Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
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

4030 wk3

def bbv

QuestionAnswer
ABN ADVANCE BENEFICIARY NOTICE
EOB EXPLANATION OF BENEFITS
UCR USUAL CUSTOMARY REASONABLE
RBRVS RESOURCE-BASED RELATIVE VALUE
E & M EVALUATION AND MANAGEMENT
Rt RIGHT
Lt LEFT
HTN HYPERTENSION
FI FISCAL INTERMEDIATE
Diag DIAGNOSIS
UTI URINARY TRACT INFECTION
OIG OFFICE OF THE INSPECTOR GENERAL
HIPAA HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT
CMS CENTERS FOR MEDICARE AND MEDICAID SERVICES
S/P STATUS POST
ADVANCED BENEFICIARY NOTICE a form stating that the service may not be covered must be signed in advanced before service is done
CHARGE TICKET a document used by the practice to aid in insuring that correct codes are being used for billing and coding
OFFICE OF THE INSPECTOR GENERAL has the authority to suspend exclude terminate and impose fines and penalties on providers, practitioners that commit fraud
FALSE CLAIMS ACT a federal law that allow people not affiliated w/ the gov. to report fowl actions against federal contractor claiming fraud against the government fna the whislebloweres act
FRAUD an intentional misrepersentation of the facts to deceive or mislead
ABUSE incidents or practices, not usually considered fraudulent, that are inconsistent w/ accepted sound medical buniness or fical practices
JOINT COMMISSION ON THE ACCREDITATION OF THE HOSPITAL ORGANIZATION requirements for reimbursment by a third-party carrier validates by quality of care and provide a competitive edge over facility that are not a credit.
WHISTLE BLOWERS PROTECTION ACT ropart physicans suspected of defrauding the federal gov.
QUI TAM PROVISION an action to recover a penalty brought on by an informer in a situation in which one portion of recovery goes to the informer and the other portion to the state or government
MANUEL REVIEW AND FLAG all claims even those that are typicaly wiuld be processed automatically will be flaged if a practice or provider is found guilty of fraud.
LINE ITEM represent one line of the claim
COMPLAINCE PROGRAM a process of meeting regualtions, recommedations and expectations of federal and state agenies that pays for healtth service.
HEALTH INSURANCE PORTABLY AND ACCOUNTABLE ACT a set of standards that are required the the confidentiality of patients records and the processing of health care claims.
EXPLANATION OF BENEFITS a document detailing services billed and descibing payment determinatons.
FISCAL INTEREDIARY an oganization that processes claims for care recived
CLEAN CLAIM a claim submitted on time w/ all the nessary info so that it can be processed and paid promptly
Created by: markitaboyles
Popular Medical sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards