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Indemnity - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔Unique number associated with your
name in the medical record
MRN
No Balance Billing Provision - 🧠 ANSWER ✔✔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, coinsurand deductables)
Correct Coding Initiative - 🧠 ANSWER ✔✔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
Medigap Insurance - 🧠 ANSWER ✔✔To pay for medical services and items that
Medicare does not cover and Medicare's coinsurance and deductibles, beneficiaries
may purchase a supplemental insurance. Private insurance designed to help pay for
those amounts that are typically the patient;s responsibility under Medicare.