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When Service Is Involved in a Claim, You Should

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When service is involved in a claim, you should


Definitions:

Evidence-Based Practices

Refers to healthcare interventions, strategies, and decision-making processes that are grounded in the best available scientific evidence to optimize patient outcomes.

Acute Conditions

Conditions that develop quickly, have severe symptoms, and are often of short duration.

Third Party Payers

Entities (other than the patient or healthcare provider) responsible for paying the costs of healthcare services, often including insurance companies, government programs, or employers.

Health Care

The maintenance or improvement of health through the prevention, diagnosis, treatment, recovery, or cure of disease, injury, and other physical and mental impairments in people.

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