CBCS-STUDY TERMS FOR CERTIFIED BILLING AND CODING SPECIALIST
Help!
|
|
||||
|---|---|---|---|---|---|
| ACCOUNTS RECEIVABLE DEPARTMENT | MANAGES THE BILLING PROCESS FOR THE PROVIDERS- BILLING PROCESS, TRACKS PATIENTS SERVED BUT NOT PAID, MANAGES CHARGE DESCRIPTION MASTER
🗑
|
||||
| EXPLANATION OF BENEFITS (EOB) | DESCRIBES THE SERVICES RENDERED, PAYMENT COVERED AND BENEFIT LIMITS AND DENIALS
🗑
|
||||
| AGING REPORTS | ATB- AGE TRAIL BALANCE- STATUS OF INVOICE, WAIT FOR PAYMENTS
🗑
|
||||
| CHARGE DESCRIPTION MASTER (CDM) | DESCRIPTION OF SERVICE, CPT CODE/HCPCD CODE, REVENUE CODE, CHARGE AMT, SERVICE CODE, GENERAL LEDGER KEY, ACTIVITY, STATUS DATE
🗑
|
||||
| ACCOUNT NUMBER | NUMBER THAT IDENTIFIES SPECIFIC EPISODE OF CARE, DATE OF SERVICE, OR PATIENT
🗑
|
||||
| HEALTH RECORD NUMBER | NUMBER THE PROVIDER USES TO IDENTIFY AN INDIVIDUAL PATIENT'S RECORD
🗑
|
||||
| MEDICARE SUMMARY NOTICE (MSN) |
🗑
|
||||
| SUBSCRIBER | PURCHASER OF THE INSURANCE OF THE MEMBER OF GROUP FOR WHICH AN EMPLOYER OR ASSOCIATION AS PURCHASED INSURANCE
🗑
|
||||
| SUBSCRIBER NUMBER | UNIQUE CODE USED TO IDENTIFY A SUBSCRIBER'S POLICY
🗑
|
||||
| COST SHARING | THE BALANCE THE POLICYHOLDER MUST PAY TO THE PROVIDER
🗑
|
||||
| BATCH | A GROUP OF SUBMITTED CLAIMS
🗑
|
||||
| BALANCE BILLING | BILLING PATIENTS FOR CHARGES IN EXCESS OF THE MEDICARE FEE SCHEDULE
🗑
|
||||
| NOTICE OF EXCLUSIONS FROM MEDICARE BENEFITS | NOTIFICATION BY THE PHYSICIAN TO A PATIENT THAT A SERVICE WILL NOT BE PAID
🗑
|
||||
| ADVANCE BENEFICIARY NOTICE OF NON COVERAGE |
🗑
|
||||
| RECONCILIATION |
🗑
|
||||
| WRITE OFF | THE DIFFERENCE BETWEEN THE PROVIDER'S ACTUAL CHARGE AND THE ALLOWABLE CHARGE
🗑
|
||||
| REVENUE CYCLE |
🗑
|
||||
| MEDICAL NECESSITY | THE DOCUMENTED NEED FOR A PARTICULAR MEDICAL INTERVENTION
🗑
|
||||
| REMITTANCE ADVICE (RA) | THE REPORT SENT FROM THE 3RD PARTY PAYER TO THE PROVIDER THAT REFLECTS ANY CHANGES MADE TO THE ORIGINAL BILLING
🗑
|
||||
| ADJUDICATION |
🗑
|
||||
| CLAIM CONTROL NUMBER |
🗑
|
||||
| NCCI EDITS |
🗑
|
||||
| PATIENT LEDGER ACCOUNT |
🗑
|
||||
| DENIAL |
🗑
|
||||
| BAD DEBT |
🗑
|
||||
| LIFE CYCLE OF A CLAIM |
🗑
|
||||
| PROSPECTIVE BILLING ACCOUNT AUDIT |
🗑
|
||||
| RECOVERY AUDIT CONTRACTOR (RAC) |
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
LISA AJALA
Popular Medical sets