TDI Training Flashcards
1
Q
Designated Doctor (DD)
A
2
Q
reimbursment
A
3
Q
preathorization medical necessity
Disclaimer
A
Aclaracion
4
Q
Coverage
A
cobertura
5
Q
insurance carrier
A
aseguradora
6
Q
compensabel injury
A
7
Q
entitlemnt to meeical benefits
A
8
Q
Presumption law
A
9
Q
treatemnet guidelines
A
10
Q
outcome
A
resultado
11
Q
FDA
A
12
Q
prescription
A
13
Q
drug created through compounding
A
14
Q
adverse determination
not a medical necessity
A
determinacion desfavorable
15
Q
concurrent
A
16
Q
A
17
Q
A pre authorization charge, or pre auth
A
18
Q
The Official Disability Guidelines
ODG
A
19
Q
Approval or Denial
A
20
Q
MMI Maximun Medical Improvemenet
A
21
Q
compensability extent or relatedness
A
22
Q
filing a complain
A
23
Q
screening criterie
A
24
Q
peer review
A
revisión colegiada/ revision de pares
25
Utilization Review Agents (URA)
| determines the medical necessity and appropriateness of health care se
26
Utilization Review
revisión (o aprobación o autorización) de incidencia (o de caso) para recibir servicios médicos
27
frivolous
28
firts responders
servicios de emergencia
29
Independent Review Organization – IRO
30
Commissioner
comisionado
