Health Insurance Word Scramble
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Question | Answer |
What is a contract between a policybolder and a third-party payer or government program to reimburse the policyholder for all or a portion of the cost of medically necessary treatment or preventive care provided by healthcare professionals? | Health insurance |
At Baylor University in Dallas, TX, Justin Ford Kimball introduced a plan to guarantee school teachers 21 days of hospital care for $6 a year. What is this considered? | First Blue Cross plan |
Who administer healthcare plans and process claims thus serving as a system of checks and balances for labor and management? | Third-party administrators (TPAs) |
What insurance provides coverage for catastrophic or prolonged illnesses or injuries? | Major medical |
What is the amount for which the patient is financially responsible before an insurance policy provides payment? | Deductible |
What provides healthcare services to Americans over the age of 65? | Medicare |
What is a cost-sharing program between the federal and state governments to provide healthcare services to low-income Americans? | Medicaid |
What does the acronym OSHA mean? | Occupational Safety and Health Administration |
What is a provision in an insurance policy that requires the policyholder or patient to pay a specified dollar amount to a healthcare provider for each visit or medical service received? | Copayment (copay) |
What is the percentage of costs a patient shares with a health plan? | Coinsurance |
What does the acronym RBRVS mean? | Resource-Based Relative Value Scale |
On what three components does the RBRVS system reimburse physicians' practice expenses? | Physician work, practice expense, and malpractice insurance expense |
What is a list of predetermined payments for healthcare services provided to patients? | Fee-schedule |
What does the acronym NCCI mean? | National Correct Coding Initiative |
What does the acronym HIPAA mean? | Health Insurance Portability and Accountability Act |
What was implemented for billing of hospital-based Medicare outpatient claims? | Outpatient Prospective Payment System (OPPS) |
What does the acronym APC mean? | Ambulatory Payment Classifications |
What does the acronym EIN mean? | Employer Identification Number |
What does the acronym NPI mean? | National Provider Indentifier |
What format does a POR use for documentation? | SOAP |
What is a global concept that includes the collection of patient information documentation by a number of providers at different facilities regarding one patient? | Electronic health record |
Who offers healthcare coverage that is called group health insurance? | Employers |
Created by:
YTIMBC
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