Stack #177075

Description:	Stack #177075
Category:	Clinical Skills
Created by:	mamichulaerica on 2008-11-16

Question	Answer
health plan, medical insurance represents an agreement between a person	policy holder
payments made to the health plan by the policy holder forinsurance coverage.	premiums
a federal health plan that covers persons aged 65 & over w/ disabilities and dependants	medicare
government program that covers medical expesnses for dependants of active duty(military).	CHAMPVA
a plan,program, or organization that provides health insurance benifits.	health plan
company or government health plan	payer
people w/ jo related illnesses or injuries covered under workers compensation insurance	workers compensation
diffrent types of services	fee-for-seervices
financing& the delivery of health care policy holder	managed care
fixed payment	capitation
network of providers under contact w/a managed care organization to perform services for plan memebers at discounted fees	PPO
providers are paid fixed rates at regular intervals such as monthly . any services the need for that period.	HMO
high deductable w/low premium insurance plan	CDHP(consumer driven health plan)
contains personal,employment, & medical insurance information needed to collect payment for the provider services.	patient information form
plans, codes numbers used in place of descriptions	coding
dervices performed	proceedures
physicians opinion of the nature of the patients illness or injury	diagnosis
known as the superbill	encounter form
found in the inernational classifacation of disease. provides health plans w/ very specififc information about patients specific illness,signs & symptoms	diagnosis code