Medical coding and billing specialists need to understand many healthcare terms to be able to perform their tasks effectively and economically. The medical system can be confusing. Here are some of many healthcare terms that an health care coding and billing specialist should understand.
Beneficiary – A lien is a person who gains an advantage from some thing. In the case of health, the beneficiary is the individual covered under even a family member covered under a group medical insurance plan or the healthcare plan like the lien.
Collection Ratio – The collection ratio denotes the gap between the amount a health provider charges that the patient and the amount the health provider actually receives. It refers to this uncollected number of costs for providing healthcare.
Co pay – Insurance providers often call for the beneficiary of an insurance intend to pay for part of a health price. The co-pay refers to this total amount a lien must cover in conjunction with the insurance company who pays for the rest of the costs.
Deductible – insurance providers often require that patients pay a particular amount of money to the insurance company before the insurance company actually kicks set for medical care. That is known as the deductible.
Group Title – The name is available in your insurance card also refers to the kind of insurance coverage by that you’re covered.
This will be the group number, plus it might be found in your own insurance plan card that is personal. When there is a family really on one insurance coverage through an employer, then the group is the identical number for several relatives.
Healthcare Provider – The healthcare provider is just the medical practice or clinic that offers the healthcare into the patient.
Inpatient – If a patient remains at a hospital overnight for treatment or operation, it’s known as “inpatient” care.
Outpatient – Outpatient maintenance is treatment or operation that is received out a hospital.
These associations are systems of healthcare providers that accept provide health at reduced rate for the clients of insurer.
Premium – the quantity a beneficiary pays for their health coverage monthly.
Medicaid – Medicaid is a federal program that offers medical insurance to low-income families.
Medicare – Medicare is a federal program that offers medical insurance to people age 65 and older and to younger people with certain disabilities.