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| Question | Answer |
|---|---|
| The business of protecting, through legal means, a person or property against loss or harm. | Insurance |
| Health insurance narrows down undesirable events to? | Illness and injuries. |
| The birth of health insurance in this country occurred in? | 1929 |
| The federal healthcare plan for the elderly and certin qualifying others is? | Medicare |
| The combined federal and state healthcare program for the indigent and low income individuals is? | Medicaid |
| A relatively new concept of healthcare structure that emerged in the late twentieth century is? | Managed care. |
| Congress passed the Health Maintenance Organization Act in? | 1973 |
| many employed individuals obtain healthcare coverage through a/an? | Group plan |
| The acronym for the congressional act that circumvents problems such as preexisting conditions as well as other healthcare related issues is? | HIPAA |
| The situation whereby patients pay a certain portion of healthcare costs(e.g., deductibles and copayment) is called? | Cost sharing |
| Actuaries use statistics to predict anticipated healthcare costs, which establish? | Premiums |
| Fee-for-service healthcare plans are also referred to as? | Indemnity insurance |
| Understanding what you read is called? | Comprehension |
| Sending and receiving information through mutually understood methods is? | Communication |
| When you stick with a task until it is completed, you are? | diligent |
| When you have honest, ethical, and moral principles, you are said to have? | Integrity |
| To write down important lecture facts in one's own words is called? | Paraphrasing |
| Organizing daily responsibilities according to their importance is called? | Prioritizing |
| Sucess in getting te most out of one's education and optimizing career potential facilitates? | Lifelong learning |
| In order to develop effective study skills, it is suggested that a students generate a? | Time management schedule |
| One method of enhancing one's career as a health insurance professional is to acquire? | Certification |
| When a society tends to be hasty in bringing lawsuits, it is said to be? | Litigious |
| The Latin term for "let the master answer" is? | Respondeat superior |
| Members of a medical team who are not physicians are called________members | Ancillary |
| A proposition to creat a contract is the? | Offer |
| The "thing of value" that each party gives to each other is the? | Consideration |
| A contract can be terminated when? | Both parties agree to terminate it or either party defaults on the provisions |
| The type of contract that exists between a healthcare provider and a patient is a/an? | Implied contract |
| A health insurance company is referred to as the? | Third party |
| The federal act that states that Medicare is the secondary payer in the case of automobile or liability coverage is the? | Federal Omnibus Budget Reconciliation Act of 1980 |
| The act that made Medicare benefits secondary to employer group health plans for eployees(or spouses) over 65 is the | Tax Equity and Fiscal Responsiblity Act of 1982 |
| The act that addresses the prevention of healthcare fraud and abuse of patients eligible for Medicare and Medicaid benefits is the? | Fraud and Abuse Act |
| Following the rules and conventions governing correct or polite behavior in society is called? | Etiquette |
| HIPA was signed into law in? | 1996 |
| In compliance wih HIPAA, when patients visit their healthcare providers for treatment, they are given a? | Privacy statement |
| Whentwo patients recognize each other in a medical practice's reception area,HIPAA referrs to this as a/an? | Incidental disclosure |
| The office of Inspector General(OIG) recommends all medical facilities have a? | HIPAA compiance plan |
| Medcare and Medicaid records must be kept a minimum of_____years? | Five |
| Before medical information can be divulged to a third party, the patient should sign a? | Release of medical information form |
| When a health insurance professional intentionally and kowingly misrepresents facts to inncrease the payment of a claim, it is commonly known as? | Fraud |
| Imprper methods of doing business that are contradictory to accepted business practices is a definition of? | Abuse |
| Upcoding and unbundling of charges are examples of? | Healthcare fraud |
| Failue to exercise a reasonable degree of care is a definition of? | Negligence |
| A legal document that requires an individual to appear in court with | Subpoena duces tecum |
| The periodic fee paid for health insurance is commonly called a? | Premium |
| Thye dollar amount that a patient must pay each year before his/her insurance |
Created by:
Jeannie-Snyder
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