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medical billing and coding chapter 2

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Term
Definition
show predetermined percentage the patient is responsible to pay for covered services.  
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copayment   show
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show services outlined in the policy that re payable by the health plan.  
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show amount patient must pay before the insurance will begin to pay for covered benefits.  
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HMO   show
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show services that are not payable by the health plan.  
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out-of-network   show
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show the individual who signs a contract with a health insurance company  
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PPO   show
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ICD-10-CM   show
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Medical record   show
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Malpractice   show
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show are computerized, lifelong healthcare records with data from all sources.  
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Revenue Cycle with Medical Documentation   show
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show protect private health information, ensure coverage, uncover fraud and abuse, and create industry standards  
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Clearinghouse   show
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show Medical record belongs to the provider who created it  
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show impermissible use or disclosure of hippa that could pose significant risk to the affected person.  
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Fraud   show
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PHI   show
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show the amount a patient pays each amount to receive service.  
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