Cells of the Immune System Involved in defending the body again both infectious disease and foreign materials
What is White Blood Cells
100
This is the process by which a health insurance company determines if it should be the primary or secondary payor of medical claims for a patient who has coverage from more than one health insurance policy.
What is Coordination of Benefits
100
Necessary to fulfill the mission or charge of Memorial Hermann and its clinical staff, employees, trainees, students, volunteers, or vendors to provide quality patient care, education and research.
What is Need to Know
100
Deals with diseases involving the respiratory tract
What is Pulmonology?
100
Name any popular pie
What is a cherry or apple pie?
200
Breast Bone
What is Sternum
200
One method used by health insurance companies to determine which parent's health insurance coverage will be primary for a dependent child, when both parents have separate coverage.
Typically, the health insurance plan of the parent whose birthday falls earliest in the year will be considered primary.
What is the birthday rule?
200
Means individually identifiable health information created or received by or on behalf of group health plans, health care providers and clearinghouses.
What is PHI (Protected Health Information).
200
Clinicians who treat for the following: epilepsy
motor neuron disease
Parkinson’s disease
amyotrophic lateral sclerosis (ALS) also known as Lou Gehrig's Disease
What are Neurophysiologists?
200
Name the team who won Super Bowl 2018
Who are the Philadelphia Eagles?
300
Bones and Joints
What are the major structures of the skeletal system
300
Refers to physicians, hospitals or other health care providers that has NOT negotiated a contracted rate with a health insurance company.
Procedures may not be covered or partially covered with a higher cost to the patient.
What is Out of network?
300
A reportable event resulting from a deliberate act undertaken to advance the perpetrator’s intended purpose or goal.
What is a deliberate Act?
300
An examination of tissue removed from a living body to discover the presence, cause, or extent of a disease
What is a biopsy?
300
Name the musical artist who won The 2018 Grammy Award Album of the Year
Who is Bruno Mars?
400
Non- Cancerous Tumors
What are benign tumors
400
The primary card holder of the insurance plan. The insurance is in their name.
What is a policy holder?
400
If an authorization request does not meet medical necessity guidelines per the health care insurance company, the requesting care provider will be offered a peer-to-peer review.
A nurse, physician or team of healthcare specialists with the health insurance company and the referring physician will review the patient’s medical history before a final decision is made.
What is a Peer Review?
400
Science that uses medical imaging to diagnose and sometimes also treat diseases within the body
What is Radiology?
400
What famous movie has this popular quote:
"They didn't agree on much. In fact, they rarely agreed on anything. They fought all the time—and they challenged each other every day. But despite their differences, they had one important thing in common: They were crazy about each other."
What is The Notebook
500
Major functions with the brain as its center, coordinates and controls all bodily activities.
What is the nervous system
500
The individual that is financially responsible for the balance and debt of the patient’s treatment.
What is a Guarantor?
500
A reportable event resulting from lack of care or attention to process or procedure, or to carelessness.
What is Negligent Act?
500
Study areas of the body such as chest, abdomen, pelvis or extremities