Financial Practices

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Author:
ripken7
ID:
153807
Filename:
Financial Practices
Updated:
2012-05-14 16:31:47
Tags:
Financial Practices
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Description:
quiz 1
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  1. Signing over of benefits by the beneficiary to another party.
    Assignment of Benefits
  2. method to determine which of 2 or more policies covering a dependent child will be primary; the parent with the bday first in the calendar year is the primary
    Birthday Rule
  3. person under a policy elgible to receive benefits
    Beneficiary
  4. the amt of incurred medical expenses that must be met before the insurance policy will begin to pay
    Deductible
  5. gross income divided by the amt that could have been collected less disallowances.
    Collection Ratio
  6. percentage paid by the company or that paid by the insured.
    Coinsurance
  7. payment required when seen by the provider
    Co-payment
  8. the provision of an insurance contract that limits benefits to 100% of the cost.
    Coordination of Beneifts
  9. obtaining an insurance carrier's consent to proceed with patient care and treatment
    Pre-authorization
  10. high deductible and low monthly premium pay out of pocket for o/v and prescriptions
    Major Medical
  11. reporting period
    Fiscal
  12. low-income insurance funded by the fed. gov. considered after primary ins.
    Medicaid
  13. largest in the US. For 65+ years, disability, and chronic kidney disease.
    Medicare
  14. Usual, Customary, and Reasonable; fee schedule used by Medicare
    UCR

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