HMO
Abbreviation Administrative Assisting
Health maintenance organization: a managed care plan that usually pays only for in-network care and uses a primary care provider to coordinate care.
Sources
- Managed Care · MedlinePlus, U.S. National Library of Medicine
Related terms
- networkThe providers and facilities a health plan has contracted with to provide care.
- EMRElectronic medical record: a digital chart kept by one practice.
- EOBExplanation of benefits: a health plan's statement explaining how a claim was processed and paid; the…
- ERAElectronic remittance advice: the electronic explanation of a claim payment sent by the health plan to the…
- HCPCSHealthcare Common Procedure Coding System; Level II codes cover supplies, equipment and services not in CPT.
- ICD-10-CMInternational Classification of Diseases, 10th Revision, Clinical Modification: the code set for diagnoses.
- MCOManaged care organization: an entity that contracts to provide or arrange covered health services, often for…
- MSPMedicare Secondary Payer: rules that make another insurer pay before Medicare in certain situations.
- NPINational Provider Identifier: the unique 10-digit number HIPAA requires for health care providers on claims.
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