physicians office billing CH
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| document that modifies an insurance contract, which may include addititional purchased benefits | rider | ||||
| give employee leaving a job the right to continue health coverage under employees plan for a limited time at own expense | COBRA | ||||
| government contractor that processes medicare part A claims | fiscal intermediaty | ||||
| claim data is audited and medicare contractors check for inappropriate billing is called | medical review program | ||||
| private insurance that beneficiaries may purchase to cover services not covered by medicare | medigap | ||||
| medicare coverage that pays for physician services | medicare part B | ||||
| certain time in which an employee can choose benefits | open enrollment period | ||||
| medicare coverage that pays for hospital care | medicare part A | ||||
| handles tasks like collecting premiums and processing and paying claims for a plan | third-party claims administrator | ||||
| give more reimbursement to providers who are considered highest quality and cost-effectiveness by the plan | tiered networks | ||||
| PPOs generally pay participating providers based on what | discounted fee-for-services | ||||
| pays for qualified medical expences of individuals who have high deductible plans and are under the age of 65 | health saving accounts | ||||
| largest emplyer-sponsored health program in the US | federal employees health benefits program | ||||
| a form given to Pts to inform them that medicare is unlikely to pay for a service | ABN | ||||
| a voluntary program established by CMS to collect and report performance measures | physician quality reporting initiative (PQRI) | ||||
| medicare is a federal medical insurance program established in | 1965 |
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Created by:
cpar
on 2011-12-05