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Exam (elaborations)

CHAM EXAM QUESTIONS AND ANSWERS ALL VERIFIED

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CHAM EXAM QUESTIONS AND ANSWERS ALL VERIFIED Indemnity - ANS Health ins plan in which pts may select dr or hosp and providers bill the pt or their ins their normal fees for svc. coverage is usually provided for diag test or cond caused by disease, illness, or injury. Routine screening and well vts are not always covered, also known as "fee-for-service". Joint Commission - ANS Which organization evaluates the policies, procedures, and outcomes of care provided by hospitals? This organization has been responsible for accrediting healthcare organizations since the middle 1950s and determines whether the organization is continually monitoring and improving the quality of care they provide. Inpatient - ANS term used when a patient is admitted to the hospital w/ the expectation that the pt will stay for a period of 24 hrs or more Medical Record Number - ANS Unique number associated with your name in the medical record MRN No Balance Billing Provision - ANS provider contract clause which states the provider agrees to accept the amount the plan pays as payment in full not to bill the members/(except co-pays, coinsurance deductibles) Correct Coding Initiative - ANS federal legislation that attempts to eliminate unbundling or other inappropriate reporting of procedural codes for professional medical services rendered to patients CCI, Federal legislation that attempts to eliminate unbundling or other inappropriate reporting of procedural codes for professional medical services rendered to patients

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