- Industry: Health care
- Number of terms: 4240
- Number of blossaries: 0
- Company Profile:
The Blue Cross Blue Shield Association (BCBSA) is a federation of 39 separate health insurance organizations and companies in the United States. Combined, they directly or indirectly provide health insurance to over 100 million Americans.
A coding inconsistency that involves separating a procedure into parts and charging for each part rather than using a single code for the entire procedure.
Industry:Health care
A type of stop-loss insurance that provides benefits when a group's total claims during a specified period exceed a stated amount.
Industry:Health care
A provider contract provision which gives providers that are terminated with cause the right to appeal the termination.
Industry:Health care
The process of identifying and classifying the risk represented by an individual or group.
Industry:Health care
A medical care centre that provides a wide range of healthcare services, including preventive care, acute care, surgery, and outpatient care, in a centralised facility. Also known as a medical clinic or medical center.
Industry:Health care
A quantitative measure of the quality of care provided by a health plan or provider that consumers, payers, regulators, and others can use to compare the plan or provider to other plans or providers.
Industry:Health care
A Medicaid programme for recipients younger than 21 that provides screening, vision, hearing, and dental services at intervals that meet recognised standards of medical and dental practises and at other intervals as necessary to determine the existence of physical or mental illnesses or conditions.
Industry:Health care
Factors that tend to increase an individual's risk above that which is normal for his or her age.
Industry:Health care
Auxiliary or supplemental services, such as diagnostic services, home health services, physical therapy, and occupational therapy, used to support diagnosis and treatment of a patient's condition.2
Industry:Health care
