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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 |