general insurance
What does a hold harmless clasuse mean for the patient?
They are NOT responsible for what the insurance does not cover
which coding system is used to report procedures on a claim ?
CPT
what term describes the principles of right and good conduct that govern members of a profession?
ethics
what is the insurance that covers people over 65 and those disabled ?
medicare
pt has a $500 deductible - they go to the ED and are charged $2000. What is the amount they will have to pay (before any co-insurance)
$500
What is it called (what are we "proving") when we link procedures to a diagnosis
Medical necessity
which coding system is used to report diagnosis
ICD-10-CM
what is the amount of money you must pay each year before insurance pays anything?
deductible
what insurance is for people with limited income and children?
medicaid
Dr participates in the insurance>
Charges $200
Insurance allowed amt is $100
Pt has no deductible and no-co-insurance - how much are they responsible for?
0
CMS is an agency located within the department of:
DHHS (dept health and human services)
what coding system is used to report durable medical equipment?
HCPCS
what is the percentage you must pay after the deductible has been met ?
co-insurance
what type insurance is offered to workers form their employers?
group health insurance
NON-PAR:
charge $150
ins allows: $100
pt is repsonsible for (after insurance pays)
$50
What type of insurance covers workers when they are injured at work
Workers comp
the ICD manual is published by:
WHO (WORLD HEALTH ORGANIZATION)
what is the fixed amount you pay at every visit
co-payment
what is the name of the insurnace offered to enlisted military members?
tricare
Pt has co-insurance (deductible has been met)
Dr charges: $200
Ins allows: $150
Pt responsible for:
$30
the word "embezzle" means to:
steal
CPT manual is published by?
AMA (American Medical Assoc)
what is the monthly amount you pay to the insurance company?
premium
Name the 3 types of government sponsored insurance plans
medicare
medicaid
tricare
Dr PAR
Charges $200
Allowed: $100
Pt has $50 deductible left and co-insurance - what do they have to pay?
$70