CHAA Exam Study Questions & Answers | 80
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Terms in this set (274)
When a provider agrees to accept the allowable
charges as the full fee and cannot charge the patient
Accepting Assignment
the difference between the insurance payment and
the provider's normal fee.
The patient's ability to obtain medical care. The ease
of access is determined by such components as the
Access availability to the patient, the location of health care
facilities. transportation, hours of operation and cost
of care.
, A number assigned to each account. This number is
Account Number used to identify the account and all charges and
payments received.
Medical attention given to patients with conditions of
sudden onset that demand urgent attention or care of
limited duration when the patient's health and
Acute Care
wellness would deteriorate without treatment. The
care is general short-term rather than long-term or
chronic care.
A level of healthcare delivered to patients
Acute Inpatient Care experiencing acute illness or trauma. Acute care is
generally short-term (< 30 days)
Patients who are schedules for services less than 24
Add-Ons
hours in advance of the actual service time.
Adjustor Insurance company representative.
Costs associated with creating and submitting a bill
for services, which could include: registration,
Administrative Costs
utilization review, coding, billing, and collection
expenses.
The process of third party payor notification of
urgent/emergent inpatient admission with in specified
Admission Authorization
time as determined by the payors (usually 24-48 hours
or next business day).
The first date the patient entered the hospital for a
Admission Date
specific visit.
Word, phrase, of International Classification of
Disease (ICD9) code used by the admitting physician
Admitting Diagnosis to identify a condition or disease from which the
patient suffers and for which the patient needs or
seeks medical care.
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