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FLAVIN MOS150U1

Terminology

QuestionAnswer
The federal healthcare program for the elderly and certain qualifying others is Medicare
In contract law, the “thing of value” that each party gives to the other is the consideration
Following the rules and conventions governing correct or polite behavior in society is called etiquette
A legal document that requires an individual to appear in court with a piece of evidence that can be examined by the court is called a subpoena duces tecum
The dollar amount that a patient must pay each year before his or her insurance benefits begin is called a/an deductible
The business of protecting, through legal means, a person or property against loss or harm is referred to as insurance
Most health insurers ask that patients pay a portion of the charge for professional services. This charge is commonly referred to as coinsurance
People who are covered under managed care plans are commonly referred to as enrollees
Fee-for-service healthcare plans are also referred to as indemnity insurance
The combined federal and state healthcare program for indigent and low-income individuals is Medicaid
A proposition to create a contract is the offer
A family physician, internist, obstetrician-gynecologist, or pediatrician who is usually the patient’s first contact for healthcare defines a/an primary care physician
When a health insurance professional intentionally and knowingly misrepresents facts to increase the payment of a claim, it is commonly known as fraud
Improper methods of doing business that are contradictory to accepted business practices is a definition of abuse
Insurance companies often cap what a patient must pay, which is referred to as the out-of-pocket maximum
The Latin term for “let the master answer” is respondeat superior
The periodic fee paid for health insurance is commonly called a premium
Medical illnesses or injuries that a patient has prior to the purchase of a health insurance policy are called preexisting conditions
Failure to exercise a reasonable degree of care is a definition of negligence
Standards of human conduct (sometimes called morals) are ethics
The program that provides insurance for qualifying children who are ineligible for Medicaid but cannot afford private insurance is called CHIP
A _____ provider is one who contracts with the insurer, agreeing to abide by certain rules and regulations of that carrier. participating
The situation in which patients pay a certain portion of healthcare costs (e.g., deductible and copayment) is called cost sharing
When a society tends to be hasty in bringing lawsuits, it is said to be litigious
When certain precise steps are not followed when a physician terminates the patient/doctor contract, it is called abandonment
Created by: Iteach4Docs
 

 



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