What Is Known as a Proactive,employer-Centred Process That Coordinates the Activities

question 25

Multiple Choice

What is known as a proactive,employer-centred process that coordinates the activities of the employer,the insurance company,and healthcare providers in an effort to minimize the impact of injury,disability,or disease on a worker's capacity to successfully perform his or her job?

• A) Disability management
• B) Productivity management
• C) Worker health management
• D) Benefits management
• E) Workforce management

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Definitions:

Not Allowed Amount

The portion of a bill or charge that is not covered by insurance and is not the responsibility of the patient or client.

Coinsurance Co-payment Amount

The fixed percentage or amount that an insured person is responsible for paying for medical services, after the deductible is met.

CMS-1500 Form

The standard claim form designed by the Centers for Medicare and Medicaid Services to submit physician services for third-party (insurance companies) payment; the standard paper claim form to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed.

Medicaid

A program financed by the government in the United States offering health insurance to qualified adults with low income, kids, expectant mothers, senior citizens, and individuals with disabilities.