that
oversees the medicare and medicaid programs
Primary Insurance ✔Correct Answer-the insurance plan that is billed first for medcial Services
HIPAA ✔Correct Answer-Health Insurance Portability and Accountability Act of 1966 - a law that
stipulates patients privacy rights regarding their PHI
Self Pay ✔Correct Answer-a patient with no health insurance who must pay out of pocket for
medical care
Medicare ✔Correct Answer-A government health insurance plan primarily covering persons aged
65 and older
Medigap ✔Correct Answer-Supplemental insurance for patients with medicare as their primary.
These plans may pick up the medicare deductible and co-insurance
Medicaid ✔Correct Answer-a government plan for financially indigent people
CPT code ✔Correct Answer-Codes used to report services and procedures. These are level 1 codes
under HCPCS
HCPCS Codes ✔Correct Answer-a coding system used to report procedures, services, supplies,
medicine, and durable medical equipment. Comprised of CPT (level 1) and national (level 2) codes
Modifier ✔Correct Answer-a two character alphabetic, numeric, or alphanumeric desciptor used to
signify that a procedure or service has been altered by an unusual or specific circumstance, although
the code itself has not changed
ICD-9-cm ✔Correct Answer-international classification of Diseases 9th revision, clinical
modification- the ICD-9 codes are used to report diagnoses, signs, and symptoms of a patient