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14 Cards in this Set
- Front
- Back
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What is ABN and what is it used for?
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Advance beneficiary notice-must be signed for service not carried by Medicare
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What does Medicare cost? Medicaid?
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Medicare is used as a deductible and Medicaid patients don't have to pay
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Who runs Medicaid? Medicare?
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Medicaid: federal and state
Medicare: federal government |
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Which part of Medicare do participants usually not pay premium for?
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Part A
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What volume of the ICD-9 is used for coding hospital services?
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Volume 3
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What does workers compensation provide?
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Provides compensation to employees who suffer job-related injuries and illnesses
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The "X" in ICD-10 code S64.8X1A represents?
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Place holder
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When using multiple modifiers, what is the modifier used first?
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99/E-M code
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What is anther term for "cafeteria plan"?
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"Fsa" flexible spending act
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What is the date format used for OCR scannable claims?
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8-digit birth date
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What are 4 types of managed care plans?
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(POS) point of service
HMO EPO PPO |
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Which type of coverage is has lower out- of-pocket costs, individual plans or managed care plan?
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Managed care plan
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A POS (point-of-service) plan allows a participant to Do what?
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Plans participant to go outside the plans network at the point of service
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Are indemnity plans also called fee-for-service plans? Can patients choose their own provider? Often has an annual deductible and co-pay?
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Yes,yes,yes
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