Term
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Definition
| congress created (EMIC) Emergency Maternal & Infant Care |
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Term
| Military Health System (MHS) |
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Definition
| Health Care System for Uniformed Service Members (MHS) |
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Term
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Definition
| (RE) Army Reserves/National Guard |
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Term
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Definition
Fee-for-service
Same as CHAMPUS |
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Term
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Definition
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Term
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Definition
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Term
| Other Health Insurance (OHI) |
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Definition
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Term
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Definition
| Military retirees, Spouses or survivors 65 and older |
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Term
| Deadline for submitting TRICARE claims |
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Definition
| within 1 year from date of service |
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Term
| Losing CHAMPVA eligibility |
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Definition
| widow remarries/ spouse divorces/ child turns 18 |
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Term
| Where is the VA Health Administration Center? |
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Definition
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Term
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Definition
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Term
| Longshore and Harbor Workers Compensation Act |
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Definition
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Term
| Time limit for filing Workers Comp Claim |
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Definition
| varies from state to state |
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Term
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Definition
| detailed questionnaire determining financial need |
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Term
| 3 basic plans included in the TRICARE program |
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Definition
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Term
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Definition
active duty, retired, deceased
service members |
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Term
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Definition
| coverage from civilian networks/50 miles from MTF |
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Term
| NAS-Non availability statement |
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Definition
| statement from the MTF that the MTF cannot provide services |
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Term
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Definition
| maintains personal & benefits information for eligibility |
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Term
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Definition
| eligible spouse or child, partial or permanent service related disability |
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Term
| CHAMPVA preauthorization requirements |
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Definition
| dental, hospice, substance abuse treatment |
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Term
| Workers' Compensation Benefits |
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Definition
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Term
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Definition
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Term
| 2 major classifications of disability coverage |
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Definition
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Term
| levels of procedural coding |
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Definition
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Term
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Definition
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Term
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Definition
| main term can stand alone or be followed up to three terms |
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Term
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Definition
| accompany claim when rare service is performed |
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Term
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Definition
| is full description of procedure |
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Term
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Definition
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Term
| 3 components that levels of service are based on |
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Definition
| present illness, past history, review of systems |
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Term
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Definition
| the time the physician spends with the patient |
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Term
| The purpose of CPT coding |
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Definition
| provides uniform language for services performed |
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Term
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Definition
| AMA 5 digit code used for reporting services performed |
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Term
| To support the use of Modifiers |
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Definition
| must contain sufficient documentation |
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Term
| CPT codes are displayed as |
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Definition
| single, multiple and range of codes |
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Term
| CPT coding and Established patients |
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Definition
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Term
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Definition
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Term
| How many degrees of patient examinations are there? |
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Definition
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Term
| When a patient is seen in the ER |
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Definition
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Term
| complexity of decision making |
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Definition
| # of diagnostic and tx options were considered,amount and complexity of data reviewed, amount of risk or complications mortality/morbidity |
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Term
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Definition
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Term
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Definition
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Term
| change in wording of new code |
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Definition
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Term
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Definition
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Term
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Definition
| circle with a line thru it |
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Term
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Definition
| circle with a dot in the center (looks like an eye) |
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Term
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Definition
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Term
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Definition
| circle with arrow to right in center |
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