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Additional for Chapter 4 - HI

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
does not contract with the insurance plan, and patients who elect to receive care from nonPARs will incur higher out-of-pocket expenses   non-participating provide (nonPAR)  
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the insurance plan responsible for paying health insurance claims first   primary insurance  
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policyholder whose birth month and day occurs earlier in the calendar year holds the primary policy for dependent children   birthday rule  
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what a superbill is called in the hospital   chargemaster  
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set of supporting documentation or information associated with a health care claim or patient encounter   claims attachment  
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payers deposit funds to the provider's account electronically   electronic funds transfer  
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the routing slip, charge slip, encounter form, or superbill from which the insurance claim was generated   source document  
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submitted to carrier, but not paid yet   open claims  
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all processing, including appeals, has been completed   closed claims  
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assigning lower-level codes than documented in the record   downcoding  
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collectors may not harrass debtors   Fair Debt Collection Practices Act  
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