Electronic Health Records

MATCHING QUESTIONS Match the terms on the left with the definitions on the right. 1. [LO 6.51 fraud a. list of how much is charged per service by CPT code 2. [LO 6.7] transaction b. document sent from an insurance company to a 3. ILO 6l] managed care plan subscriber outlining payment decisions 4. [LO 6.7] accounts receivable c. portion of a bill that is usually the responsibility 5. [LO 6.8] Evaluation and of the patient, typically collected upon check-in Management codes 6. [LO 6.] fee schedule 7. [LO 6.71 subscriber 8. [Lo 6.91 compliance plan 9. [LO 6.31 co-payment 10. ILo 6.71 explanation of benefits 11. [LO 6.3] coinsurance 12. [Lo 6.2] code linkage d. the primary individual covered under an insurance plan e. formal, written guidelines that describe how a healthcare office intends to follow established rules and regulations f. actions, such as posting payments or processing claims, done in a practice management system to update patient accounts g. codes representing the face-to-face time spent with a provider h. monies coming into a medical practice i. act of deception that takes advantage of another j. form of insurance that monitors patients, care, and k. using the diagnostic and procedure codes together l. form of cost sharing with an insurance carrier in person or entity performance to ensure quality to show medical necessity which the patient pays a percentage of medical expenses