USHC TERMINOLGIES
FEDERAL PLANS
MCP
MEDICAL CODING
BONUS DOUBLE POINTS
100

It is a United states Tax processing number issued by the Internal Revenue Service; It is a 9 digit number.

What is Taxpayer Identification Number?

100

It is a medical supplement insurance  policy sold by private company?

What is Medigap?

100

It is a plan that needs referral to visit a specialist.

What is HMO?

100

The process of converting narrative description of diseases and procedures into numeric and alpha and alpha numeric codes.

What is Medical Coding?

100

Physicians trained in the medical and surgical management and treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck. They are commonly referred to as ENT physicians

What is Otolaryngologist?

200

The tendency of people who have a greater-than-average likelihood of loss to apply for
or continue insurance protection to a greater extent than people who have an average or
less-than-average likelihood of the same loss.

What is Anti-selection?

200

It is the healthcare program that the Defense Department of U.S. created for military servants.

What is TRICARE/CHAMPUS?

200

A plan that needs referral from the PCP to see an INN specialist and does not require one for OON.

What is POS? or What is Point-of-Service Plan?

200

The code used for a person with abscess or generalized peritonitis

What is 44960- Appendectomy?

200

A New York State law that requires many health insurance policies issued or delivered in New York State to provide certain minimum benefits for mental illness.

What is Timothy's Law?

300

An amount which has to be spent by the insured before the insurer starts covering the medical expenses of the individual.

What is a deductible?

300

October 15- December 7

When is the open enrollment period or OEP? or Annual Enrollment Period?

300

It is a documentation that needs to be approved first before a member can be directed to a specialist.

What is a referral form?

300

The code for Alcohol and Drug Abuse Treatment, Behavioral health counseling and therapy, group counseling by a clinician, case management, crisis intervention, acute detoxification (hospital inpatient)sub-acute detoxification (residential addiction program inpatient)


What is H0001-H2037?

300

A short-term and time-limited breaks for families and other unpaid care givers of children with a developmental delay, children with behavioral problems, adults with an intellectual disability, and adults with cognitive loss in order to support and maintain the primary care giving relationship.

What is Respite Care?

400

A probability or threat of damage, injury, liability, loss, or other negative occurrence that is caused by external or internal factors.

What is Risk?

400

It is an optional United States federal-government program to help Medicare beneficiaries pay for self-administered prescription drugs.

What is Medicare Part D?

400

It is the entire group of preferred physicians, hospitals and health groups.

What are network providers?

400

This code should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail


What is Ectopic pregnancy, unspecified O00.9?

400

You live in — or are moving in or out of — a skilled nursing facility, nursing facility, intermediate care facility for the mentally retarded, psychiatric hospital or unit, rehabilitation hospital or unit, long-term care hospital, or swing-bed hospital.

What is a Qualifying Event? or What is SEP?

500

A contract between two parties whereby one party
agrees to undertake the risk of another in exchange for consideration known as premium or promises to pay a fixed sum of money to the party on
happening of an uncertain event.

What is an Insurance?

500

A qualifier for an individual to get Medicare even if he/she is not yet 65.

What is ESRD?

500

It is a medical doctor devoted to the study and medical treatment of disorders of the foot, ankle and lower extremity.

What is a Podiatrist?

500

The code for a person who will undergo Modified radical mastectomy

What is 19307 - Breast surgery

500

Designed to provide support to the patient and their loved ones during the final phase of life. Focuses on comfort and provides a better quality of life, with the goal to enable patient to have an alert, pain-free life and live each day as fully as possible.

What is Hospice Care?