link 4 ch 12
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| show | medicare part A
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| show | medicar part B
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| show | Medicare
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| show | center for medicare and medicaid services
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| show | the center for medicare management
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| show | the center for beneficiary choices
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| show | the center for medicaid and stat operations
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| show | custodial services
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| show | hospice
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| A short-term inpatient stay that may be necessary for the terminally ill patient to give temporary relief to the person who regularly assists with home care is known as | show 🗑
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| In the medicare program, monthly fee that enrollees pay for medicare part B medical insurance is called a | show 🗑
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| show | nonbenefits
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| show | medicare part C
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| What provides seniors and people living with disabilities with a prescription drug benefits by covering prescriptions used for conditions bot already covered by other plans. | show 🗑
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| This is a list of drugs that a plan covers. | show 🗑
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| show | medigap
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| show | diagnostic cost group
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| Informants who report physicians suspected of defrauding the federal government are called | show 🗑
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| show | qui tam action
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| show | participating physician
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| show | this means participating physician
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| When a physician does not have a signed agreement with medicare and has an option about assignment is known as | show 🗑
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| show | this means nonparticipating physician
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| An agreement in which a patient assigns the right to recive payment from the medicare administrative contractor to the physician is known as | show 🗑
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| This is a percentage limit on fees specified by legislation, that nonpar physicians may bill medicare beneficiaries above the fees schedule amount | show 🗑
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| What form clearly stats that the service is never covered by medicare and the patient is responsible for payment | show 🗑
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| Also known as waiver of liability agreement or responsibility statment is an agreement given to the patient to read and sign before rendering service if the participating physician thinks that it may be denied for payment by medicare | show 🗑
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| show | (advance beneficiary notice of noncoverage)
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| NEMB | show 🗑
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| show | elective surgery
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| CCI | show 🗑
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| show | correct coding initiative
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| show | prospective payment system
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| PPS | show 🗑
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| What is the amount that medicare participating providers agree to accept and charges can be higher or lower that the fee the physician lists on the claim | show 🗑
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| show | remittance advice
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| A bill for services rendered to a patient receiving benefits simultaneously from nedicare or medicaid and a medigap plan in which medicare pays first and then determines the amounts of inmet deductible and coinsurance to be paid by the secondary carrier | show 🗑
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| MG | show 🗑
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| CMS | show 🗑
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| SSI | show 🗑
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| A programof income for low-income, aged, blind, and disabled persons established by title XVI of the social security act | show 🗑
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| DCGs | show 🗑
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| CLIA | show 🗑
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| show | (resource-baced relative value scale)
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| This is a system medicare uses for establishing fees that takes into account work, overhead expense, and malpractice values for all cpt codes that are published in federal register each november | show 🗑
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| show | (relative value unit)
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| A monetary value assigned to each service on the basis of the amount of physician work, practice expenses, and cost of professional liability insurance. They are then adjusted according to geographic area and used in a formula to determin medicare fees | show 🗑
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| show | (physician quality reporting initiative)
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| What is a voluntary pay-for-reporting program for providers who successfully report quality information related to services provided to patients under medicare part B between july 1 to december 31 | show 🗑
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| show | (recovery audit contractor initiative)
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| A proposal of legislation thats goals are to identify medicare underpayments and overpayments and recover overpayments using automated review and complex review in which after a complex review is done by human review of the record | show 🗑
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| ICF | show 🗑
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| show | intermediate care facilities
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| MSN | show 🗑
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| show | medicare summary notice
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| RA | show 🗑
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| VPS | show 🗑
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| show | volume performance standard
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| A type of substitute coverage when a physician is on vacation is known as | show 🗑
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| A type of substitute coverage when on-call situations occur is known as | show 🗑
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