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103 unit 2
Medical
| Question | Answer |
|---|---|
| Bundling | one CPT is used to group more than one component (procedure) |
| Medicare part A | hospuital benefits of a nationwide health insurance for 65 years and older |
| Benign | not cancer |
| malignant | cancerous, can metastasize(grow)can be lifwe threatening |
| Work Compensation insurance | Insurance available for on the job injuries |
| Medicare | insurance offered to all people over the age of 65 years of age |
| Capitation | reimbursement to a healcare provider as a fixed amount per number in a given time period |
| Clean claim | insurance claim from with no mistakes |
| Fiscal agent | an insurer which is under contract to administer an insurance program (process and pay claims) |
| Gatekeeper | Primary physcian or health care profesional assigned by the insurer to review the medical managment tp plan enrolles |
| Network | a health care profesional who has contracted with an insurance plan the patient has |
| Out of network | A health care profeional who has not contraced with an insurance plan the patient has |
| Participating Provider | a physcian who accepts assignments under insurance contract |
| Provider | A physcian, supplier or provider of medical care |
| Subscriber | person named as principal in an insurance contract |
| Dependents | family members of the insured who are covered under the insurance plan |
| Effective date | the date the coverage starts |
| Lapse | termination of a coverage sue to failure to pay |
| Mandated | rquired by law |
| New patient | a person who has never been een by the provider |
Created by:
rebeccabear
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