Chapter 4

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begynn å lære

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

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