Chapter 4

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Question		Answer
FEHBP federal employees health benefit program start learning		and employer sponsored health insurance program available to employees of the federal government
workers compensation start learning		a program that provides health care benefits two employees who are injured on the job
Medicare start learning		a federal program that Pays healthcare costs for the elderly permanently disabled and those with end-stage renal disease
CMS center for Medicare and Medicaid services start learning		the federal agency that administers the Medicare and Medicaid programs
self-referral /kickbacks start learning		health care providers are prohibited under federal law from referring patients 2 Laboratories or other health services in which they have a financial interest. Stark law 1
TRICARE start learning		A Health insurance program offered by the department of Defense to military personnel
Medicare A start learning		pays for inpatient Hospital services critical access hospitals and skilled nursing facilities
Medicare B start learning		Physician Services, outpatient hospital care, and some services
SCHTP start learning		Federal program that targets low-income children whose parents do not qualify for Medicaid and unable for private insurance
Medicaid funding start learning		funded by taxpayer income tax payments to the government's General Revenue
Medicaid spending distribution start learning		state uses FMAP
medical coding start learning		offices use this to determine how much to charge a patient
upcoding start learning		submitting a claim they never did or a different code at a higher rate
OPM office of personnel management start learning		human resources department of federal government
Medicare eligibility start learning		has to be 65 years or older, permanently disabled or end stage renal disease
what is the basic or primary purpose of workers compensation start learning		provides health care benefits to employees who are injured and eliminate the need for an employee to sue employer

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