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INSURANCE

Terms

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WHAT IS CO-PAY
CONTRIBUTION THE SUBSCRIBER PAYS 20% OF BILL USUALLY 5-10PER VISIT
WHAT IS HCFA 1500
HLTH CARE FINANCING ADMIN-ORIGINALLY DESIGNED FOR MEDICARE
DRG
DIAGNOSIS RELATED GROUP
WHO SENDS OUT THE EOB
INSURANCE COMPANY
ALLOWED CHARGES
AMOUNT INS WILL ALLOW MD TO CHARGE FOR SERVICES
WHAT IS ACCEPTING ASSIGNMENT
MD WILL ACCEPT WHAT MEDICAL ASSISTANCE WILL PAY
CHAMP VA
FOR FAMILIES OF THOSE WHO SERVED IN THE MILITARY&ARE NOW PERMANENTLY DISABLED OR HAVE DIED
WHAT DOES ICD-9 STAND FOR
INTERNATIONAL CLASSIFICATION FOR DISEASE 9TH REVISION OR VOLUME II
HMO
HEALTH MAINTENANCE ORGANIZATION
WHAT IS MEDI MEDI
A PATIENT W/MEDICARE & MEDICAL ASSISTANCE
DIAGNOSIS
INJURY ILLNESS OR DISEASE
HMO CO-PAY
5-10 DOLLAR CO-PAY
COBRA
AFTER LOSS OR TERMINATION OF JOB THIS CONTINUES YOUR BENEFITS FOR 18 MONTHS.PT MUST PAY PREMIUM
NON-COVERED SERVICES
INS CO CONSIDERS ELECTIVE-NOT MEDICALLY NECESSARY PT PAYS 100%
REASONS FOR MEDICAL CODING
TRACKING&CLASSIFYING DISEASE,PROVIDING COMPARABLE DATA FOR RESEARCH&EVALUATION OF MEDICAL UTILIZATION
MAXIMUM NUMBER OF DIGITS
FIVE
INDIVIDUAL POLICY
PURCHASED BY THE PT HAS FEWER BENEFITS GREATER PREMIMUM
GROUP POLICY
PROVIDES GREATER BENEFITS AT LOWER PREMIUMS.EVERYONE IN GROUP HAS SAME COVERAGE
CRITERIA TO BE COVERED UNDER MEDICARE PART A
SSI-RAILROAD AUTOMATICALLY ENROLLED PAYS NO PREMIUM AND COV IS FREE
DEFINE PROGNOSIS
OUTCOME OF INJURY OR DISEASE
DEFINE REFERRAL
AUTHORIZATION FORM A PHYSICIAN NEEDS FOR A PT TO RECEIVE ADD SERVICES
CRITIERIA TO BE COVERED UNDER MEDICARE PART B
SSI OR RAILROAD-MUST APPLY FOR THIS BENEFIT
KAISER PERMANTE
EX OF A CLOSED PANEL CONTRACT
CPT
CURRENT PROCEDURE TERMINOLOGY

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