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By Abby Hernandez R CMA 1/2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Term
Definition
Private Insurance   show
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show Insurance company responsible for paying the claim first  
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Premium   show
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Secondary Insurance   show
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Self Insured   show
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Self pay   show
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show A plan established and maintained for its employees by the Government of the United States, by the government of any State or political subdivision  
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show A fixed out-of-pocket amount paid by an insured for covered services  
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Deductibles   show
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show Is the insurance company’s written explanation regarding a claim, showing what they paid and what the patient must pay  
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Co-insurance   show
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Remittance advice (RA)   show
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show Patients make informed decisions about items and services Medicare usually covers but may not in specific situations  
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show A federal system of health insurance for people over 65 years of age and for certain younger people with disabilities  
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show TRICARE is the uniformed services health care program for active duty service members  
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CHAMPVA   show
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Medicaid   show
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show a government-mandated program that provides benefits to workers who become injured or ill on the job or as a result of the job  
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show If your children need health coverage, they may be eligible for the Children's Health Insurance Program  
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Group Policies   show
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Individual Policies   show
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show An HMO is a health insurance plan that contracts with a network of physicians, hospitals and medical specialists  
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show Health insurance plan for individuals and families  
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show Tax-advantaged personal savings account  
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Flexible Spending Account (FSA)   show
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show Is a tool that assigns codes for diseases, symptoms, abnormal findings, and external causes of a disease or injury  
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show Upcoding occurs when a healthcare provider has submitted codes for more severe conditions than diagnosed for the patient to receive higher reimbursement  
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show Standard claim form  
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Referrals   show
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Participating Provider   show
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show If there is still a balance owed on that bill and the healthcare provider or hospital expects you to pay that balance, you’re being balance billed  
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show The face amount of the policy does not exceed a stated amount  
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show Invoices or reimbursements owed to a medical practice, hospital or other healthcare organization  
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Accounts payable   show
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show A type of credit insurance offered by lenders that provides coverage for your debt in the event  
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Assets   show
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show In financial accounting, a liability is a quantity of value that a financial entity owes  
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show Are often used interchangeably. An EMR allows the electronic entry, storage, and maintenance of digital medical data. EHR contains the patient's records from doctors and includes demographics, test results, medical history, history of illness  
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Created by: abbyhern11
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