Shared Flashcard Set

Details

Document Codes
Codes
26
Health Care
Not Applicable
08/06/2012

Additional Health Care Flashcards

 


 

Cards

Term
P-1
Definition
Full Payment
Term
P-2
Definition
Payment to Fee Schedule
Term
P-3
Definition
Payment/ G Code Denial
Term
P-4
Definition
70% of Billed Amount
Term
P-5
Definition
Low Payment Below 70%
Term
P-6
Definition
Payment/ Further Review
Term
P-S
Definition
Settlement
(agreement between you and the insurance company about your workers' comp. payments and future medical care)
Term
A-1
Definition
Future medical
(able to get on-going medical treatment for a work-related injury)
Term
D-1
Definition
Medical necessity
(Need all Medical Reports)
Term
D-2
Definition
Prior Authorization
Term
D-3
Definition
MPN
(Medical Provider Network)
Term
D-4
Definition
Excess Allowance
Term
D-5
Definition
Unnecessary Treatment
Term
D-6
Definition
Duplicate Billing
Term
D-7
Definition
Denied Claim
(a claim the insurance company thinks your injury or illness is not covered by workers' comp.)
Term
D-8
Definition
Non Industrial
Term
D-9
Definition
Utilization Review
(how the insurance company decides to pay for treatment recommended by your doctor)
Term
D-10
Definition
Liability
(liability to the patient)
Term
D-11
Definition
Further Review needed
Term
D-12
Definition
Self Procured
(out of network)
Term
D-13
Definition
Post termination
(after being fired)
Term
L-1
Definition
Hearing Date Info
Term
L-2
Definition
Settlement Request
Term
OTOC
Definition
Off Calendar
Term
DOR
Definition
Declaration of Readiness
Term
MC
Definition
Missing Chart in Medisoft
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