Appeals Process – It
is where the doctor/lawyer can go to court about the funding process ( not
satisfied with the decision)
Diagnosis Codes – The
reason why the individual needs helps assistance(disability)
Fee for Service – How
much the docor/ specialist is charging the patient for the services and
treatments (appointments)
Managed Care – Any
facility that helps with the cost of treatment while making sure the patient is
receiving proper care (health department)
Medicaid–A program
that is based on your income for individuals that is 21 and younger that
assists pays for health cost(bills)
Medical Necessity – A
doctor that gets funding from Medicaid and Medicare and private health
insurances for patients to receive treatment.
Medicare – A health
program for people who 65 and older pay medical bills and receive treatment
Plan for Achieving
Self-Sufficiency (PASS)- It is a program where people can save money to help
assist them with things that will help them work towards their goals.
Procedure Codes –
numbers that are used to help doctors and nurses identify how much a procedure
or medicine cost
Public Funding
Sources – money that comes from all different types of federal funding
Third-Party Payer –
places or people who help individuals pay for devices or medical assistance
that insurance don’t pay for.
Tricare- a form of
health insurance that people in the military have
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