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HOW MANY WEEKS FOR EACH TYPE OF CLAIM FORM TO RETURN FROM BILLING
- 1. ELECTRONIC 7-14 DAYS
- 2. PAPER 6-8 WEEKS
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MEDICARE PART D
DRUGS AND PRESCRIPTIONS
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MEDICARE PART A
INPATIENT
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2 NAMES FOR CLAIMS FORMS
- 1. UNIVERSAL CLAMIS FORM
- 2. CMS-1500
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3 WAYS TO VERIFY INSURANCE
- 1. TELEPHONE
- 2. ONLINE
- 3. PASSPORT
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MEDICARE PART B
OUTPATIENT
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PREMIUM
MONEY PAID MONTHLY, QUARTERLY, OR ANNUALLY TO THE INSURANCE COMPANY
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WORKERS' COMPENSATION
INSURANCE SUPPLIED BY A WORKERS' EMPLOYER FOR INJURY'S THAT OCCURRED WHILE ON THE JOB.
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HEALTH INSURANCE
PROTECTION FOR INDIVIDUALS FROM ILLNESS OR INJURY
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DEPENDENT
FAMILY MEMBER COVERED UNDER A HEALTHCARE PLAN
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CO-PAYMENT
SET AMOUNT OF MONEY PAID AT THE TIME OF SERVICE
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CARRIER
A COMPANY THAT ASSUMES THE RISK OF AN INSURANCE POLICY
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GUARANTOR
PERSON RESPONSIBLE FOR PAYING THE MEDICAL BILL
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POLICYHOLDER
PERSON WHO CARRIES THE INSURANCE
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HANDSET (Phone)
THE HANDSET SHOULD BE HELD IN THE CENTER, WITH THE MOUTHPIECE APPROXIMATELY 1-INCH IN FRONT OF THE LIPS.
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TYPICAL QUESTIONS TO ASK A CALLER TO DETERMINE THE VALIDITY AND DISPOSITION OF AN EMERGENCY
- 1. At what telephone number can you be reached?
- 2. Where are you located?
- 3. What are the Chief Symptoms?
- 4. When did they start?
- 5. Has this happened before?
- 6. Are you alone?
- 7. Do you have transportation?
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WHAT IS THE MINIMUM OF 7 ITEMS TO TAKE A PHONE MESSAGE
- 1. Name of person to whom the call is directed
- 2. Name of the person calling
- 3. Caller's daytime, evening, and/or cell phone number
- 4. Reason for the call
- 5. Action to be taken
- 6. Date and time of the call
- 7. Initials of the person taking the call
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PROVIDER
AN INDIVIDUAL OR COMPANY THAT PROVIDES MEDICAL CARE AND SERVICES TO A PATIENT OR THE PUBLIC
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CLARITY
THE QUALITY OR STATE OF BEING CLEAR
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JARGON
THE TECHNICAL TERMINOLOGY OR CHARACTERISTIC IDIOM OF A PARTICULAR GROUP OR SPECIAL ACTIVITY, AS OPPOSED TO LAY TERMS.
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MONOTONE
A SUCCESSION OF SYLLABLES, WORDS OR SENTENCES IN AN UNVARIED KEY OR PITCH.
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PITCH
THE PROPERTY OF A SOUND, ESPECIALLY A MUSICAL TONE, THAT IS DETERMINED BY THE FREQUENCY OF THE WAVES PRODUCING IT; THE HIGHNESS OR LOWNESS OF SOUND.
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AMENITY
SOMETHING CONDUCIVE TO COMFORT, CONVENIENCE, OR ENJOYMENT
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DEMOGRAPHIC
THE STATISTICAL CHARACTERISTICS OF HUMAN POPULATIONS (as in age or income) USED ESPECIALLY TO IDENTIFY MARKETS
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PERCEPTION
A QUICK, ACUTE, AND INTUITIVE COGNITION; A CAPACITY FOR COMPREHENSION.
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PROGRESS NOTES
NOTES USED IN THE MEDICAL RECORD TO TRACK THE PATIENT'S PROGRESS AND CONDITION.
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DEMOGRAPHIC INFORMATION
- 1. Patient's full name and date of birth
- 2. Responsible person's name and relationship to the patient
- 3. Address and telephone number
- 4. Name, address, and telephone number of spouse
- 5. Occupation
- 6. Place of employment
- 7. Social Security Number
- 8. Driver's License Number
- 9. Nearest relative not living with the patient and his/her relationship to patient
- 10. Source of referral, if any
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BACKORDER
AN ORDERED ITEM THAT IS NOT DELIVERED WHEN PROMISED OR DEMANDED BUT WILL BE FILLED AT A LATER DATE.
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BUDGET
A PLAN FOR THE COORDINATION OF RESOURCES AND EXPENDITURE, THE AMOUNT OF MONEY AVAILABLE OR REQUIRED FOR A PARTICULAR PURPOSE.
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OUTSOURCING
THE PRACTICE OF SUBCONTRACTING WORK TO AN OUTSIDE COMPANY
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OVERHEAD
THE ONGOING ADMINISTRATIVE EXPENSES OF A BUSINESS THAT CANNOT BE ATTRIBUTED TO ANY SPECIFIC BUSINESS ACTIVITY BUT ARE STILL NECESSARY FOR THE BUSINESS TO FUNCTION. (e.g. rent, utilities, insurance)
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CHRONOLOGIC ORDER
OF, RELATING TO, OR ARRANGED IN OR ACCORDING TO THE ORDER OF TIME
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OBJECTIVE INFORMATION
INFORMATION THAT IS GATHERED BY WATCHING OR OBSERVATION OF A PATIENT
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POWER OF ATTORNEY
A LEGAL INSTRUMENT AUTHORIZING ONE TO ACT AS THE ATTORNEY OR AGENT OF THE GARANTOR
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SUBJECTIVE INFORMATION
INFORMATION THAT IS GAINED BY QUESTIONING THE PATIENT OR TAKEN FROM A FORM
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ACCOUNT BALANCE
THE AMOUNT OWED ON AN ACCOUNT
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FEE SCHEDULE
A COMPILATION OF PRE-ESTABLISHED FEE ALLOWANCES FOR GIVEN SERVICES OR PROCEDURES
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FISCAL AGENT
AN ORGANIZATION UNDER CONTRACT TO THE GOVERNMENT (as well as some private plans) TO ACT AS FINANCIAL REPRESENTATIVES IN HANDLING INSURANCE CLAIMS FROM PROVIDERS OF HEALTHCARE; ALSO REFERED TO AS FISCAL INTERMEDIARY.
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MEDICALLY INDIGENT
ABLE TO TAKE CARE OF ORDINARY LIVING EXPENSES BUT UNABLE TO AFFORD MEDICAL CARE
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PROFESSIONAL COURTESY
REDUCTION OR ABSENCE OF FEES TO PROFESSIONAL ASSOCIATES
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