#1
What does the term 'EOB' stand for in medical billing?
Explanation of Benefits
ExplanationA summary of the costs covered by health insurance and the amount owed by the patient.
#2
What does 'CMS' stand for in the context of medical billing and health insurance?
Centers for Medicare & Medicaid Services
ExplanationGovernment agency overseeing Medicare and Medicaid programs.
#3
What does 'HMO' refer to in health insurance?
Healthcare Maintenance Organization
ExplanationHealth insurance plan requiring members to use a network of healthcare providers.
#4
What does 'EHR' stand for in healthcare?
Electronic Health Record
ExplanationDigital record of a patient's health history and care.
#5
What does 'FSA' stand for in health benefits?
Flexible Spending Account
ExplanationPre-tax account for healthcare expenses not covered by insurance.
#6
What does 'HSA' stand for in health benefits?
Health Savings Account
ExplanationTax-advantaged account for saving money for medical expenses.
#7
What is 'Deductible' in health insurance?
The amount you pay for covered healthcare services before your insurance plan starts to pay
ExplanationInitial out-of-pocket amount paid by the insured.
#8
What does 'ICD' refer to in medical coding?
International Classification of Diseases
ExplanationStandardized system for classifying medical diagnoses and procedures.
#9
What is 'COBRA' in the context of health insurance?
A federal law that may allow you to temporarily keep health coverage after your employment ends
ExplanationProvides continuation of health coverage in certain situations.
#10
What is 'Medicaid'?
A state and federal program that provides health coverage if you have a very low income
ExplanationGovernment assistance program for low-income individuals and families.
#11
In the context of medical billing, what is a 'Clean Claim'?
A claim that is free from errors and can be processed without delays
ExplanationA correctly submitted healthcare bill with no mistakes or missing information.
#12
What is 'Coinsurance' in health insurance?
The percentage of costs of a covered healthcare service you pay after you've paid your deductible
ExplanationPatient's share of costs after meeting the deductible.
#13
What is the 'Open Enrollment Period' in health insurance?
A period during which you can buy a health insurance plan on the marketplace
ExplanationDesignated time to enroll or make changes to health insurance coverage.
#14
What is the purpose of 'CPT' codes in medical billing?
To identify a specific service provided by a healthcare provider
ExplanationNumeric codes used to describe medical, surgical, and diagnostic services.
#15
What is 'PHI' in healthcare?
Protected Health Information
ExplanationConfidential information about a patient's health status and treatment.
#16
What does 'EOC' stand for in health insurance?
Evidence of Coverage
ExplanationDetailed document explaining the benefits and coverage of a health insurance plan.
#17
What does 'COB' stand for in health insurance?
Coordination of Benefits
ExplanationProcess of determining which insurance plan pays primary or secondary.
#18
What does 'EDI' refer to in medical billing?
Electronic Data Interchange
ExplanationElectronic exchange of healthcare information between providers and payers.