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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 |