(CMAA) STUDY GUIDE:
Abandonment.
Discontinuing medical care without giving the proper notice or providing a competent
replacement.
Accounts Receivable Ledger
Document that provides detailed information about charges, payments, and remaining
amounts owed to a provider.
Active Files.
Medical charts for patients currently receiving treatment.
Administrative Services Only contract
Abbreviation- A S O:
Contract between employers and private insurers. Under which employers fund the
plans themselves, and private insurers administer the plans for the employers.
Advance Beneficiary Notice of Noncoverage
Abbreviation- A B N
Form provided to a patient if a provider believes that a service may be declined because
Medicare might consider it unnecessary.
Advance Directive Form.
Document that spells out what kind of treatment a patient wants in the event that he
can't speak for himself. Also known as Living Will.
Appointment Cards
Used to remind patients of scheduled appointments and to eliminate misunderstandings
about dates and times or No Shows.
Assault and Battery.
Willful and unlawful use of intimidation and physical force or violence on another
person.
Allowable Amount.
The limit that most insurance plans put on the amount that will be allowed for
reimbursement for a service or procedure
Assets
The properties owned by a business.
Assignment of Benefits Form
abbreviation- A O B
Form that authorizes health insurance benefits to be sent directly to providers.
Audit Trail
A report that traces who has accessed electronic information.
Benefit Period.
Time during which benefits are payable under a given insurance plan.
Birthday Rule:
The health plan of the parent whose birthday comes first in the calendar year is
designated as the primary plan.
Blue Cross and Blue Shield plan: