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