Chapter 4

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börja lära sig

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Fråga		Svar
FEHBP federal employees health benefit program börja lära sig		and employer sponsored health insurance program available to employees of the federal government
workers compensation börja lära sig		a program that provides health care benefits two employees who are injured on the job
Medicare börja lära sig		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 börja lära sig		the federal agency that administers the Medicare and Medicaid programs
self-referral /kickbacks börja lära sig		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 börja lära sig		A Health insurance program offered by the department of Defense to military personnel
Medicare A börja lära sig		pays for inpatient Hospital services critical access hospitals and skilled nursing facilities
Medicare B börja lära sig		Physician Services, outpatient hospital care, and some services
SCHTP börja lära sig		Federal program that targets low-income children whose parents do not qualify for Medicaid and unable for private insurance
Medicaid funding börja lära sig		funded by taxpayer income tax payments to the government's General Revenue
Medicaid spending distribution börja lära sig		state uses FMAP
medical coding börja lära sig		offices use this to determine how much to charge a patient
upcoding börja lära sig		submitting a claim they never did or a different code at a higher rate
OPM office of personnel management börja lära sig		human resources department of federal government
Medicare eligibility börja lära sig		has to be 65 years or older, permanently disabled or end stage renal disease
what is the basic or primary purpose of workers compensation börja lära sig		provides health care benefits to employees who are injured and eliminate the need for an employee to sue employer

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