Download Dictionary of Health Insurance and Managed Care by David Edward Marcinko, Hope Hetico PDF

By David Edward Marcinko, Hope Hetico

Specified a Doody's middle name! to maintain with the ever-changing box of wellbeing and fitness care, we needs to study new and re-learn outdated terminology so that it will competently use it on perform. via bringing jointly the main up to date abbreviations, acronyms, definitions, and phrases within the well-being care undefined, the Dictionary bargains a wealth of crucial details that can assist you comprehend the ever-changing guidelines and practices in medical insurance and controlled care this day. For extra details, Please click on the following!

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See Fraud and Abuse and Actuary. AUDITOR: Individual who makes a formal examination and verification of financial and other records. See Actuary and Fraud and Abuse. AUDIT OF PROVIDER TREATMENT OR CHARGES: A qualitative or quantitative review of services rendered or proposed by a health provider. indd 30 2/17/06 2:27:49 PM 31 AVERAGE DAILY PATIENT LOAD examination of a patient. Some audits may involve fee verification. This is usually the first type or “first generation” managed care approach. AURA: Alleged envelope of invisible vital energy.

AUDITOR: Individual who makes a formal examination and verification of financial and other records. See Actuary and Fraud and Abuse. AUDIT OF PROVIDER TREATMENT OR CHARGES: A qualitative or quantitative review of services rendered or proposed by a health provider. indd 30 2/17/06 2:27:49 PM 31 AVERAGE DAILY PATIENT LOAD examination of a patient. Some audits may involve fee verification. This is usually the first type or “first generation” managed care approach. AURA: Alleged envelope of invisible vital energy.

Nonadmissible items consist mainly of deferred or overdue premiums. ASSIGN: To transfer an ownership right or risk in a health insurance or other contract to another. See Transfer. indd 28 2/17/06 2:27:32 PM 29 ASSUMPTION OF RISK ASSIGNED CLAIM: A health care claim submitted by a medical provider who accepts Medicare. See Assign. ASSIGNED RISK: A risk that underwriters do not wish to insure, but that must be covered due to state or federal law. See Risk, Risk Pool, and Assign. ASSIGNEE: The person or party who receives a transferred right or risk when a contract is assigned.

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