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MOD 96-WEEK 3
| Question | Answer |
|---|---|
| Assignment of Benefits | Transferring the right to collect payments from and insurance company from the patient to the doctor |
| Beneficiary | Person entitled to receive benefits |
| Employer Identification Number | Number used by the IRS to identify a business for income tax reporting |
| Medigap | A term sometimes applied to private insurance products that supplements Medicare insurance benefits |
| Universal Claim Form | A form made by the Health Care Financing Admin. (now CMSI center for Medicare and Medicaid Services) to submit all Gov't sponsored claims |
| Allowed Charge | The most amount of money allowed for procedure or service |
| Authorization | An approval for a procedure or a referral |
| Utilization review | When a case is reviewd to see if services are needed and if medical resources are used |
| Managed Care Plans | A term used for all healthcare plans that provide healthcare in return for a monthly fee using a set group of primary care doctors and hospitals |
| Premium | The monthy, quarterly or annual payment of money to an insurance company for providing certain benefits |
| Co payment | The amount paid at the time of a medical service |
| Deductible | Amount the must be paid out of pocket before the insurance company begins to pay |
| Disability Income Insurance | Insurance the provides money to replace income when someone is unable to work because of illness, injury, disease |
| Exclusions | Things, diseases, conditions on an insurance contract for which benefits are not paid |
| Group Policy | Insurance that covers a group of people with a single contract through employer. |
| Workers' Compensation | Insurance against liability employers pay to give give benefits to workers whos injured or killed on the job. |
| Clean Claim | An insurance claim form without errors or omissions |
| Dingy Claim | A claim that is delayed because it cannot be process (usually incompatible with the receiving system) |
| Rejected Claim | Clamis are returned unpaid to the provider for clarification of any questions and must be corrected before resubmission |
| Dirty Claim | Claims that contain errors or omissions that cannot be processed or must be processed by hand |
| Lyrica | COX2 Inhibitor: Pregabalin-It binds to certain receptors in the brain thought to reduce the ability to feel pain/reduce the occurrence of seizures |
| Zoloft | Nnti depressant: Sertraline Hydrochloride: treat major depression, obsessive-compulive, panic, post-traumatic stress disorder, and social anxiety |
| Benzamycin Pak | Erythromycin:Benzoyl poroxide: Treatment of acne |
| Medrol Dose Pak | Steroid-Glucocorticoid: Methylprednisolone: Mimix the action of hormones that naturally occur in your body |
| Hydrochlorothiazide (HCTZ) | Diuretic (Water Pill): treats hypertension and condition that require elimination of excess fluid from the body |
Created by:
Tracy-
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