Most practices were made up of general practitioners, and the patients were responsible for payment to physicians and hospitals for services rendered.
What is 1900-1940?
100
Health Insurance Portability and Accountability Act
What is HIPPA
100
The method used by HMOs and other managed care plams to pay the health care providers a fixed amount on a per person basis.
What is Capitation?
100
The amount a patient pays monthly, quarterly, or yearly that keeps him/her enrolled in the insurance plan and guarantees coverage.
What is Premium?
200
Medical + preventative services
What is Health care?
200
The US Congress established three government-sponsored health care programs: Medicare, Medicaid, and CHAMPUS
What is 1965-1966?
200
The national Correct Coding Initiative
What is CCI?
200
The traditional form of payment to providers for services preformed.
What is Fee-for-service?
200
Out-of-pocket expenses.
What is Deductible?
300
Reimbursement for income lost as a result of temporary or permanent illness or injury.
What is disability insurance?
300
TRICARE
What is the rename of CHAMPUS?
300
The Centers of Medicare and Medicaid.
What is CMS?
300
Payment method in which the health care provider recieves one lump sum for all services.
What is Episode of care?
300
A specified percentage of each fee for a covered service the patient the must pay to the provider.
What is Coinsurance?
400
Policy that covers losses to a third party caused by the insured, by an object owned by the insured, or on premises owned by the insured.
What is liability insurance?
400
A new three-part program which includes Prime, Extra and Standard.
What is TRICARE
400
Health Care Financing Administration Common Procedure Coding System.
What is HCPCS?
400
Adds prospective and retrospective review of the health care providers' treatment or discharge planning.
What is Managed fee-for-service?
400
A fixed fee paid at each visit for each service rendered.
What is Copay?
500
Prepaid health care or health plans were contracts with participating hospitals and/or physicians to provide specified medical services in exchange for a predetermined fee.
What is HMO?
500
The national Correct Coding Initiative (CCI) was released by Medicare to correct procedural coding problems.
What is 1996?
500
Civilian Health and Medical Program of the Veteran's Administration
What is CHAMPVA?
500
Fee paid to the surgeon that covers pre-op visit, the surgery and normal post-op care.
What is Global surgical fee?
500
A 10-digit identification number that is assigned to providers.