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The shaft of a long bone is called the

diaphysis

The strong membrane surrounding the surface of a bone is the

periosteum

Hard, dense bone tissue lying under the periosteum is called

compact cortical

finger bones

phalanges

foot bones

metatarsals

backbone

vertebra

-asthenia

lack of strength

-desis

bind, tie together

-plasty

surgical repair

sub-

under; below

Incision of a joint

arthrotomy

Tumor (malignant) of cartilage

chondrocacroma

Inflammation of a sac of fluid near a joint

bursitis

Lateral curvature of the spine

scoliosis

acetabulum

ta

fibromyalgia

al

cartilage

consecutive tissues at joints

condyle

rounded process at the joint

tubercle

rounded attachment of tendons and muscles

trochanter

large process on the femur for attachment of tendons and muscles

pyrexia

fever

olecranon

elbow bone

osteogenic sarcoma

common malignant tumor from osteoblasts

leiomyosarcoma

malignant tumor of smooth muscle

muscular dystrophy

weak muscles

malleol/o

process on each side of the ankle, process on each side of the ankle

metacarp/o

metacarpals (hand bones)

phalang/o

finger and toe bones

vertebr/o

vertebra (backbone)

America's oldest privately owned, prepaid medical group is

A. Ross-Loos Medical Group

What plan allows members of Kaiser permanente Medical Care program to seek medical help from non-Kaiser physicians?

B. POS

Kaiser Permenente's medical plan is a closed panel program, which means

it limits the patients choice of personal physicians

How are physicians paid who work for a prepaid group practice model?

Salary paid by independent group

What is the name of an organization of physicians sponsored by a state or local medical association that is concerned with the development and delivery of medical services and the cost of health care?

Foundation for medical care

An organization that gives members freedom of choice among physicians and hospitals and provides a higher level of benefits if the providers listed on the plan are used is called a

PPO

A physician-owned business that has the flexibility to deal with all forms of contract medicine and also offers its own plans is a

PPG

Practitioners in an HMO program my come under peer review by a professional group called

quality improvement organization QIO

Referral of a patient recommended by one specialist to another specialist is known as

tertiary care

What is the correct procedure to collect a copayment on a managed care plan?

Collect the copayment when the patient arrives for the office visit.

The abbreviation MCO stands for

Managed Care Organization

Benefits under the HMO Act fall under two categories______________ health services and supplemental health services.

Basic

UR is the abbreviation for _____ ________ which is necessary to control costs in the health care setting.

utilization review

When a managed care plan requires the primary care physician to seek approval before referring a patient to a specialist, it is called obtaining

preauthorization

When a certain percentage of the monthly capitation payment is held out of the premium fund to pay for operating an IPA, it is know as a

withhold

Ross-Loos Medical Group, America's oldest privately owned prepaid medical group, started in Texas.

False

The Health Maintenance organization Act of 1973 required most employers to offer HMO coverage to their employees as an alternative to traditional health insurance.

True

Medicare-eligible patients are involved with HMO's or prepaid health plans

False

In a staff model HMO, physicians are hired directly by the health plan that pays their salary.

True

Exclusive provider organizations EPO's are regulated by the federal government

False

The difference between an IPA and a PPG is that a PPG may not be owned by its member physicians, whereas an IPA is physician owned.

False

If a primary care physician sends a patient to a specialist for consultation who is not in the managed care plan, the specialist may bill the primary care physician for payment.

True

Managed care plans never require a CMS-1500 claim form to be completed and submitted

False

Usually, there are no deductibles for managed care plans.

True

A copayment in a managed care plan is usually a fixed dollar amount (predetermined fee).

true

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