NAME

Question Types


Start With


Question Limit

of 29 available terms

Advertisement Upgrade to remove ads

5 Written Questions

5 Matching Questions

  1. free-for-service
  2. coinsurance
  3. medical necessity
  4. managed care
  5. procedure code
  1. a part of changes that of changes that an insured person must pay for health care services after payment of the deductible amount
  2. b a type of insurance in which the carrier is responsible for both financing and the delivery of health care
  3. c treament provided by a physycian to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and provided in accordance with generally accepted standards of medical practice.
  4. d a code that identifies a medical service.
  5. e health plan that repays the policyholder for covered medical expenses

5 Multiple Choice Questions

  1. adavance payments to a provider that covers each plan member's health care services for a certain period of time
  2. process of assigning standardize codes to diagnises and procedures
  3. form that includes a patient's personal, employment, and insurance data needed to complete an insurance
  4. a list of all services performed for a patient, along with the charges for each service.
  5. a plan, program, or organization that provides health benifits.

5 True/False Questions

  1. consumer-driven health plan (CDPH)a plan, program, or organization that provides health benifits.

          

  2. preferred provider organization (PPO).managed care network of health care providers who agree to perform services for plan members at discounted fees

          

  3. health maintenance organization (HMO)a managed health care system in which provides agree to offer heath care to the organization's members for fixed periodic payments from paln

          

  4. payerprivate or government organization that insures or pays for health care on the behalf of beneficiaries.

          

  5. adjudicationadavance payments to a provider that covers each plan member's health care services for a certain period of time

          

Create Set