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wk 2 4020 term
abbreviations
| Question | Answer |
|---|---|
| C CODES | 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 NOT |
| Q CODES | SERVICES THAT TYPICALLY WOULD NOT BE ASSIGNED CPT CODES, SUCH AS DRUGS, BIOLOGICAL |
| S CODES | ASSIGNED FOR SERVICES SUCH AS DRUGS AND SUPPLIES FOR WHICH CODES ARE NEEDED FOR THE PRIVATE INSURANCE SECTOR FOR POLICES, PROGRAMS, OR CLAIMS PROCESSIONING |
| H CODES | USED BY THE STATE MEDCAID AGENCIES TO IDENTIFY MENTAL HEALTH SERVICES SUCH AS ALCOHOL & DRUG TREATMENT SERVICES |
| CATEGORICALLY NEEDED | AGED, BLIND, OF DISABLED INDIVIDUALS OR FAMILIES AND CHILDREN WHO MEET FINANCIAL ELIGIBILITY REQUIREMENT 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 & PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT | THE EPSDT PROGRAM COVERS SCREENING AND DIAGNOSTIC SERVICES TO DETERMINE PHYSICAL OR MENTAL DEFECTS IN RECIPIENTS YOUNGER THAN 21 YRS OF AGE |
| MEDICALLY NEEDED | PERSONS IN NEED OF FINANCIAL ASSISTANCE OR WHOSE INCOME AND RESOURCE WILL NOT ALLOW THEM TO PAY FOR THE COST OF MEDICAL CARE |
| MATERNAL & CHILD HEALTH PROGRAM (MCHP) | A STATE SERVICE ORGANIZATION TO ASSIST CHILDREN YOUNGER THAN 21 YRS OF AGE WHO HAVE CONDITIONS LEADING TO HEALTH PROBLEMS |
| PRIOR APPROVAL | THE EVALUATION OF A PROVIDER REQUEST FOR A SPECIFIC SERVICE TO DETERMINE THE MEDICAL NECESSARY & APPROPRIATENESS OF THE CARE REQUESTED FOR A PATIENT |
| SHARE OF COST | THE AMOUNT THE PATIENT MUST PAY EACH MONTH BEFORE HE OR SHE CAN BE ELIGIBLE FOR MEDICAID |
| RECIPIENT | A PERSON CERTIFIED BY THE LOCAL WELFARE DEPARTMENT TO RECEIVE THE BENEFITS OF MEDICAID UNDER ONE 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 PATIENT PAYMENT OF A PORTION OF THE COST AT THE TIME OF SERVICE |
| MEDICAID | A FEDERALLY AIDED, STATE OPERATED AND STATE ADMINISTRATED PROGRAM THAT PROVIDES MEDICAL BENEFITS FOR CERTAIN LOW INCOME PERSONS IN NEED OF HEALTH AND MEDICAL CARE |
| MEDI-CAL | CALIFORNIA VERSION OF 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:
deefuerte
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