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Chapter 3 class 2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
exclusion   procedure or service that is not included in the insurance contract  
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time limit   amount of time from day of service to the date the claim can be filed with insurance company  
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waiting period   amount of time a individual must wait to become eligable for insurance  
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medicare   insurance that is offered to individuals age 65 and older or under form of disability  
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medicaid   insurance that is offered to the poor or those on wellfare or disabled individuals  
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reimbursement cycle   a process from start to finish used to collect money in the physician  
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balance   money owed  
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patient registration form   form used to collect patient information  
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encounter form   form that contains areas to check off or write in diagnoses and procedures  
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assignment   transfer of an individuals right to collect amount payable under an insurance contract  
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CHAMPVA   federal program that covers medical expences of spouses and children of veterans of total permanet service connections disabilities  
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managed care   prepaid health plans that deliever a full range of services with a emphasis on prematitive medicine also known as HMO  
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private insurance   individuals and group insurance offer either employment or independtly  
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TRICARE   government sponsored program that provides benefits for dependants of active service personalle  
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unemployment comp disability insurance   coverage for off the job injury or sickness that is paid for by deductions from a person pay check  
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RA(remittance advice)   medicare and medicaid program used to suscribe service that were billed and how the payment was determined  
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provider   individual or organization that provides health care services  
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day sheet   register that shows all the transactions from a patient seen in a day  
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accounts recievable   total amount of money owed for professional services  
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EOB(explanation of benefits)   document that describes services billed and includes the break down and how payment was determined  
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list which forms need signatures that need to be optained from the patient   release of information, finacial agree  
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Created by: kornelas
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