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10 Cards in this Set
- Front
- Back
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NATIONAL NUMERIC CODES
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ALPHANUMERIC CODES DEVELOPED BY HCFA
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NONPARTICIPATING PHYSICIAN (NONPAR)
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PROVIDER WHO DOES NOT HAVE AGREEMENT WITH MEDICARE
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NURSING FACILITY
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SKILLED NURSING CARE
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PARTICIPATING PHYSICIAN(PAR)
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PHYSICIAN WHO CONTRACTS WITH AN HMO
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PREMIUM
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COST OF INSURANCE PAID ANNUALLY, SEMIANNUALLY, OR MONTHLY
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PROSPECTIVE PAYMENT SYSTEM (PPS)
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METHOD OF PAYMENT FOR MEDICARE HOSPITAL INSURANCE BASED ON DIAGNOSIS
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QUI TAM ACTION
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ACTION TO RECOVER A PENALTY
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REASONABLE FEE
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CHARGE DEEMED ACCEPTABLE AFTER PEER REVIEW EVEN THOUGH DOESNT MET CRITERIA
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RELATIVE VALVE UNIT (RVU)
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AMOUNT OF PHYSICIAN WORK, PRACTICE EXPENSES, OTHER EXPENSES
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REMITTANCE ADVICE(RA)
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DETAILING SERVICE BILLED MEDICARE AND MEDICAD
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