Medical Office Administration verified answers and questions 2023.

Medical Office Administration verified answers and questions 2023. Actual Charge - correct amount charge by the practice when providing services Adjudicate - correct answers.A term for processing payment of a claim Adjudicator - correct answers.A person who reviews the claim to determine payments Allowed Charge - correct answers.The amount set by the carrier Capitation - correct answers.Fixed fee CF - correct answers.Conversation Factor COB - correct answers.Coordination of Benefits Co-payment - correct amount insured has to pay toward the amount allowed by the insurance company for services CPT - correct answers.Current Procedural Terminology Customary Charge - correct e most frequently used by a physician Deductible - correct dollar amount that must be paid by the patient before insurance will pay a claim DOS - correct answers.Date of Service DRG - correct answers.Diagnosis- Related Group EOB - correct answers.Explanation of Benefits HCPCS - correct answers.Healthcare Common Procedure Coding System ICD-9-CM - correct answers.International Classification of Diseases, 9th edition, Clinical Modification PC - correct answers.Professional component Percentile - correct ranking of fees from all providers in a given area to develop a reimbursement base Prevailing Charge - correct charge most frequently used based on specialty PRO - correct answers.Professional Review Organization RBRVS - correct answers.Resource- Based Relative Value Scale Remittance Advisory - correct answers.Statement sent by an insurance company RVS - correct answers.Relative Value Scale TC - correct answers.Technical Component Third Party Payer - correct answers.A carrier that has agreement with an individual or organization to provide health care benefits Timely Filing Clause - correct amount of time allowed by an insurance company UCR - correct answers.Usual Customary and Reasonable Utilization Review - correct e quality, medical necessity, and appropriateness of treatment Br - correct answers.By Report Assignments of Benefits - correct answers.Request that money be paid directly to the physical for service Indemnity Insurance - correct answers.Fee for service