4020 Word Scramble
|
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
Normal Size Small Size show me how
Question | Answer |
ABN | advance beneficiary notice |
MMA | medicare prescription improvement & modernization act |
CMS | centers for medicare and medicaid services |
SOF | signature on file |
SSI | social security income |
HCFA | health care financing administration |
CMS-1500 | centers for medicare and medicaid services health insurance claim form |
RBRVS | resource based relative value scale |
RVU | relative value unit |
RA | remittance advice |
MG | medigap |
ERA | electronic remittance advice |
PDP | private prescription drug plan |
EOB | explaniation of benefits |
CCI | correct coding initiative |
ESRD | end stage renal disease |
LCD | local coverage decisions |
advanced beneficiary notice | an agreement given to the patient to read and sign before rendering a service that maybe denied or paid |
assignment | an agreement signed by the patient that assigns the right to recieve payment for the services from the insurance |
correct coding initiative | federal legislation that attempts to eliminate unbundling or other inappropriate reporting of procedure codes for professional medical services rendered to patients |
crossover claim | a calim automatically sent electronically to the secondary payer when a person has both primary and secondary insurances |
hospice | a public agency or private organization primarily engaged in providing pain relief symptom management or terminally ill and their families |
respite care | short term inpatient stay for a terminally ill patient to give temporary relief |
medical necessity | the performance of services and procedures that is consistant with the diagnosis |
medicare part a | hospital coverage no charge |
medicare part b | outpatient coverage |
medi-medi | individual who recieves medicaid and medicare simutaneously |
remittance advice | document detailing services billed and describing payment determination issued to providers |
medicare secondary payer | primary insurance plan of medicare beneficiary that must pay for any medicare or services first before medicare is sent a claim |
whistleblowers | suspected or defrauding the federal government |
established patient | individual who has recieved professional care within the past 3 years from the physician or another physician in the same group practice |
new patient | individual who has not recieved any professional care within the past 3 years from the physicain or another physcian in the same group practice |
review of systems | inventory of systems related to the chief complaint |
key elements | history physical examination medical decision making are the individualized steps in the identification of the correct e/m procedure codes for services performed |
initial visit | first visit during an episode of care |
subsequent visit | visits after the initial or first visit of an episode of care |
medicare | a federal health insurance program for people over 65 or certain disabled/blind people or renal disease regardless of income |
Created by:
secretsluv
Popular Medical sets