Term
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Definition
Medicare Part A:
a) automatic coverage under social security
b) optional coverage under social security
c) hospice care coverage
d) prescription drug coverage
e) physician visit coverage
f) beneficiary pays premium for coverage
g) codes assigned for payment using ICD-9-CM, Vol 1, 2; CPT; and HCPCS
h) all of the above |
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Term
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Definition
Medicare Part B:
a) automatic coverage under social security
b) optional coverage under social security
c) hospice care coverage
d) prescription drug coverage
e) physician visit coverage
f) beneficiary pays premium for coverage
g) codes assigned for payment using ICD-9-CM, Vol 1, 2; CPT; and HCPCS
h) all of the above
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Term
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Definition
Medicare Part C:
a) automatic coverage under social security
b) optional coverage under social security
c) hospice care coverage
d) prescription drug coverage
e) physician visit coverage
f) beneficiary pays premium for coverage
g) codes assigned for payment using ICD-9-CM, Vol 1, 2; CPT; and HCPCS
h) all of the above
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Term
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Definition
Medicare Part D:
a) automatic coverage under social security
b) optional coverage under social security
c) hospice care coverage
d) prescription drug coverage
e) physician visit coverage
f) beneficiary pays premium for coverage
g) codes assigned for payment using ICD-9-CM, Vol 1, 2; CPT; and HCPCS
h) all of the above
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Term
| Health Insurance Portability and Accountability Act |
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Definition
| What does HIPAA stand for? |
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Term
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Definition
| What is an abbreviation for Outpatient Resource-Based Relative Value Scale? |
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Term
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Definition
| individual covered under Medicare |
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Term
| Department of Health and Human Services |
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Definition
| What does DHHS stand for? |
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Term
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Definition
| Abbreviation for Centers for Medicare and Medicaid Services |
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Term
| Health Care Financing Administration |
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Definition
| What does HCFA stand for? |
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Term
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Definition
| What was formerly known as the HCFA? |
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Term
| Medicare Administrative Contractors |
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Definition
| What does MACs stand for? |
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Term
| Durable Medical Equipment |
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Definition
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Term
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Definition
| physicians, hospitals, and other suppliers that furnish care or supplies to Medicare patients |
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Term
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Definition
| The 20% that Medicare does not pay |
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Term
| Quality Improvement Organization |
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Definition
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Term
| Medical Severity Diagnosis Related Groups |
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Definition
| What does MS-DRG stand for? |
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Term
| Health Maintenance Organization |
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Definition
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Term
| Provider-Sponsored Organization |
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Definition
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Term
| Preferred Provider Organization |
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Definition
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Term
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Definition
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Term
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Definition
| What is the major third party payer in the U.S.? |
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Term
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Definition
| When was the Medicare program started? |
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Term
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Definition
| What part of Medicare is hospital insurance? |
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Term
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Definition
| T or F: Beneficiaries of Mediare are automatically covered for hospital insurance |
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Term
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Definition
| What part of Medicare is Supplemental Medical Insurance? |
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Term
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Definition
| activities involving the transfer of health care information |
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Term
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Definition
| the movement of electronic data between two entities and the technology that supports the transfer |
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Term
| Electronic Data Interchange |
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Definition
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Term
| Protected Health Information |
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Definition
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