AAPC CPB - Chapter 2 Terminology Pre-Test Exam 2024.

AAPC CPB - Chapter 2 Terminology Pre-Test Exam 2024. Accountable Care Organization (ACO) - correct answer A healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for assigned population of patients Capitation - correct answer Fixed payment remitted at a regular intervals to a medical provider by a managed care organization for an enrolled patient Carve-Out - correct answer A service not covered in a health insurance contract, usually reimbursed according to a different arrangement of rate formula than those services specified under the contract umbrella Consumer Driven Health Plans (CDHP) - correct answer Third tier insurance plans that give the members more control over their health budgets Copay - correct answer A specified dollar amount that the policyholder must pay to a healthcare provider for each visit or medical service received. This is typically found on the insurance card Credentialing - correct answer A process that is used to evaluate the qualifications and practice history of a physician which includes a review of a physician's completed education, training, residency, and licenses