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FLAVIN MOS150U1
Terminology
Question | Answer |
---|---|
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 |