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Unit 5: Financial Matters


AB
Truth in Lendingcomplete details must be provided
Ledgerthe patient's account
Superbillcontains information and charges all on one form
Bookkeeperperson who records accounts and transactions of a business
Accounts receivableoutstanding accounts(money owed to the doctor )
Debita charge added to an account
Credita payment subtracted from an existing balance
Balancedifference between credits and debits
Daily logshows daily charges and payments
Fee schedulelist of covered services and what the insurance will pay
DRG'sillnesses that are grouped in categories to determine how long hospitalization will be covered
deductiblepredetermined amount the patient must pay before insurance will pay costs
assignment of benefitsa system to avoid duplication of payment of insurance claims (only 100% of charges paid even if patient has mone than 1 insurance)
pre-certificationprior authorization before a hospital authorization