Government
Physician Specialties
Medical Testing
Place of Service (POS)
Health plan terms
100

This government program provides health insurance for Americans age 65 and older.

What is Medicare?

100

This type of doctor is your first point of contact for general health concerns and annual checkups.

What is a primary care physician?

100

This common blood test evaluates components like red and white blood cells, hemoglobin and platelets.

What is a Complete Blood Count (CBC)?

100

POS code 11 is used when services are provided in this type of outpatient facility.

What is an office?

100

This is the approval from a health plan that is often required before a patient can receive service or medication.

What is prior authorization?

200

The Affordable Care Act, signed into law in 2010, is commonly referred to by this name.

What is Obamacare?

200

This specialist focuses on diagnosing and treating heart and blood vessel conditions.

What is a cardiologist?

200

This screening test is recommended every 1-2 years for women aged 50-74 to detect breast cancer early.

What is a mammogram?

200

POS Code of 21 refers to this facility where patients are admitted for care.

What is an inpatient hospital?

200

This type of plan requires members to use a network of providers and typically requires referrals from a primary care doctor.

What is a Health Maintenance Organization (HMO)?

300

This federal-state program helps with medical costs for people with limited income and resources.

What is Medicaid?

300

This type of physician is trained to perform surgery and manage pre and post-operative care.

What is a surgeon?

300

A colonoscopy is typically first recommended at this age for individuals at average risk of colorectal cancer.

What is age 45?

300

This POS Code represents a facility that provides outpatient surgical procedures outside of a hospital setting.

What is an ambulatory surgical center (ASC)-POS 24

300

This is the fixed amount a patient pays for a healthcare service, usually at the time of service.

What is a copayment (or copay)?
400

The federal agency responsible for overseeing public health and controlling disease outbreaks.

What is the CDC (Centers for Disease Control and Prevention?

400

This specialist deals with disorders of the brain, spinal cord and nervous system.

Neurologists

400

This diagnostic imaging test combines x-rays and computer technology to produce cross sectional images of the body.

What is CT (Computed Tomography)?

400

POS Code 31 is designated for this type of long term care facility, often used after hospitalization.

What is a skilled nursing facility (SNF)?

400

This term refers to the amount a patient must pay out of pocket each year before their insurance begins to pay.

What is a deductible?

500

This federal agency, part of the Department of Health and Human Services, is responsible for regulating food, drugs, medical devices, and cosmetics, and cosmetics to ensure public safety.

What is the FDA (Food & Drug Administration)?

500

This medical specialty focuses on the diagnosis and treatment of diseases using medical imaging techniques such as x-rays, CT scans and MRIs.

What is radiology?

500

This imaging technique uses powerful magnets and radio waves to create detailed images of organs and tissues, often used to examine brain, spine and joints.

What is an MRI (Magnetic Resonance Imaging)?

500

POS Code 02 designates this setting, which became increasingly used during the COVID-19 pandemic for remote patient care.

What is telehealth?

500

This three-letter acronym refers to the portion of medical costs the insured shares with the insurance company after the deductible is met.

What is (COI) coinsurance?

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