Healthcare BPO A Accounts Receivable (AR) Accountable Care Organization (ACO) Accreditation Standards Allowed Amount Appeal Assignment of Benefits (AOB) Anti-Kickback Statute B Balance Billing Board Certification C Capitation Charge Capture Claim Claim Rejection Clearinghouse Coding Co-Insurance Co-Payment (Co-Pay) Coordination of Benefits (COB) Continuing Medical Education (CME) Credentialing Credentialing Process Credentialing Documentation Current Procedural Terminology (CPT) D Deductible Denial Downcoding Data Scrubbing Data Encryption E Electronic Health Record (EHR) Explanation of Benefits (EOB) F Fee-for-Service (FFS) G H Health Maintenance Organization (HMO) Healthcare Common Procedure Coding System (HCPCS) I ICD-10 (International Classification of Diseases, 10th Revision) J K L M Managed Care Medicaid Medicare Modifiers N National Provider Identifier (NPI) O Out-of-Network Out-of-Pocket Maximum P Patient Responsibility Payor Pre-Authorization Preferred Provider Organization (PPO) Primary Care Physician (PCP) Provider Q R Revenue Cycle Management (RCM) S Secondary Insurance Superbill T Third-Party Administrator (TPA) U Upcoding Utilization Review V W X Y Z Insurance BPO A Actuary Aggregate Limit B Binder Brokerage C Cancellation Carrier Claim COI (Certificate of Insurance) Commission Coverage D Deductible E Endorsement Exclusion F Fidelity Bond G H I Insurability Insurable Interest Insurance Adjuster Insurance Agent Insurance Broker Insurance Carrier Insurance Policy Insurance Premium Indemnity J K L Liability Loss Loss Ratio M MGA (Managing General Agent) N O P Policyholder Producer Q Quote R Rate Reinsurance Renewal Risk Assessment Risk Management Reserve S Subrogation Surety Bond T U Underwriter Underwriting Umbrella Policy Unearned Premium V W Waiver Workers' Compensation X Y Z
