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Medical Coding And Billing Clinical Vocab
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Medical Coding And Billing Clinical Vocab
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11 Questions

1. American Medical Association

2. A provider whose opinion or advice about evaluation or management of a specific problem is requested by another physician

3. A document signed by the patient that is needed for use and disclosure of protected health information for purposes other than treatment - payment or health care operations

4. A managed care system that allows the patient to only select from a defined panel of providers - who are reimbursed on a modified fee-for-service method

5. Unauthorized release of information

6. Programs designed to reduce unnecessary medical services - both inpatient and outpatient

7. Medical services provided on an outpatient basis

8. A group of primary care physicians who have joined together to share the risk of providing care to their patients who are covered by a given health plan

9. Coverage for the treatment obtained from a non-participating provider. Typically - it requires payment of a deductible and higher co-payments and co-insurance than for treatment from a participating provider

10. The dates of healthcare services were provided to the beneficiary

11. A document that is not required before physicians use or disclose protected health information for treatment - payment - or routine health care operations of the patient. (For other purposes - see Authorization form)