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Exam 3 week 3
med insurance
22
Medical
Undergraduate 1
06/12/2011

Additional Medical Flashcards

 


 

Cards

Term
65 + S.S.I qualify for Medicare part 
Definition
Part A & b
Term
Under MEDICARE participating physician doesnt pay
Definition
(ABN )ADVANCE BENEFICIARY NOTICE
Term
IF MEDICAL CLAIMS HAVE TO BE FILED BY DEC 31ST OF NEXT YEAR. ex: 6.30.2009
Definition
FILE BY 12.31.10
Term
MEDICARE NON PARTICIPATING PROVIDER CAN BILL 115%
Definition
THE APPROVED CHARGE ON THE NON PART. FEE SCHEDULE
Term
HOSPICE COVERED BY MEDICARE PART A
Definition
TRUE
Term
OP SUGERY COVERED BY MED PART A
Definition
FALSE(MED. PART B)
Term
LIMITING ? MED CAN BE BILLED BY EITHER NON & PARTICIPATING PHYSICIAN
Definition
FALSE(ONLY NON PART CAN)
Term
MEDICAID QUALIFIES
Definition
MEDICALLY AND CATIGORALLY NEEDY
Term
MEDICAID YOU MUST HAVE HIGH INCOME
Definition
FALSE(LOW INCOME)
Term
CROSSOVER CLAIM-WHEN PRIMARY TO SECONDARY
Definition
TRUE
Term
MEDICAID (STATE) MEDICALLY & CATEGORY SAME
Definition
FALSE
Term
EPSDT -
Definition
FOR EARLY PREVENTION IN CHILDREN UNDER 21
Term
MOST MED BENEFICIARY  HAVE WHAT PLAN?
Definition
MANAGED CARE
Term
TRICARE CATASTROPHIC CAP MAXIMUM
Definition
TRUE
Term
TRICARE SERVING VETERAN 100% 
Definition
FALSE(CHAMPVA)
Term
TRICARE DEERS(DEPARTMENT ENROLLMENT ELIGIBILITY .....
Definition
TRUE
Term
AMBULATORY =
Definition
OUTPATIENT
Term
CHARGE MASTER CONTAINS BILLS CHARGES
Definition
TRUE
Term
COMORBORITY ARE CODED WHETHER IT DOESNT AFFECT
Definition
FALSE
Term
HOSPITAL ADMISSION
Definition
PRINCIPAL
Term
POA
Definition
PRESENT ON ADMISSION
Term
POA ARE REINBURSED AVOIDABLE,  COMPLICATION ARE NOT
Definition
TRUE
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