3641122483 | Military Health Services System (MHSS) | is the entire health care system of the U.S. uniformed services and includes MTFs as well as various programs in the civilian health care market, such as TRICARE. | 0 | |
3641125225 | Transitional Assistance Management Program (TAMP) | provides 180 days of premium-free transitional health care benefits after regular TRICARE benefits end | 1 | |
3641134125 | Continued Health Care Benefit Program (CHCBP) | is a premium-based health care program administered by Humana Military. | 2 | |
3641140208 | Beneficiary Services Representative (BSR) | is employed at a TRICARE Service Cen- ter, provides information about using TRICARE, and assists with other matters affecting access to health care | 3 | |
3641144857 | Health Care Finder (HCF) | is a registered nurse or physician assistant who assists primary care providers with preauthorizations and referrals to health care services in a military treatment facility or civilian provider network. | 4 | |
3641148248 | Military Treatment Facility (MTF) | is a health care facility operated by the military that provides inpatient and/or ambulatory (outpatient and emergency department) care to eligible TRICARE beneficiaries. | 5 | |
3641151838 | Critical Pathway | is the sequence of activities that can normally be expected to result in the most cost-effective clinical course of treatment. | 6 | |
3641153892 | Practice Guidelines | decision-making tools used by providers to determine appropriate health care for specific clinical circumstances. | 7 | |
3641157320 | TRICARE Prime | is a managed care option similar to a civilian health maintenance organization (HMO) | 8 | |
3641158867 | Primary Care Manager | is a doctor assigned to a sponsor and is part of the TRICARE provider network. | 9 | |
3641181495 | TRICARE Extra | is a preferred provider option in areas with established TRICARE networks, which does not require enrollment and is not available overseas | 10 | |
3641184027 | Emergency Care | defined by TRICARE as the sudden and unexpected onset of a medical or mental health condition that is threatening to life, limb, or sight. | 11 | |
3641187888 | Clinical Trial | is a research study that helps find ways to prevent, diagnose, or treat illnesses and improve health care; when enrolled, beneficiaries receive care that is considered the latest medicine or therapy, but is not yet approved as a standard care. | 12 | |
3641199558 | Material Safety Data Sheets (MSDS) | contain information about chemical and hazardous substances used on site. | 13 | |
3641201389 | Merchant Marine Act (Jones Act) | is not a workers' compensation statute; how- ever, it provides seamen with the same protection from employer negligence as FELA provides railroad workers. | 14 | |
3641207991 | Workers' Board (Workers' Compensation Commission) | a state agency responsible for administering workers' compensation laws and handling appeals for denied claims or cases in which a worker feels compensation was too low. | 15 | |
3641212518 | Temporary Claims | claims cover health care treatment for illness and injuries, as well as payment for lost wages. | 16 | |
3641214002 | Permanent Disability | refers to an ill or injured employee's diminished capacity to return to work. | 17 | |
3641218530 | Vocational Rehabilitation | Claims that cover expenses for vocational retraining for both temporary and permanent disability cases. | 18 | |
3641230033 | Survivor Benefits | are claims that provide death benefits to eligible dependents. | 19 | |
3641232283 | First Report of Injury | forms are completed by the provider (e.g., physician) when the patient first seeks treatment for a work-related illness or injury | 20 | |
3641254440 | Federal Black Lung Program | provides medical treatment and other benefits for respiratory conditions related to former employment in the nation's coal mines. | 21 | |
3641257512 | Longshore and Harbor Workers' Compensation Program | administered by the U.S. Department of Labor, provides medical benefits, compensation for lost wages, and rehabilitation services to longshoremen, harbor workers, and other maritime workers who are injured during the course of employment or suffer from diseases caused or worsened by conditions of employment. | 22 | |
3641261242 | Mine Safety and Health Administration (MSHA) | helps to reduce deaths, injuries, and illnesses in U.S. mines through a variety of activities and programs. | 23 | |
3641264503 | Merchant Marine Act (Jones Act) | is not a workers' compensation statute; how- ever, it provides seamen with the same protection from employer negligence as FELA provides railroad workers. | 24 | |
3641267311 | State Insurance Fund (State Compensation Fund) | a quasi-public agency that provides workers' compensation insurance coverage to private and public employers and acts as an agent in state workers' compensation cases involving state employees. | 25 | |
3641270734 | On-the-Job Injury | Example: a medical assistant who is injured while picking up reports for the office at the local hospital or a worker who is making a trip to the bank to deposit checks | 26 | |
3641274078 | Permanent Partial Disability | in which part of the employee's wage-earning capacity has been permanently lost. | 27 | |
3641280039 | Arbitration | a dispute resolution process in which a final determination is made by an impartial person who may not have judicial powers | 28 | |
3641305921 | Uniformed Services | U.S. military branches that include the Army, Navy, Air Force, Marines, and Coast Guard | 29 |
Medical Billing & Coding Module 9 Flashcards
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