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245fina
mult choice
| Question | Answer |
|---|---|
| TRICARE plan that is an hmo and requires a PCM is | tricare prime |
| TRICARE standard is a ______ | fee-for-service |
| tricare extra is a ____ | ppo |
| active duty service members auto enrolled in | tricare prime |
| cms1500 is | paper claim |
| how many times can you bill a patient before write off | 3x |
| who is eligible for medicare | 65 and over, disabled adults, disabled before age 18, retired fed employee of csrs, spouse of disabled or diseased, esrd |
| gate keeper | same as primary care physician |
| medicare secondary payer case may involve | all of the above |
| DEERS | database for tricare and champva beneficiaries |
| principle diagnosis | diagnosis after study |
| 1st report of injury | doc that contains info about patient, the employer, injury or illness must be filed with in first 24 hours |
| OSHA | set up to protect workers from health and safety risks on the job |
| ssi | a welfare program that provides financial assistance to individuals in need including aged, blind and disabled |
| during collections most practices use | letters and calls |
| when talking to someone other than patient about an overdue bill, collection specialists will | not discuss the patients debt |
| aging report | shows which patients are overdue on their bills and groups them into distinct categories for efficient collection efforts |
| admitting diagnosis | the patient's condition identified by the physician at admission to the hospital |
| UB 04 | mandated form for hospital billing |
Created by:
bridking