Human Relations/Communications
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Who is considered the "father of medicine" | Hippocrates
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| MCO | Managed Care Organization
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| HMO | Health Maintenance Organization
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| PPO | Preferred Provider Organization
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| EPO | Exclusive Provider Organization
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| Gatekeeper | Primary Care Physician- HMO, keeps cost of healthcare down
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| POS | Point of Service Plan
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| IPA | Independent Practice Association
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| Solo Practice | MD owned - Only practioner
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| Sole Proprietorship | MD owned hires other practioners.
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| Group Practice | Three or more physicians share profit and loss
Can consist of Partners and employees.
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| Professional Corporation | Managed by Shareholders with Board of Directors
Set up so that the Physician has minimal personal loss
Hospitals, Urgent Care,Dr Offices owned by hospital
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| Associate practice | Physicians agree to share expenses such as employee payroll, facility, general expenses, but profit and loss is their own.
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| Concierge Medical Care | AKA "retainer medicine"
patient pays an annual fee or retainer
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| Health Maintenance Organization (HMO) | Healthcare services are made available to plan members for a predetermined fee or capitation rate- use a limited group of providers.
PCP(Primary Care Physician – serves as gatekeeper.
No copay or very Low
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| Preferred Provider Organization | No gatekeeper
Can go out of network for an additional fee
Copay
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| Exclusive Provider Organization | Combination of HMO and PPO concepts
Providers limited to defined group
Paid on modified fee- for- service
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| Holistic Medicine | Medical doctors of holistic medicine are usually DO
Focus on physical, mental, and social well-being of the “whole” person
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| DO | Doctor of Osteopathy
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| Point of Service | Contracts with independent providers at a discounted rate.
Members have a choice at the time service is rendered of receiving services from an HMO, PPO, or fee-for-service plan.
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| Fee for Service | Arrangement in which either the physician’s office or the patient files a claim to the insurance company, and the full amount allowed by the insurance company is collected.
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