TDI Training Flashcards
Designated Doctor (DD)
reimbursment
preathorization medical necessity
Disclaimer
Aclaracion
Coverage
cobertura
insurance carrier
aseguradora
compensabel injury
entitlemnt to meeical benefits
Presumption law
treatemnet guidelines
outcome
resultado
FDA
prescription
drug created through compounding
adverse determination
not a medical necessity
determinacion desfavorable
concurrent
A pre authorization charge, or pre auth
The Official Disability Guidelines
ODG
Approval or Denial
MMI Maximun Medical Improvemenet
compensability extent or relatedness
filing a complain
screening criterie
peer review
revisión colegiada/ revision de pares
Utilization Review Agents (URA)
determines the medical necessity and appropriateness of health care se
Utilization Review
revisión (o aprobación o autorización) de incidencia (o de caso) para recibir servicios médicos
frivolous
firts responders
servicios de emergencia
Independent Review Organization – IRO
Commissioner
comisionado