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In an FFS health plan, members typically pay a certain percentage of covered charges, called coinsurance. |
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Providers who do not contract with a particular insurance carrier are called nonPARs |
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Blue cross and Blue Shield policies are strictly fee-for-service plans |
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A PAR provider agrees to accept the amount paid by the inusrance carrier as "payment in full" after both the deductible and copayment have been met. |
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When coding a change of battery in a pacemaker, both the removal and the re-implantation are coded |
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The yearly deductible (out-of-pocket-payment) is the same for all commerical carriers |
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HIPAA mandates that all commerical carriers submit claims electronically. |
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In the case of "dual coverage" the primary carrier's explanation of benefits (EOB) should typically accompany the claim sent to the secondary insurer. |
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A self-insured health plan can only be offered by the federal government. |
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Eliminating a certain specialty of health services from coverage is called a "carve out" |
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Located between the left upper and lower chambers of the heart |
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Arrhythmia ablation is a treatment for |
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____cardiology is entering the boy to make a correction or for examination. |
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Drug used to streghten the heartbeat |
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The number of postoperative days usually assigned fort the global period following implantation of a pacemaker is |
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High frequency sound waves are transmitted into the chest |
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Major division of the cardiovascular subsection is whether a procedure involved a ____ vessel |
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Pacemaker insertion codes are divided based on the surgical |
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