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Med. Insurance Terms
Medical Insurance in a Flash Chapter 7
| Question | Answer |
|---|---|
| In what year was the first health insurance initiated? | 1694 |
| What are the two challenges facing insurance companies? | Adverse selection and moral hazard |
| What is the purpose of health insurance? | To help patients pay for medical care |
| What types of tests are considered preventive medicine? | Pap smears,mammograms,PSA tests,and colonoscopies |
| Patient + Health Insurance + Primary Care Physician = ? | A healthier patient |
| What are the two categories of health insurance? | Individual and group |
| What other services are offered by the medical benefits of your insurance plan? | Vision, dental, and prescriptions |
| What is the term for the payment of group health insurance? | A premium |
| Patients paying individual insurance premiums may be able to use what state benefit? | A tax benefit |
| What professionals may need to carry their own individual insurance? | Hairdressers, real estate agents, and self-employed psychologists or accountants, to name a few |
| Name the two types of private health insurance. | Employment and direct purchase |
| Name three types of government health insurance. | Medicare,medicaid,and TRICARE |
| What department within DHHS handles drug approvals? | FDA |
| What department within DHHS deals with issues on againg? | AOA |
| What professions are required to obtain a license before practicing? | Physicians,nurses,dentist, and psychologits, to the name a few |
| What is the percentage of billing and coding positions that are unfilled in the United States? | 18% |
| What insurance covers costs incurred by insurance companies arising out of a billing mistake? | Erros and ommissions insurance |
| A billing/insurance specialist in a physician practice should be knowledgeablen in the completion of what insurance form? | CMS 1500 form |
| Diagnosis codes are found in what coding book? | ICD-9-CM book |
| What insurance plan is desingned for the needy? | Medicaid |
| CMS falls under what federal executive deparment? | Deparment of Health and Human Services |
| What type of plan provides coverange through an individual from a private company? | Direct purchase plan |
| Who formend the first health insurance? | Hugh chamberlen |
| What healthcare plan provides medical assistance to eligible Native Americas? | The Indian Health service |
| What percentage of the allowed amount is paid by medicare? | 80% |
Created by:
BHC Medical Assisting
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