Important Documents and Notices
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Advance Beneficiary Notice (ABN)
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| The legal obligation of providers to explain use and disclosure of patient's protected health information (PHI). | show 🗑
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| show | Written Consent
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| show | Authorization
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| A patient's permission evident by signature for treatment, payment, or health care operations. | show 🗑
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| A document supplied by the insurance payer, sent to the provider, that provides notice and explanation of reasons for payment, adjustment, denial and/or uncovered charges of a claim. | show 🗑
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| show | Notice of Exclusion from Medicare Benefits
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| Written recommendation to a specialist. | show 🗑
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| Describes the services rendered, payment covered, and benefit limits and denials; sent to patient from insurance company. | show 🗑
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| show | Medicare Summary Notice (MSN)
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| show | Authorization
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| A written request for verification of benefits. | show 🗑
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Created by:
cattomko
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