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The Health Care Financing Administration (HCFA) was created in 1977 to combine under one administration the oversight of the Medicare program, the Federal portion of the Medicaid program, and related quality assurance activities.

An explanation of benefits is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf.

An itemized bill is a detailed statement provided by a healthcare provider or medical facility that lists all the individual services, procedures, and supplies used during a patient’s treatment or care.

A medical record includes a variety of types of “notes” entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc.

The SPD is a detailed guide to the benefits the program provides and how the plan works. It must describe when employees become eligible to participate in the plan, how benefits are calculated and paid, how to claim benefits, and when benefits become vested.

An Operative report is a report written in a patient’s medical record to document the details of a surgery. The operative report is dictated right after a surgical procedure and later transcribed into the patient’s record.

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