| A | B |
|---|
| Abuse | Incidents or practices by a medical staff that is not usually considered fraudulent which are inconsistent with accepted sound practices |
| Civilian Health and Medical Program of the Department of Veterans (CHAMPVA) | A program that provides health benefits for dependents of veterans when the veteran is 100% totally and permanently disabled as a result of military service, veterans who died as a result of active service |
| Clinical Laboratory Improvement Act (CLIA) | Congress passed in 1988, to establish quality standards for all lab testing. |
| Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) | Allows employees to contribute health care coverage beyond their termination date. |
| Deductable | The amount the patient is responsible for before their insurance policy pays |
| Fraud | Intentional misrepresentation of facts in order to deceive or mislead |
| Copayment | The amount an insured person is expected to pay at the time of each medical visit |
| Subpoena | A writ requiring the appearance of a person at a trial or other proceeding |
| Clearinghouse | An independent organization that receives insurance claims from the physician’s office and performs software edits and redistributes the claim electronically to various third party payers |
| Authorization | An individual’s formal or written permission to use or disclose his personal identifiable health information for purposes other than treatment, payment or healthcare operations. |
