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MOD3520 WEEK2

MOD3520 WK2 TERMINOLOGY

QuestionAnswer
C CODES IDENTIFIES ITEMS THAT MAY QUALIFY FOR "PASS THROUGH" PAYMENTS FOR HOSPITAL OUTPATIENT SERVICES
G CODES CODES THAT USUALLY WOULD BE ASSIGNED A CPT CODE FOR WHICH THERE IS NO CPT CODE ASSIGNED TO DATE
Q CODES SERVICES THAT TYPICALLY WOULD NOT BE ASSIGNED CPT CODES,SUCH AS DRUGS,BIOLOGICAL,MEDICAL EQUIPMENT,AND SUPPLIES
S CODES ASSIGNED FOR SERVICES SUCH AS DRUGS AND SUPPLIES FOR WHICH CODES ARE NEEDED FOR THE PRIVATE INSURANCE SECTOR FOR POLICIES, PROGRAMS, OR CLAIMS PROCESSING
H CODES USED BY THE STATE MEDICAID AGENCIES TO IDENTIFY MENTAL HEALTH SERVICES SUCH AS ALCOHOL AND DRUG TREATMENT SERVICES
CATEGORICALLY NEEDED AGED,BLIND,OR DISABLED INDIVIDUALS OR FAMILIES AND CHILDREN WHO MEET FINANCIAL ELIGIBILITY REQUIREMENTS FOR AID TO FAMILIES WITH DEPENDENT CHILDREN,SUPPLEMENTAL SECURITY INCOME OR AN OPTIONAL STATE SUPPLEMENT
COVERED SERVICES SPECIFIC SERVICES AND SUPPLIES FOR WHICH MEDICAID WILL PROVIDE REIMBURSEMENT
EARLY AND PERIODIC SCREENING,DIAGNOSIS,AND TREATMENT THE EPSDT PROGRAM COVERS SCREENING AND DIAGNOSTIC SERVICES TO DETERMINE PHYSICAL OR MENTAL DEFECTS IN RECIPIENTS YOUNGER THAN 21 YEARS OF AGE AND HEALTH CARE, TREATMENT , AND OTHER MEASURES TO CORRECT OR ELIMINATE ANY DEFECTS AND CHRONIC CONDITIONS DISCOV
MATERNAL AND CHILD HEALTH PROGRAM (MCHP) A STATE SERVICE ORGANIZATION TO ASSIST CHILDREN YOUNGER THAN 21 YEARS OF AGE WHO HAVE CONDITIONS LEADING TO HEALTH PROBLEMS
MEDICALLY NEEDED PERSONS IN NEED OF FINANCIAL ASSISTANCE OR WHOSE INCOME AND RESOURCES WILL NOT ALLOW THEM TO PAY FOR THE COSTS OF MEDICAL CARE
PRIOR APPROVAL THE EVALUATION OF A PROVIDER REQUEST FOR A SPECIFIC SERVICE TO DETERMINE THE MEDICAL NECESSARY AND APPROPRIATENESS OF THE CARE REQUESTED FOR A PATIENT
SHARE OF COST THE AMOUNT A PATIENT MUST PAY EACH MONTH BEFORE HE OR SHE CAN BE ELIGIBLE FOR MEDICAID
RECIPIENT A PERSON CERTIFIED BY THE LOCAL WELFARE DEPARTMENT TO RECIEVE THE BENEFITS OF MEDICAID UNDER ONE OF THE SPECIFIC AID CATEGORIES
CO-INSURANCE A COST SHARING REQUIREMENT UNDER A HEALTH INSURANCE POLICY PROVIDING THAT THE INSURED WILL ASSUME A PERCENTAGE OF THE COST FOR COVERED SERVICES
CO-PAYMENT A PATIENTS PAYMENT OF A PORTION OF THE COST AT THE TIME OF SERVICE IS RENDERED;SOMETIMES REFERED TO AS A COINSURANCE
MEDICAID A FEDERALLY AIDED, STATE OPERATED AND STATE ADMINISTERED PROGRAM THAT PROVIDES MEDICAL BENEFITS FOR CERTAIN LOW INCOME PERSONS IN NEED OF HEALTH AND MEDICAL CARE
MEDI-CAL CALIFORNIAS VERSION OF THE NATIONWIDE PROGRAM KNOWN AS MEDICAID
SUPPLEMENTAL SECURITY INCOME A PROGRAM OF INCOME SUPPORT FOR LOW INCOME,AGED,BLIND,AND DISABLED PERSONS ESTABLISHED BY TITLE XVI OF THE SOCIAL SECURITY ACT
Created by: reginacamarena