A
A contract between insurance and an individual group.
MEDICAL INSURANCE
means, insurance is inactive
REJECTED
Certain amount that needs to be met by the provider
Deductible
This means patient to another specialist
REFERRAL
A person who relies on the insured for medical expenses
DEPENDENT
This word originally means " The one who suffers"
PATIENT
Service Code for Emergency
23
2 types of patient status
Inpatient
Observation
Total amount charges for a claim
Billed Amount
Upfront payment to the provider office
CO-PAY
This is used to designate the person who purchases the policy from an insurance company.
INSURED
When did President Lyndon B. Johnson Signed into law legislation that established the Medicare and Medicaid
July 16, 1935
3 modes of verification
RTE, WEBSITE , PHONE CALL
Give at least 2 tax code for Covenant facility
010212435
020222215
what is the meaning of CRNA?
certified registered nurse anesthetists
Amount paid by an individual to the insurance company to purchase health insurance.
PREMIUM
Type of Medicare benefits that covers all the physician charges
MEDICARE PART B
Other term for Outpatient
Bounce out
Also Known As- US Government funded insurance
Federal Insurance
It stands for civilian health and medical program for veterans affairs
CHAMPVA
Amount extent of risk covered by the insurance company.
COVERAGE
What are the basic 2 CPT codes
99221 Inpatient,
g0378 Observation code
Type of Denials
Coverage terminated
Not medically necessary
Insufficient Medical records
Incorrect Tagging
Determines the coverage of the service and approval to perform the service.
PRIOR AUTHORIZATION
Types of Authorization
Prior Auth
Pre-Cert
Pre- Determination
retro Auth