MOD 110 Unit 1
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Accounts Receivable Management | Organization and administration of coding and billing in a medical practice
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| Assignment | A transfer, after an event insured against, or an individual's legal right to collect an amount payable under an insurance contract
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| Capitation | A system of payment used by managed care plans in which physicians and hospitals are paid a fixed per capita requesting payment for service
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| Claims | A bill sent to an insurance carrier requesting payment for services rendered; also known as encounter record
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| CMS | Center for Medicare and Medicaid services
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| COBRA | Consolidated Omnibus Budget Reconciliation Act
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| Coinsurance | A cost-sharing requirement under a health insurance policy providing that the insured will assume a percentage of the costs for covered services
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| Conditionally Renewable | An insurance policy renewal provision that grants the insurer a limited right to refuse to renew a health insurance policy at the end of a premium payment period
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| Coordination of Benefits (COB) | Two insurance carruies working together and coordinating the payment of thier benefits so that there is no duplication of benefits [paid between the primary and 2nd insurance carriers
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| Deductible | A specific dollar amount that must be paid by the insured before a medical insurance plan or government program begins covering health care costs
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| Encounter Form | An all-encompassing billing form personalized to the practice of the physician, it may be used when a patient submits an insurance billing
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| EOB | Explanation Of Benefits
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| Exclusive Provider Organziation (EPO) | A type of managed health care plan that combines features of HMOs and PPO
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| Foundation for Medical Care (FMC) | An organization of physicians sponsored by a state or local medical association concerned with development and delivery of medical services and the cost of health care
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| Guarantor | An individual who promises to pay the medical bill by signing a form agreeing to pay or who accepts treatment, which constitutes an expressed promise
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| Health Insurance | A contract between the policyholder or member insurance carrier or government program to reimburse
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| HIPAA | Health Insurance Portability and Accountability Act
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| Indemnity | Benefits paid to an insured while disabled
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| Medicaid (MCD) | A ferderally adied, state operated, and state-administered program that provides medical benefits for certain low-income persons in need of health and medical care
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| Medicare (M) | A nationwide health insurance program for persons age 65 years of age and older and certin disabled or blind persons regardless of income,
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| Point-of-service (POS)Plan | A managed care plan in which memebers are given a choice as to how to receive services, whether through an HMO, PPO, or fee-for-service plan
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| PPO | Perferred Provider Organization
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| Preauthorization | A requirement of some health insurance plans to obtain permission for service procedure before it is done and to see whether the insurance program agrees it is medically necessary
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| Premium | The cost of insurance coverage paid annually, semiannually, or monthly to keep the policy in force
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| Bi/o | Life
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| Chem./o | Chemical
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| Onc/o | Tumor
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| Macr/o | Large
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| Eti/o | Cause
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| Therm/o | Hot,heat
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| Radi/o | Ray,x-ray
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| Pyr/o | Heat,fire
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| Prefix | To fix before or to fix top the beginning of a word
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| Suffix | To fasten on, beneath, or under
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| Word Root | A word element from which other words are formed
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| Combining Form | A word root to which a vowel has been added
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| ab | Away from
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| Acute | Sudden,sharp,severe: a disease that has a sudden onset, severe symptoms, and a short course
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| anti | Against
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| dia | Through
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| -al | Pertaining to
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| -pathy | Disease
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| -graphy | Recording
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| hypo | Below,under,deficient
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| -ic | Pertaining to
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| Bx | Biopsy
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| ENT | Ear,Nose,Throat
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| Dx | Diagnosis
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| GYN | Gynecology
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