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26 Cards in this Set
- Front
- Back
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Ethics
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standards of right & wrong
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Arbitration
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Dispute process; final determination made by impartial person who may not have judicial powers
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Subpoena
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order of court; requires witness to appear in court to testify
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Fraud
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intentional deception
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Litigation
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legal action to recover debt; last resort
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Overpayment
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funds received in excess of amounts due & payable under medicare & medicare
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Clearinghouse
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performs centralized claims processing for providers & health plans
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Subpoena duces tecum
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command to a witness to produce documents
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DePosition
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legal proceeding; Party answers under oath (not in open court)
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Interrogatory
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documents of questions that must be answered in writing
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statue of limitations
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refers to the # of years that certain debts can be collected
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Settlement
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resolution between disputing parties
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Defensive Medicine
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practice of diagnostic as a safeguard
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Security
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safekeeping of patient info
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HIPAA
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standards and safeguards to protect health care info that is collected
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Demand Letter
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demand for restitution
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Precedent
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decision that serves as a guide for similar situations.
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Express Consent
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Consent directly given by voice or in writing
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privileged information
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any info from patient to dr
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Statute of limitations
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maximum period of time to collect debt
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Qui Tam
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abbreviation for Latin phrase
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Good Samaritan Act
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protect dr from liability for civil damages; providing emergency care
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Find changes in Medicare
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program transmittals
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Confidentiality
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legal requir't; patient info be kept secret
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False Claim Act
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civil liability on ppl who submit false claims to gov't for payment
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How overpayment is handled
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Medicare Admiin. isssues overpayment demand letter
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