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Chapter 3 class 2
| Question | Answer |
|---|---|
| exclusion | procedure or service that is not included in the insurance contract |
| time limit | amount of time from day of service to the date the claim can be filed with insurance company |
| waiting period | amount of time a individual must wait to become eligable for insurance |
| medicare | insurance that is offered to individuals age 65 and older or under form of disability |
| medicaid | insurance that is offered to the poor or those on wellfare or disabled individuals |
| reimbursement cycle | a process from start to finish used to collect money in the physician |
| balance | money owed |
| patient registration form | form used to collect patient information |
| encounter form | form that contains areas to check off or write in diagnoses and procedures |
| assignment | transfer of an individuals right to collect amount payable under an insurance contract |
| CHAMPVA | federal program that covers medical expences of spouses and children of veterans of total permanet service connections disabilities |
| managed care | prepaid health plans that deliever a full range of services with a emphasis on prematitive medicine also known as HMO |
| private insurance | individuals and group insurance offer either employment or independtly |
| TRICARE | government sponsored program that provides benefits for dependants of active service personalle |
| unemployment comp disability insurance | coverage for off the job injury or sickness that is paid for by deductions from a person pay check |
| RA(remittance advice) | medicare and medicaid program used to suscribe service that were billed and how the payment was determined |
| provider | individual or organization that provides health care services |
| day sheet | register that shows all the transactions from a patient seen in a day |
| accounts recievable | total amount of money owed for professional services |
| EOB(explanation of benefits) | document that describes services billed and includes the break down and how payment was determined |
| list which forms need signatures that need to be optained from the patient | release of information, finacial agree |
Created by:
kornelas
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