A fixed or set amount paid for each healthcare or medical service
Medicare _______ ___ is for prescription drug plan coverage
______ advice is a form that the patient and the practice receive for each encounter that outlines the amount billed by the practice, the amount allowed, the amount of subscriber liability, the amount paid, and notations of any service not covered, including an explanation of why that service is not covered.
______ + Choice Plan is a medicare benefit in which beneficiaries can choose to enroll in one of three major types of plans instead of the original Medicare.
_________ compensation is an insurance that covers employment related accidents or diseases.
This is the abbreviation for resource-based relative value scale
This is the authorization or approval for payment from a third-party payer requested in advance of a specific procedure.
This is a group that takes nonstandard medical billing software formats and translates them into the standard EDI formats
______ rule is a rule that states that the insurance policy of a policyholder whose birthday comes first in the year is the primary payer for all dependents.
_____ procedure is a medical procedure that is not required to sustain life but is requested for payment to the third-party payer by the patient or the physician.
This is the abbreviation for explanation of benefits
Explanation of ______ is document sent by insurance carrier when payment is made describing the terms of the payments.
Medicare _______ ____ provides several plan choices for individuals called Medicare Advantage Plus.
______ schedule is a list of the costs of common services and procedures performed by a physician.
This is a fixed percentage of covered charges paid by the insured person after a deductible has been met.
Medical _____ __ is the hospital benefits, which is billed by hospitals and financed through contributions collected from the Federal Insurance Contributions Act tax on income earned by workers and the self-employed.