Chapter 4

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学び始める

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質問		答え
FEHBP federal employees health benefit program 学び始める		and employer sponsored health insurance program available to employees of the federal government
workers compensation 学び始める		a program that provides health care benefits two employees who are injured on the job
Medicare 学び始める		a federal program that Pays healthcare costs for the elderly permanently disabled and those with end-stage renal disease
CMS center for Medicare and Medicaid services 学び始める		the federal agency that administers the Medicare and Medicaid programs
self-referral /kickbacks 学び始める		health care providers are prohibited under federal law from referring patients 2 Laboratories or other health services in which they have a financial interest. Stark law 1
TRICARE 学び始める		A Health insurance program offered by the department of Defense to military personnel
Medicare A 学び始める		pays for inpatient Hospital services critical access hospitals and skilled nursing facilities
Medicare B 学び始める		Physician Services, outpatient hospital care, and some services
SCHTP 学び始める		Federal program that targets low-income children whose parents do not qualify for Medicaid and unable for private insurance
Medicaid funding 学び始める		funded by taxpayer income tax payments to the government's General Revenue
Medicaid spending distribution 学び始める		state uses FMAP
medical coding 学び始める		offices use this to determine how much to charge a patient
upcoding 学び始める		submitting a claim they never did or a different code at a higher rate
OPM office of personnel management 学び始める		human resources department of federal government
Medicare eligibility 学び始める		has to be 65 years or older, permanently disabled or end stage renal disease
what is the basic or primary purpose of workers compensation 学び始める		provides health care benefits to employees who are injured and eliminate the need for an employee to sue employer

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