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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