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Insurance Terms vol4

MOP 110 Ms. Ragadio

TermDefinition
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.
Created by: lolawhiterabbit