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Anyone who charges interest or agrees to payment of a bill in more than four installments, excluding a down payment
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Addresses the collection practices of third party debt collectors and attorneys who regularly collect debt for others
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Straight petition in bankruptcy or absolute bankruptcy. All nonexempt assets are liquidated and distributed to the creditors
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Ch 7 Case
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Ch 9 Case
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Ch 10 Case
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Ch 11 Case
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Reorganization proceedings when a city or town is unable to meet its debts
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Reorganization of business enterprise when the company is unable to meet its debts but would like to continue business and would be unable to do so if creditors took away its assets
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Ch 12 case
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ch 11 case
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ch 9 case
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ch 7 case
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reorganization when a farmer is unable to meet his or her debt
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ch 13 case
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ch 11 case
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ch 12 case
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ch 9 case
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wage earner's bankruptcy. protects wage earner from creditors while allowing the wage earner to make arrangements to repay a portion over a 3-5 year period
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ch 10 case
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ch 11 case
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ch 12 case
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ch 13 case
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Act of 1981 required that in the case of a current or former employee or dependent younger than age 65 years and eligible for medicare solely because of ESRD, the employer's group coverage is primary up to 30 months
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Tax Reform Act
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OBRA
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TEFRA
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DEFRA
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Act of 1982 established that an employee or spouse age 65-69 years is entitled to the same health insuarance benefits offered under the same conditions to younger employees and their spouses
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Act of 1984, effective in 1985, was an amendment to TEFRA and stated that a spouse age 65-69 years or and employee of any age is entitled to the same group health plan offered to younger employees and their spouses
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Act of 1985, effective in 1986. another amendment to TEFRA, eliminating the age ceiling of 69 years. An employee or spouse 65 years or older is entitled to the same group health plan offered to younger employees and their spouses
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Act passed in 1986, and clarified certain aspects of COBRA. A spouse and a dependent may elect to receive continued coverage even if the employee does not wish insurance coverage and terminates the plan. However, the spouse and dependents must have been covered under the plan before the covered employee terminates it.
Antworten
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Tax Reform Act
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COBRA
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OBRA
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TEFRA
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How many steps are in the Compliance Act?
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The Administrative Simplification and Compliance Act required
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all claims sent to Medicaid be submitted electronically
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all claims sent to Medicare be submitted electronically
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all claims sent to Blue Shield plans be submitted electronically
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all of the above
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When the insured is required to pay a percentage of the covered service
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deductible
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coinsurance
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copayment
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percentage
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If you are verifying coverage for a patient who will be scheduled to have a procedure and you need to find out if it will be covered under a patient's contract, you are obtaining
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pre-authorization
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pre-certification
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pre-determination
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exclusion
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When the transfer of the total or specific care of a patient from one physician to another
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concurrent care
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consultation
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referral
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new patient
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what is the correct term used to determine if procedure is covered and medically necessary
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preauthorization
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predetermination
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precertification
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verification
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reductions of the normal fee based on a specific amount of money or a percentage of the charge
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debtor
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itemized statement
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fee schedule
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discounts
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phrase to remind a patient about a delinquent account
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dun message
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debtor
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itemized statement
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financial account record
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item that permits bank customers to withdraw cash at any hour from and automated teller machine
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lien
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debit card
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creditor
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credit
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individual owing money
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lien
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creditor
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ledger
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debtor
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claim on the property of another as security for a debt
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discounts
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dun message
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lien
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debtor
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individual record indicating charges, payments, adjustments, and balances owed for services rendered
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financial account record
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lien
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debtor
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debit card
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detailed summary of all transactions of a creditor's account
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debtor
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itemized statement
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fee schedule
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discounts
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person to whom money is owed
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lien
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debtor
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creditor
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bank
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listing of accepted charges or established allowances for specific medical procedures
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fee schedule
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dun message
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discounts
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lien
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law stating that a person has days to complain about an error from the date that a statement is mailed
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Equal credit opportunity act
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fair credit reporting act
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fair credit billing act
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truth in lending act
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fair debt collection practices act
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consumer protection act that applies to anyone who charges interest or agrees on payment of a bill in more than four installments, excluding a down payment
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equal credit opportunity act
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fair credit reporting act
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fair credit billing act
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truth in lending act
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fair debt collection practices act
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regulates collection practices of third part debt collectors and attorneys who collect debs for others
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equal credit opportunity act
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fair credit reporting act
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fair credit billing act
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truth in lending act
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fair debt collection practices act
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federal law prohibiting discrimination in all areas of granting credit
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equal credit opportunity act
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fair credit reporting act
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fair credit billing act
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truth in lending act
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fair debt collection practices act
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regulates agencies that issue or use credit reports on consumers
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truth in lending act
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fair credit reporting act
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fair credit billing act
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equal credit opportunity act
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fair debt collection practices act
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insurance companies and the federal government do not recommend waiving copayments to patients
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regulation Z of the truth in lending consumer credit cost disclosure law applies if the patient is making three payments
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most state collection laws allow telephone calls to the debtor between 8 am and 9 pm
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when a patient declared bankruptcy, it is permissible to continue to send monthly statements for a balance due
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a collection agency must follow all the laws stated in the fair debt collection practices act
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one of the agencies charged with enforcing laws that regulate the health care industry is the
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drug enforcement agency DEA
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office of inspector general
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National committee on vital and health statistics
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department of internal affairs
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sharing, application, utilization, examination, or analysis of health info within the organization
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privacy
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use
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confidentiality
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disclosure
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undertakes nationwide audits as well as investigations and inspections to review the claim submission processes of providers and reimbursement patterns of the programs
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OIG
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CFCA
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embezzlement
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civil false claim act