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The PATIENT FRIENDLY BILLING project designed this glossary to be used as a guide to commonly used terms for financial communication with patients and consumers. The terms were gathered from several sources, including hospital bills and statements.
Medical Billing Terminology. To keep medical insurance in force, a person must pay a monthly, quarterly, or annual fee called a premium. If the premium is not paid, a grace period of 10 to 30 days is usually given before insurance coverage ceases.
Healthcare facilities are facing issues that complicate bill-ing, including changes in healthcare records keeping, increasing out-of-pocket costs for patients, changes that take place in healthcare laws, change in Medicare and Medicaid pol-icies, possibility of the A ordable Healthcare Act.
11 paź 2023 · This guide will demystify common medical billing terms and provide insights into their significance. Accounts Receivable (AR): The balance of money due to the provider for services delivered. Adjudication: The medical claim decision-making process once the claim reaches the insurance payer.
Glossary of Terms – Medical Billing. The following is a list of frequently used billing and insurance terms as defined by Centers for Medicare and Medicaid Services (CMS). Advance Beneficiary Notice (ABN):
To create Coders’ Dictionary, Optum360 coding experts generated a list of ambiguous or vexing words found in the medical record or in billing and reimbursement communications, in addition to standard anatomy and physiology terminology and common medical abbreviations.
Glossary of Health Coverage and Medical Terms. This glossary defines many commonly used terms, but isn’t a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan or health insurance policy.
