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Health Insurance Flashcards | Quizlet


Acceptance of assignment

Under governmental health care programs, a physician's agreement to accept the allowed charge as payment in full.


Refers to a medical condition that runs a short but relatively severe course. May also refer to a sudden exacerbation of a chronic condition.

Advance beneficiary notice

Medicare form used to inform a patient that a service to be provided is not...

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Medicare Flashcards | Quizlet

Part D Prescription Drug Coverage

Medicare Part A 1

What Does Part A Cover?

Inpatient care in hospitals (such as critical access hospitals, inpatient rehabilitation facilities, and long-term care hospitals)

Considered an inpatient the day a doctor formally writes an Inpatient admit order

Inpatient care in a skilled nursing facility (not custodial or long term care)

Hospice care services


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Medicare Certification Flashcards | Quizlet



T/F: When Medicare began in July 1, 1966, it was the primary payer for all beneficiaries except for those who had benefits from Large Group Health Plans (LGHPs).


T/F: For diagnostic tests provided to Part A beneficiaries that are split into technical component and a professional component, both components are subject to Skilled Nursing Facility Consolidated Billing.


T/F: A...

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TRICARE Fundamentals Course (TFC) Pre-Test/Final Exam ...

TRICARE Fundamentals Course (TFC) Pre-Test/Final Exam



Which of the following BEST describes a stateside managed care option for active duty service members who live and work in a designated remote area?

TRICARE Prime Remote

Which of the following may file a claim with TRICARE?

All answers apply

Which of the following categories of beneficiaries is not eligible for TRICARE...

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Health Information Chapter 5 Flashcards | Quizlet

In healthcare, these data facts usually describe:

specific characteristics of individual patients.

The term data is plural. Although the singular form is:


Datum (singular form of data)

oThe term that is frequently used to describe a single fact or measurement is data element

oFor example, age, gender, insurance company, and blood pressure are all data elements concerning a patient.

The term...

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