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Insurance Terms vol4
MOP 110 Ms. Ragadio
Term | Definition |
---|---|
litigation | legal action to recover a debt. |
superbill | term used for an encounter form in the physician's office. |
unbundling | submitting multiple CPT codes when one code should be submitted. |
confidentiality | restricting patient information access to those with proper authorization and maintaining the security of patient information. |
upcoding | assignment of and ICD-10-CM diagnosis code that does not match patient record documentation for the purpose of illegally increasing reimbursement. |
dual eligible | individuals entitled to Medicare and eligible for some type of Medicaid benefit. |
arbitration | dispute-resolution process in which a final determination is made by an impartial person who may not have judicial powers. |