Professions | medicare | Blue Cross/Blue Shield | Types of Insurance | Anything Goes |
---|---|---|---|---|
Who is a physician or other healthcare practitioner
Heatlhcare provider
|
What reimburses institutional providers for inpatient hospice and some home health services
Medicare Part A
|
What is guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium
Blue Cross
|
What reimburses for income lost as a result of a temporary or permanent illness or injury
disability insurance
|
What is principle of right or good conduct rules that govern the conduct of members or a profession
Ethics
|
What is the professional who manage patient health information and medical records, administer computer information systems, and code diagnoses and procedures for healthcare services provided patients
Health Information Technician
|
What reimburses noninstitutional healthcare providers for outpatient services
Medicare Part B
|
What began as a resolution passed by the House of Delegates at an American Medical Association meeting in 1938
Blue Shield
|
What is the policy that covers losses to a third party caused by the insured, by an object owned by the insured, or on the premises owned by the insured
liability insurance
|
What is the list of predetermined payments for healthcare services provided to patients
fee schedule
|
What Is the person who performs services for another under an expires or implied agreement and who is not subject to the other's control or right to control, of the manner and means of performing the services
Independent Contractor
|
What is the medicare and may include such benefits as coordination of care, reductions in out of pocket expenses, and prescription drugs
Medicare Part C
|
What is the contract between employer and healthcare facility where specified medical services were performed for a predetermined fee that was paid on either a monthly or yearly basis
Prepaid plan
|
What covers the medical expenses of individuals groups; premiums and benefits vary according to the type of plan offered
commercial insurance
|
What is the period of time that usually covers 12 months and is divided
base period
|
Who submits written confirmation authorization treatment to the provider
Case Manager
|
What is the difference between the initial coverage limit and the catastrophic coverage threshold as described in the medicare part d prescription drug program administered
Medicare Part D
|
Who Is the provider who has signed a PPN contract and agrees to accept the PPN allowed rate, which is generally 10 percent lower than the PAR allowed rate
PPN provider
|
What is the contract between an individual and an insurance company whereby the individual pays a premium and in exchange the insurance company agrees to pay for specific car related financial losses during the term of the policy
automobile insurance
|
What is the tax exempt account offered by employers with any number of employees, which individuals use to pay health care bills; participates enroll in a relatively inexpensive high deductible insurance plan
flexible spending account
|
What profession has two or more years of advanced training has passed a special exam works with a physician and can do some of the same tasks as the doctor
Physician Assistant
|
supplemental plans designed by the federal government but sold by private commercial insurance companies to cover the costs of Medicare deductibles copayments and coinsurance
Medigap
|
Who is the second physician is asked to evaluate the necessity of surgery and recommend the most economical appropriate facility in which to perform the surgery
second surgical opinion
|
What covers the deductible and copay or coinsurance of a primary health insurance policy
supplemental plan
|
What is the term hospitals use to describe a patient encounter form
charge master
|