Insurance regulated by state laws that pays medical expenses and partial loss of wages for workers who are injured on the job or become ill as a result of job-related circumstances.
What is workers' compensation?
100
Health care benefits program for veterans and select dependents.
What is CHAMPVA?
100
Periodic reports that have to be filed after the initial visit to the physician has occurred, and the attending physician report has been filed, unless the employee has returned to work full-time.
What is progress or supplement reports?
200
Individual who is new to the practice, regardless of location of service, or who has not received any medical treatment by the provider or any other provider in that same office within the past three years.
What is a new patient?
200
This helps replace income for a longer time, five years or until the disabled individual turns 65.
What is long-term disability?
200
Voluntary program that gives certain individuals with disabilities greater choice in selecting the service providers and rehabilitation services they need to help them keep working or get back to work.
What is the Ticket to Work program?
200
When a patient psychologically or physically loses his or her ability to perform normal job duties at the previous level of expertise as a result of being absent from work.
What is job deconditioning?
200
The worker's ability to perform his or her job responsibilities is totally lost but on a temporary basis.
What is temporary total disability?
300
To return the injured worker to some sort of suitable, gainful employment that he or she can reasonably achieve and that offers a maximum self-support as soon as practical and as near as possible to what it was before the incident.
What is vocational rehabilitation?
300
A maximum cost limit placed on out-of-pocket expenses for covered medical bills.
What is a catastrophic cap?
300
When the attending health care provider recommends that the patient see another physician for a problem usually associated with one major body system.
What is a consultation?
300
The service member, whether active duty, retired, or deceased, as he or she pertains to health insurance.
Who is the sponsor?
300
Codes which include office visits, hospital visits, and consultations.
What are Evaluation and Management (E/M) codes?
400
When an employer is conspicuously negligent, such as violating federal or state safety standards, failing to correct known defects, or other such careless conduct.
What is egregious?
400
Computerized data bank that lists all active and retired military service members.
What is DEERS?
400
Military health care program that existed for more than 30 years until it was replaced with TRICARE in 1998.
What is CHAMPUS?
400
Bathing, dressing, eating, toileting, getting in or out of bed or chair, and walking are all examples of these.
What are activities of daily living?
400
The annual catastrophic cap for CHAMPVA.
What is $3000?
500
A code which is complete in and of itself.
What is a stand-alone code?
500
Income from employment.
What is earned income?
500
A secure streamlined, world wide web-based system that allows providers to submit TRICARE claims electronically and, in most cases, receive instant results.
What is XPressClaim?
500
A patient's past illnesses, operations, injuries, treatments, and any diseases or conditions said patient may have.
What is past history?
500
The health record must contain adequate documentation to support the use of these.