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LOM week 2 skill learning
The shaft of a long bone is called the
The strong membrane surrounding the surface of a bone is the
Hard, dense bone tissue lying under the periosteum is called
lack of strength
bind, tie together
Incision of a joint
Tumor (malignant) of cartilage
Inflammation of a sac of fluid near a joint
Lateral curvature of the spine
consecutive tissues at joints
rounded process at the joint
rounded attachment of tendons and muscles
large process on the femur for attachment of tendons and muscles
common malignant tumor from osteoblasts
malignant tumor of smooth muscle
process on each side of the ankle, process on each side of the ankle
metacarpals (hand bones)
finger and toe bones
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?
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
A physician-owned business that has the flexibility to deal with all forms of contract medicine and also offers its own plans is a
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
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.
UR is the abbreviation for _____ ________ which is necessary to control costs in the health care setting.
When a managed care plan requires the primary care physician to seek approval before referring a patient to a specialist, it is called obtaining
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
Ross-Loos Medical Group, America's oldest privately owned prepaid medical group, started in Texas.
The Health Maintenance organization Act of 1973 required most employers to offer HMO coverage to their employees as an alternative to traditional health insurance.
Medicare-eligible patients are involved with HMO's or prepaid health plans
In a staff model HMO, physicians are hired directly by the health plan that pays their salary.
Exclusive provider organizations EPO's are regulated by the federal government
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.
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.
Managed care plans never require a CMS-1500 claim form to be completed and submitted
Usually, there are no deductibles for managed care plans.
A copayment in a managed care plan is usually a fixed dollar amount (predetermined fee).