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 or EHR
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 term used for the monthly payment to an insurance company for healthcare services?
Premium
In addition to your monthly premiums for health insurance, what additional percentage cost do you pay after you met your deductible?
Any health care plan, provider, or service (such as billing services) that transmits health care information in an electronic form and is thereby governed by laws and regulations in the handling of such data such as HIPAA. 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
Medicare, Medicaid, and Tri-care are health insurance plans that are also called _______ health insurance.
Public
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 EHRs 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 the established or limited amount of money the patient pays before the insurance company will pay the remaining cost?
Out-of-pocket maximum
When an expensive medication is prescribed or a referral to specialist is requested, the insurance company can ask for a prior _____________ to confirm the medical necessity.
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 area 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 type of insurance 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 EHRs will send an itemized bill to the patient's insurance company. Often, insurance companies are 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?
Bio-gerontologists
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
What is the response from the insurance company that states no payment will be made? (Services that will not be covered by the insurance plan)
Denial