Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
officebilling 9, 10
physicians office billing CH
| Question | Answer |
|---|---|
| document that modifies an insurance contract, which may include addititional purchased benefits | rider |
| give employee leaving a job the right to continue health coverage under employees plan for a limited time at own expense | COBRA |
| government contractor that processes medicare part A claims | fiscal intermediaty |
| claim data is audited and medicare contractors check for inappropriate billing is called | medical review program |
| private insurance that beneficiaries may purchase to cover services not covered by medicare | medigap |
| medicare coverage that pays for physician services | medicare part B |
| certain time in which an employee can choose benefits | open enrollment period |
| medicare coverage that pays for hospital care | medicare part A |
| handles tasks like collecting premiums and processing and paying claims for a plan | third-party claims administrator |
| give more reimbursement to providers who are considered highest quality and cost-effectiveness by the plan | tiered networks |
| PPOs generally pay participating providers based on what | discounted fee-for-services |
| pays for qualified medical expences of individuals who have high deductible plans and are under the age of 65 | health saving accounts |
| largest emplyer-sponsored health program in the US | federal employees health benefits program |
| a form given to Pts to inform them that medicare is unlikely to pay for a service | ABN |
| a voluntary program established by CMS to collect and report performance measures | physician quality reporting initiative (PQRI) |
| medicare is a federal medical insurance program established in | 1965 |
Created by:
cpar
Popular Insurance sets