Government Payers
Medical Insurance Terms
Financial Management
Accounting
Potpourri
100

This covers individuals who suffer from end stage renal disease, ALS, or are age 65 and older.

What is Medicare?

100

This is the monthly payment you (and your employer) pay for your coverage each month.

What is the premium?

100

This entity is responsible for hiring the CEO.

What is the governing body?

100

These organizations "reinvest" their excess revenues back into the organization.

What are non-profits?

100

This Act encouraged states to expand Medicaid from 100% to 138% of the FPL.

What is the Patient Protection and Affordable Care Act?

200

This is a means-tested program designed to cover individuals who are 100-138% of the FPL.

What is Medicaid?

200

This is what you are asked to pay each time you receive medical services.

Note this does not apply to global periods or if your insurance plan does not require this.

What is a Co-Payment?

200

This staff position is responsible for clinical information systems and information technology.

What is the CIO?

200

______=_______+_______

Fill in the basic accounting equation.

Assets=Liabilities+Owners Equity

200

This is a type of vendor arrangement where hospitals are only charged for supply items when they are taken off the shelf and used.

What is consignment?

300

This program covers children whose parents earn too much to qualify for Medicaid, but too little to qualify for private insurance.

What is CHIP?

300

This is the amount you are required to pay before your insurance starts to pay.

What is the deductible?

300

This is the best method to compare two organizations regardless of their size.

What is a ratio analysis?

300

This category on the Balance Sheet indicates the money that is due to the organization.

What is Accounts Receivable?

300

This significant world wide event was the catalyst for wage freezes which led the US toward employer sponsored health insurance.

What was World War 2?

400

Military veterans who have a service connected disability can receive their care through these facilities.

What are Veterans' Administration Medical Centers and Clinics?
400

This is a co-share requirement that you are required to pay, after the deductible and before your insurance starts to pay 100%.

What is co-insurance?

400

This is an inventory management method that reduces the amount of expired items and enhances stock rotation.

What is First In-First Out?

400

Issuing bonds is a type of ____ financing.

What is debt financing?
400

This type of health plan typically comes with the option of a Health Savings Account.

What is a High Deductible Health Plan?  Or Consumer Driven Health Plan?

500

Current military service members, their dependents and retirees (without a service connected disability) are eligible for this health insurance.

What is TRICARE?

500

This is the maximum amount you will be expected to pay for the year.

What is an Out-of-Pocket Maximum?

500

This is the process of converting the operating plan into monetary terms.

What is budgeting?
500


You have a health plan with a $5,000 deductible, a 20% co-insurance and a $10,000 out of pocket maximum.

You need surgery, which will require 1 overnight stay in the hospital.  The hospital bill is $25,000 total.

How much will you pay?

$9,000

500
This Act was passed in 2002 as legislation designed to hold corporations accountable.
What is the Sarbanes-Oxley Act?
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