1.
Application: Ability to use computer hardware and software, including Windows and Microsoft Word and the ability to use the internet.
2.
Autonomy: The freedom to choose what medical expense would be covered.
3.
Certification: The combination of the process of formal recognition of the competence posed by an individual.
4.
CMS-1500: The standard insurance form used by all govement and most insurance payers.
5.
Cobra: Consolidated Omnibus Budget Reconciliation Act; law to provide terminated employees or those who lose insurance coverage because of reduced work to be able to buy group insurance for themselves and their families for a limited amount of time.
6.
Communication: The sending and receiving of information through mutually understood speech, writing or sounds.
7.
Comprehension: the act or fact of grasping the meaning, nature, or importance of; understanding
8.
Cost Sharing: a situation where insured individuals pay a portion of the healthcare costs, such as deductibles, coinsurance or co-payments
9.
Deductible: Specified amount of money that the insured must pay for covered medical expenses before the insurance policy begins to pay; usually annual amount per individual or family
10.
Diligence: Persistence, the ability to stick with a task until finished.
11.
Entity/Entities: A person, place, object, event, or concept in the user environment about which the organization wishes to maintain data.
12.
Fee-For-Services: Indemnity plan - Traditional plan where the provider charges a specific fee for each services rendered and is paid that fee by the patiens insurance carrier.
13.
Group Plan: One insurance policy that covers a group of people
14.
Health Insurance: a plan inwhich private companies or government programs pay for part or all of a person's medical costs
15.
HIPPA: Health Insurance Portability and Accountability Act - 1996- written to protect the privacy of health info.
16.
HMO: Health maintenance organization. A prepaid health insurance plan in which patients receive health care from designated providers
17.
Indemnify: compensate for loss, damage, or injury; reimburse; repay
18.
Indemnify Insurance: the "standard" type of health insurance individuals can purchase, which provides comprehensive major medical benefits and allows insured individuals to choose any physician or hospital when seeking medical care.
19.
Indigent: A person who does not have health insurance and who is not eligible for other healthcare coverage
20.
Insurance: financial protection against the risk of injury, illness, death, fire, and other misfortunes
21.
Insured: covered by insurance
22.
Insurer: the insuring party
23.
Integrity: honesty, high moral standards, soundness; an unimpaired condition, completeness
24.
Intiative: Readiness and ability to take action.
25.
Managed Healthcare: any health plan that attempts to control or coordinate the use of healthcare to contain expenditures, improve quality or both falls under the category of
26.
Medical Insurance: A financial plan that covers the cost of medical care due to illness or injury.
27.
Paraphrase: Restate text or passage in other words, often to clarify meaning or show understanding.
28.
Policy: written contract or certificate of insurance
29.
Preexisting Condition: an illness ofr disorder of a beneficiary that existed before the effective date of insurance coverage
30.
Premium: The periodic amount of money the insured pays to a health plan for a health care policy.
31.
Preventive Maintenance: Foccuses on overall health and the prevention of illness.
32.
Prioritize: to arrange items in order of importance
33.
Professional Ethics: a set of moral standards for acceptable professional behavior
