officebilling 9, 10 Word Scramble
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Question | Answer |
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 |
Created by:
cpar
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