IN THE OFFICE
ABBREVIATIONS
DEFINITIONS
NEED TO KNOW
FRUIT SALAD
100
non-PAR mean?
THAT THE PROVIDER DOES NOT PARTICIPATE WITH THE PATIENT'S INSURANCE
100
CMS
What is CENTER FOR MEDICARE AND MEDICAID
100
Primary policy determination for covered children
What is BIRTHDAY RULE
100
Allowed charges
What is Maximum amount the payer will allow for a procedure or service
100
Encounter form
What is Physician’s financial record source document
200
PAR
What is PARTICIPATING PROVIDER
200
NDC
What is NATIONAL DRUG CODE
200
Hospital financial record source document
What is CHARGEMASTER
200
Electronic flat file
What is Clearinghouse claims processing format
200
Modifiers
What is Reported on claims to provide clarification about procedures and services performed
300
WHAT IS AN ENCOUNTER FORM?
What is THE PHYSICIAN'S FINANCIAL RECORD SOURCE DOCUMENT
300
VAN
What is VALUE ADDED NETWORK
300
Actions inconsistent with accepted practices
What is ABUSE
300
Fraud
What is Intentional deception or misrepresentation
300
INTERROGATORY
What is Document containing a list of questions that must be answered in writing
400
ELECTRONIC TRANSACTION STANDARDS
What is UNIFORM LANGUAGE FOR ELECTRONIC DATA INTERCHANGE
400
MAC
What is MEDICARE ADMINISTRATOR CONTRACTOR
400
Storage of documentation for an established period of time
What is RECORD RETENTION
400
Privileged communication
What is Information communicated by a patient to a healthcare provider
400
The right of individuals to keep their information from being disclosed to others is called?
What is PRIVACY
500
ANSI ASC X12 IS?
What is Electronic format standard that uses a variable length file
500
SCHIP
What is STATE CHILDREN'S HEALTH INSURANCE PROGRAM
500
Means to encode a computer file, making it safe for electronic transmission
What is ENCRYPT
500
Public law that defines crimes and their prosecution is called?
What is CRIMINAL LAW
500
COMPONENT CODE
What is Part of a major procedure or service with a lower relative value unit
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