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  2. Health reimbursement account - Wikipedia

    en.wikipedia.org/wiki/Health_Reimbursement_Account

    A Health Reimbursement Arrangement, also known as a Health Reimbursement Account (HRA), [1] is a type of US employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses and, in limited cases, to pay for health insurance plan premiums.

  3. Certified medical reimbursement specialist - Wikipedia

    en.wikipedia.org/wiki/Certified_Medical...

    Certified Medical Reimbursement Specialist (CMRS) is a voluntary national credential that was created specifically for the medical billing professional. The American Medical Billing Association (AMBA) has been providing this industry certification and designation for nearly a decade.

  4. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [2] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4]

  5. X12 Document List - Wikipedia

    en.wikipedia.org/wiki/X12_Document_List

    Health Care Benefit Coordination Verification 270 Eligibility, Coverage or Benefit Inquiry 271 Eligibility, Coverage or Benefit Information 272 Property and Casualty Loss Notification 273 Insurance/Annuity Application Status 274 Healthcare Provider Information 275 Patient Information 276 Health Care Claim Status Request 277

  6. Fee-for-service - Wikipedia

    en.wikipedia.org/wiki/Fee-for-service

    In the health insurance and the health care industries, FFS occurs if doctors and other health care providers receive a fee for each service such as an office visit, test, procedure, or other health care service. [5] Payments are issued only after the services are provided. FFS is potentially inflationary by raising health care costs. [6]

  7. Reimbursement - Wikipedia

    en.wikipedia.org/wiki/Reimbursement

    Reimbursement is the act of compensating someone for an out-of-pocket expense by giving them an amount of money equal to what was spent. [1]Companies, governments and nonprofit organizations may compensate their employees or officers for necessary and reasonable expenses; under US [2] [3] law, these expenses may be deducted from taxes by the organization and treated as untaxed income for the ...

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  9. Bundled payment - Wikipedia

    en.wikipedia.org/wiki/Bundled_payment

    A 1998 report to the Health Care Financing Administration (now known as the Centers for Medicare and Medicaid Services) noted that in the five years of the demonstration project, the seven hospitals would have had expenditures of $438 million for coronary artery bypasses for Medicare beneficiaries, but the change in reimbursement methodology ...

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