Chapter 4

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kezdjen tanulni

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kérdés		válasz
FEHBP federal employees health benefit program kezdjen tanulni		and employer sponsored health insurance program available to employees of the federal government
workers compensation kezdjen tanulni		a program that provides health care benefits two employees who are injured on the job
Medicare kezdjen tanulni		a federal program that Pays healthcare costs for the elderly permanently disabled and those with end-stage renal disease
CMS center for Medicare and Medicaid services kezdjen tanulni		the federal agency that administers the Medicare and Medicaid programs
self-referral /kickbacks kezdjen tanulni		health care providers are prohibited under federal law from referring patients 2 Laboratories or other health services in which they have a financial interest. Stark law 1
TRICARE kezdjen tanulni		A Health insurance program offered by the department of Defense to military personnel
Medicare A kezdjen tanulni		pays for inpatient Hospital services critical access hospitals and skilled nursing facilities
Medicare B kezdjen tanulni		Physician Services, outpatient hospital care, and some services
SCHTP kezdjen tanulni		Federal program that targets low-income children whose parents do not qualify for Medicaid and unable for private insurance
Medicaid funding kezdjen tanulni		funded by taxpayer income tax payments to the government's General Revenue
Medicaid spending distribution kezdjen tanulni		state uses FMAP
medical coding kezdjen tanulni		offices use this to determine how much to charge a patient
upcoding kezdjen tanulni		submitting a claim they never did or a different code at a higher rate
OPM office of personnel management kezdjen tanulni		human resources department of federal government
Medicare eligibility kezdjen tanulni		has to be 65 years or older, permanently disabled or end stage renal disease
what is the basic or primary purpose of workers compensation kezdjen tanulni		provides health care benefits to employees who are injured and eliminate the need for an employee to sue employer

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