the Test
Indemnity - 🧠 ANSWER ✔✔Health ins plan in which pts may select dr or
hosp and providers bill the pt or their ins their normal fees for svc. coverage
is usually provided for diag test or cond caused by disease, illness, or
injury. Routine screening and well vts are not always covered, also known
as "fee-for-service".
Joint Commission - 🧠 ANSWER ✔✔Which organization evaluates the
policies, procedures, and outcomes of care provided by hospitals?
, This organization has been responsible for accrediting healthcare
organizations since the middle 1950s and determines whether the
organization is continually monitoring and improving the quality of care they
provide.
Inpatient - 🧠 ANSWER ✔✔term used when a patient is admitted to the
hospital w/ the expectation that the pt will stay for a period of 24 hrs or
more
Medical Record Number - 🧠 ANSWER ✔✔Unique number associated with
your name in the medical record
MRN
No Balance Billing Provision - 🧠 ANSWER ✔✔provider contract clause
which states the provider agrees to accept the amount the plan pays as
payment in full not to bill the members/(except co-pays, coinsurand
deductables)
Correct Coding Initiative - 🧠 ANSWER ✔✔federal legislation that attempts
to eliminate unbundling or other inappropriate reporting of procedural codes
for professional medical services rendered to patients