primary care physician who controls patient access to specialist.
What is a gatekeeper?
100
An organization which provides pain relief and symptom management to the terminally ill
What is hospice?
100
Disability payments provided to needy people with limited income and few resources
What is SSI?
100
Not covered by the VA, these medications are also referred to as OTC.
What are non-prescription drugs?
100
these are the services covered for a kidney donor
What is pre-op, post-op, and everthing in between (meaning the surgery)?
200
physician liability in certain cases for wrongful acts of assistants and employees
What is respondeat superior?
200
The responsible party if another condition not related to the industrial accident or injury discovered during the course treatment for a workers’ compensation case occurs
What is the patient/worker?
200
this type of policy covers payments for short term conditions which keep a worker out of action for a while
What is disability income insurance?
200
this is how and when an OSHA officer may visit a medical office
What is unannounced, whenever they please?
200
insurance billing specialist, elctronic claims processor, claims assistance professional, medical office specialist, medical assisstant, insurance coder, billing specialist, etc.
What are careers in the billing and coding field?
300
unlike primary care, services provided by specialists (such as neurosurgeons and icu's) are viewed as this
What is tertiary care?
300
Because of separate disclosure laws, separate medical records must be kept for these types of injuries
What are industrial (or on-the-job) injuries?
300
the insured has a work-related impairment that is expected to continue for his or her lifetime
What is permanently disabled?
300
this is when TRICARE prime copayments are made
What is at the time of service?
300
a physician can lose up to 50% of their fees if they assign a deliquent account to one of these
What is a collection agency?
400
Medicaid has this title which explains its priority when determining who should pay for services rendered.
What is payer of last resort?
400
examples include:
-Falsely classifies the job duties of workers
-Gives a false address
-Misrepresents the annual payroll
What is worker's comp fraud?
400
If an employee injury prevents return to a previous occupation, he may get this.
What is training for a new career?
400
four kids, two rats, and a bird (oh, and a wife)
What is Dr. G's family?
400
Not doing something that a reasonable person would do under ordinary circumstances or doing something that a reasonable person would not do
What is negligence?
500
Final determination of issues concerning settlement of an industrial accident
What is adjudication?
500
Vague and dramatic complaints (such as acting like a five-year-old), missing the first physician appointment, or changing physicians frequently, are all signs of this
What are fraudulent worker's compensation claims?
500
These are the two types of Worker's Comp benefits.
What is medical treatment and income replacement?
500
a type of health care provider who is bitter because TRICARE does not cover treatment in his clinic