Hcr 240 Appendix B

Topics: Health insurance, Preferred provider organization, Health maintenance organization Pages: 3 (373 words) Published: November 28, 2011
Axia College Material
Appendix B
Health Care Terminology
Directions: Complete Parts I and II and post to your Individual forum as an attachment.  
Part I: Defining Health Care Terminology
Part I. Refer to pp. 20-21 in your text to complete the following exercise and record your answers below. Once you have completed the matching exercise, complete Part II.  
Definition Letter (a-s)
1. Accounting Cycle
2. Accounts Receivable (AR)
3. Capitation
4. Coinsurance
5. Co-payment
6. Diagnosis Code
7. Encounter Form
8. Explanation of Benefits (EOB)
9. Fee-for-Service
10. Health Maintenance Organization (HMO)
11. Health Plan
12. Managed Care
13. Patient Information
14. Payer
15. Policyholder
16. Preferred Provider Organization (PPO)
17. Premium
18. Procedure Code
19. Remittance Advice (RA)
Part II: In the Field
Explain why, in terms of job performance and efficiency, knowing medical billing terms is critical for working in the health care field. Respond in at least 150 words and provide specific examples.  

​The knowledge of the medical billing terms would be very essential to the maintaining of the proper records, that it was ensuring the good workflow in the practice and that they were staying up to date in the record control. All the billing terms and the codes must be correct to help ensure that all the patients will receive the correct treatment or treatments and also that the practice will receive the proper insurance reimbursements that is in a timely fashion. All the codes would be updated on the annual basis. With this being done it would help to reduces the mistakes that is in their application and to would allow for any changes in the internal billing system to help be taken into an account properly. The efficiency has increased by the knowledge of this complete billing process would be steps 1-10. So by the applying this data entry daily, these records would be...
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