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Medicare
MBRS
Persuasion Methods
Injuries
Definitions
100
This is the percentage of medical bills paid by Medicare in the US.
What is 40%
100
This type of injury only has sentry rules?
What is a soft tissue injury
100
" I'm about ready to go on vacation and will be out for 3 weeks."
What is scarcity
100
This is the code used in Colossus for a cervical strain
What injury is 7A01
100
The gross tort value should be documented within what?
What is a risk assessment?
200
This is the percentage of Medicare Allstate will be using to assess the reasonable bill amount
What is 200%
200
Which items will commonly be disallowed through MBRS within initial hospital tx
CT scans and labwork
200
"You can expect a call back."
What is consistency
200
This is the codes used in Colossus for a back sprain
What is 7A02
200
What is MOI?
What is the mechanism of injury
300
This is needed from a clmt to report a claim to Medicare
What is a consent to release form
300
How many days will MBRS deny tx after?
What is 56 days
300
What persuasion tool involves following the actions of others/picking things you can agree on?
What is consensus
300
Where is your meniscus located?
What is the knee
300
GTV stands for what and what does it encompass?
What is gross tort value. It is the overall value of special and general damages including expenses costs regardless of liability.
400
These two groups are entitled to Medicare?
Who is the disabled and people over the age of 65
400
This website posts costs for procedures online and is a free search
What is
AHD.com
400
What persuasion tool involves giving after receiving?
What is reciprocity?
400
TBI stands for what and how is it evaluated?
What is a traumatic brain injury and a manual evaluation
400
What three items should be considered when reviewing your injury claim
What is duration, medical necessity and cost assessment?
500
This is the percentage property and casualty companies pay towards medical bills in the US
What is 3%
500
This amount will be input into the colossus evaluation
What is the concession amount
500
This is an example of authority?
What is Medicare/jurisdictions?
500
How many weeks does a normal soft tissue injury taken to resolve?
What is 6-8 weeks
500
This is the what is known as living in the middle when evaluating your claim. It is in between your evaluation and your demand.
What is the concession range?