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Health Insurance & Claims Chapter 2

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Prospective payment system used to calculate reimbursement for outpatient care according to similar clinical characteristics and in terms of resources required.   show
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show CMS-1500  
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show copayment (copay)  
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show deductible  
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Reimbursement for income lost as a result of a temporary or permanent illness or injury.   show
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Health care coverage available through employers and other organizations.   show
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show group medical practices  
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show Health Insurance Portability and Accountability Act of 1996 (HIPAA)  
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show major medical insurance  
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show Medicaid  
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show Medicare  
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show Omnibus Budget Reconciliation Act of 1981 (OBRA)  
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show preventive services  
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show prospective payment system (PPS)  
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show quality improvement organization (QIO)  
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show Resource Utilization Groups (RUGs)  
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show Resource-Based Relative Value Scale system (RBRVS)  
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show subrogation  
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Who other than an insurance company administers health care plans and process claims, thus serving as a system of checks and balances for labor and management.   show
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