Injury Terms | Medicare | First Call Settlement Stuff |
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What is a Strain?
The twisting or pulling of a muscle or tendon beyond its normal range?
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What is Medicare?
This is a Federal Insurance program for people 65 and older, certain younger people with disabilities. This program also has a "Super lien" or the absolute right of recovery.
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What are General Damages?
This is compensation for a clmt's discomfort from an injury due to an auto accident. This is usually a "range."
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What is Subjective?
What the patient says or what is perceived by the patient only and cannot be seen by the DR.
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What is send the Safe Harbor letter?
The claimant will not provide their SSN#, this is the next thing that the Claim rep will do.
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What is a Recorded release?
This release can be used in settling BI claims under $1500 and when the clmt is not a Medicare beneficiary.
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What is Self Care?
This is typically completed by the injured person. It can include taking over the counter medication, hot/cold packs, and rest.
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What is Medicaid?
This is a health care program that assists low income families and individuals. This is very venue/state specific.
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What are Special Damages?
These are the out of pockets from medical bills, lost wages, prescriptions, or Advil/hot/cold packs from an auto accident.
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What is Diagnostic Imaging?
This occurs when electromagnetic radiation and certain other technologies to produce images of internal structures of the body for the purpose of diagnosis.
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What are fines and penalties?
This is the consequence to the insurance company for failure to report injuries to Medicare.
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What is an Incurred/Scheduled Release?
This release is a promise to be pay any incurred or future medical bills for the clmt. We will pay the clmt the General Damages and set aside $ for the medical bills.
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What is Objective?
These are visible, measurable findings obtained by a medical examination, tests or diagnostic imaging. Or a mom/dad taking their child's temperature.
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What are Legal Name, DOB, SSN, Gender, Medicare status?
These are the 5 elements required for Medicare reporting.
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What is via Docusign?
This is the most efficient way to send a written release to a claimant.
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