See: Gramm-Rudman-Hollings Act .
Tag: USA
Band grading
To group life insurance policies according to death benefit amounts for the intent of calculating loading.
Bank check plan
See: electronic funds transfer system (EFTS) , automatic bill payment, and preauthorized payment .
Bankruptcy
Condition under which a person or corporation is declared unable to pay debts.
Baptismal certificate
Religious record of an individual’s birth or baptism that is used to establish age in certain situations.
Barium enema
Suspension of barium sulfate injected into the lower bowel to render it radiopaque, usually followed by injection of air to inflate the bowel and increase definition for the purposes of identifying disorders or early signs of cancer.
Base capitation
Specific dollar amount per member per month (PMPM) in a managed care plan that covers medical costs. Usually this excludes administrative costs, mental health services, pharmacy, and substance abuse services.
Base charge
Specific dollar amount from the Medicare fee schedule that is allowed for a participating provider according to the specialty. Commonly referred to as participating provider’s fee .
Base estimate
Updated approximation of the most recent historical year.
Base payment amount
Dollars and cents amount that is established for one unit as applied to a service rendered or product furnished. This unit (sometimes called a conversion factor) is then used to convert various services/procedures into fee-schedule payment amounts by multiplying the relative value unit by the conversion factor (base payment amount). It establishes the level of the payment rates in the payment system.