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1 of 20
Term
Medicare has established guidelines called Local Coverage
Determination (LCD) and National Coverage Determination (NCD)
that establish:
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Home Health Agency Patient discharge status code
What serviced or healthcare
items are covered under A POS (point-of-service) plan
Medicare
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2 of 20
, Term
In what type of payment methodology is a lump sum or bundled
payment negotiated between the payer and some or all providers?
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Referral Procedure time
DRG (diagnosis-related
A POS (point-of-service) plan
groups) rates
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3 of 20
Term
Marinating routine contact with health plan or liability payer, making
sure all required information is provided and all needed approvals
are obtained is the responsibility of who:
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Case Management Him Staff
Census Management Team Nursing
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