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Allied Health · CBCS

Medical Billing and Reimbursement Basics

Claims processing, revenue cycle steps, and insurance reimbursement concepts tested on medical billing certification exams.

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What is the term for the full set of steps from patient registration through final payment collection in a medical practice?
The revenue cycle
What is typically the first step of the revenue cycle?
Patient scheduling and pre-registration
What form is used to submit professional (physician) claims to insurance payers?
CMS-1500
What form is used to submit institutional (hospital or facility) claims?
UB-04 (also called CMS-1450)
What is a clearinghouse in medical billing?
A third party that checks claims for errors and forwards them electronically to payers
What is claims adjudication?
The process a payer uses to review a claim and decide how much to pay
What document does a payer send to a patient explaining how a claim was processed?
Explanation of Benefits (EOB)
What is an ERA in medical billing?
Electronic Remittance Advice, the electronic version of a payment explanation sent to the provider
Define "deductible" in health insurance.
The amount a patient must pay out of pocket before insurance starts paying
Define "copayment."
A fixed dollar amount a patient pays at the time of service
Define "coinsurance."
The percentage of costs a patient pays after meeting the deductible
What is prior authorization?
Approval from the payer required before a service is performed for it to be covered
What is a superbill?
An itemized form listing services, diagnoses, and charges used to create a claim
Define "allowed amount" in insurance reimbursement.
The maximum amount a payer will pay for a covered service
What is a write-off in medical billing?
The portion of a charge a provider agrees not to collect, often the difference between billed and allowed amounts

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