Insurance
What does the acronym PPO stand for?
Preferred Provider Organization
An _______ is a digital version of the traditional paper-based medical record for an individual. It represents a medical record within a single facility, such as a provider's office or a clinic.
EMR
Who collects blood for donation on for testing so the blood can be analyzed in a clinical laboratory?
Phlebotomist
M48.1 is an example of what type of code?
ICD-10
What is the insurance term used when a primary care provider wants to send a patient to a specialist?
Referral
What is the acronym for Health Maintenance Organization?
HMO
Any health care plan, provider, or service that transmits health care information in an electronic form and is thereby governed by laws and regulations in the handling of such data. It's called a covered ______?
Entity
Who is devoted to the study of human movement with the foot and the ankle as their main focus?
Podiatrist
What is the entity that reimburses the provider for services? Examples include Medicare, Medicaid, and third-party administrators in the healthcare industry.
Payer
What is the review of individual cases by a committee to make sure services are medically necessary and to study how providers use medical care resources?
Utilization review
What is the amount you pay for health care services before your health insurance begins to pay?
Deductible
Most EMRs will electronically send a ________that takes one patient from one provider to another provider.
Referral
Who provides services that help restore function, improve mobility, reduce pain, and prevent permanent disabilities?
Physical therapist
What is an established schedule of fees set for services performed by providers and paid by the patient?
Fee for service
What is the term used in managed care for an approval referral?
Authorization
A _______ is a fixed amount you pay for a health care service.
Copay
A referral is often made to what kind of a provider who focuses on one are of medicine? Like a cardiologist or neurologist.
Specialist
Who analyzes non-biological trace evidence found at crime scenes in order to identify unknown materials and match samples to known substances?
Forensic chemist
What provides payment of a specified amount on the insured's death?
Life insurance
What was the 1996 federal law that is sometimes called the "privacy rule", outlining how certain entities can use or disclose personal health information?
HIPAA
The healthcare system, funded by the U.S. Department of Defense, that active and retired military and their dependents use.
Tricare
Some EMRs will send an itemized bill to the patient's insurance company which is also referred to as the ________.
Payor
Who seeks to understand the aging process by studying what happens to our cells, organs and systems as we get older?
Biogerontologists
What payment method is used by many managed care organizations in which a fixed amount of money is reimbursed to the provider for patients enrolled during a specific period of time, no matter what services were received or how many visits were made?
Capitation
Denial