Reimbursement Health Dictionary

Reimbursement: From 1 Different Sources


1 The process by which health care providers receive payment for their services. Because of the nature of the health care environment, providers are often reimbursed by third parties who insure and represent patients/clients. 2 The process whereby patients/clients receive payment for services used, most often through health insurance.
Health Source: Community Health
Author: Health Dictionary

Allowance

1 A sum granted as reimbursement for expenses. 2 An amount added or deducted on the basis of qualifying circumstances.... allowance

Cost Centre

An accounting device whereby all related costs attributable to some “financial centre” within an organization, such as a department, centre or programme, are segregated for accounting or reimbursement purposes.... cost centre

Indemnity Plan

Provides reimbursement to the insured without regard to the expenses actually incurred.... indemnity plan

Per Diem

Reimbursement where payment is based on a per day set fee schedule.... per diem

Prior Authorization

A requirement imposed by a third party payer under many systems of utilization review in which a provider must justify, before a peer review committee, insurance company representative or state agent, the need to deliver a particular service to a person before actually providing the service in order to receive reimbursement.... prior authorization

Prospective Payment System

A system whereby reimbursement rates are set for a given period of time prior to the circumstances giving rise to actual reimbursement claims.... prospective payment system

Resident Classification Instrument

An instrument which assesses recipient’s care needs. It has a number of classification levels, ranging from high to low care. These classification levels are sometimes used for placement, staffing level and reimbursement purposes.... resident classification instrument

Nhs Business Services Authority

(NHSBSA) a *special health authority formed in 2006 to provide a range of back office and financial services to NHS organizations, contractors, and patients. These include administering the NHS pension scheme, issuing European Health Insurance Cards to UK residents, and issuing penalty charge notices to patients who falsely claim to be exempt from paying prescription charges. NHSBSA also hosts NHS Prescription Services, which provides pharmacies with reimbursement for items supplied under NHS prescriptions.

NHS Business Services Authority website... nhs business services authority




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