Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Medical Insurance 2
Med insurance
| Question | Answer |
|---|---|
| Release of Information | Legal document that authorizes info to be released to a medical insurance carrier |
| IPA | Independent practice association |
| HMO | Health maintenance organization |
| Primary Diagnosis | A patients major health problem |
| Attending Physician | The physician in charge of patient care |
| TAR | Treatment authorization request |
| Provisional Diagnosis | A tempo diagnosis made prior to receiving actual test results |
| Workers Compensation | Insurance to cover work related injuries and illness |
| EMR | Electronic medical record |
| TPO | Treatment payment operations |
| Pre-existing Condition | Diagnosis before insurance policy was written |
| CMS | Centers for medicare and medicaid services |
| TriCare | Provides military personnel with health care |
| PPO | Preferred provider organization |
| Carrier | A company that assumes the risk of an insurance policy |
| Birthday Rule | When covered under two insurances, use the insurance policy of the policy holder who's birthday comes first. |
| COB | Coordination of Benefits |
| Group Policy | Policy that covers several people on a master contract |
| Emancipated Minor | Person who isnt 18 but has the same legal rights as an adult |
| Balance Billing | Billing the patient for the amount not covered by insurance |
| Medical Necessity | The process of establishing the medical need for medical services |
| Write off | Difference between a full fee and an allowed fee |
| Disability | Lack of ability to perform in a range considered normal |
| Allowed charge | Max amount insurance company pays for service |
| Managed Care | A health care system whose goals are to provide cost effective quality care. |
| Co-payment | The portion of a service fee that the patient must pay |
| Delinquent Claim | Claim with payment overdue |
| Walk out statement | Printed form with estimated charges that patient takes with them |
| Gate Keeper | Term given to primary care physician for coordinating the patients care |
| Accident | An unexpected happening that may result in injury, loss, or damage. |
| Grievance Procedure | a provision for resolving issues that may come up later |
| Lapse | Termination of insurance coverage for lack of insurance payment |
| Probationary Period | Waiting period when certain pre existing conditions are excluded |
| Waiver | a document that shows a person voluntarily gives up a right, claim or privilege |
| Disability income insurance | Provides income to those who are injured and unable to work |
Created by:
zainabgelle
Popular Medical sets