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Stack #177075
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 |