Medical Insurance 7e-A Revenue Cycle Process Approach Exam Solved 100% Correct!!

Temporary Assistance for Needy Families (TANF) -People with low incomes and few resourceswho receive financial assistance under TANF Welfare Reform Act - law that established TANF and tightened Medicaid eligibility requirements Children's Health Insurance Program (CHIP) - uninsured children Federal Medicaid Assistance Percentage (FMAP) - Basis for federal government Medicaid allocations to states. Medi-Medi beneficiary-Dual eligibility - person eligible for both Medicare and Medicaid payer of last resort - Medicaid pays last on a claim when a patient has other insurance coverage. Spenddown - state-based Medicaid program requiring beneficiaries to pay part of their monthly medical expenses Most individuals receiving TANF payments are limited to a _-year benefit period. - five The Medicaid Alliance for Program Safeguards - oversees states' fraud and abuse efforts What is NMEH - National medicaid EDI HIPPA workgroup To provide services to Medicaid recipients, physicians must sign a contract with the - HHS-Health & Human Servicescatastrophic cap - An annual limit on the total medical expenses that an individual or family may pay in one year Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) - is the governments health insurance program for the families of veterans with 100 percent service-related disabilities-secondary payer