Allied Health Care Professionals

health care-related professions who assist, facilitate, or complement the work of physicians

legal agreement in which physicians share staff and overhead expenses of operation, but do not share legal responsibility or profit of business

process that verifies qualifications and assess background for ability to LEGALLY work in their field

process of verifying an individual's professional qualifications

designed for disabled veterans and their dependents

percentage of payment that is agreed on by the insured as their portion of any claims

fixed amount determined by health insurance policy that is paid for services to offset premiums paid by the insured

amount of money that is paid by the insured before the insurance company pays for services.

person, like primary care physician, that is appointed by a managed care carrier to maintain and approve services to reduce costs and unnecessary spending

medical practice with three or more physicians of the same or similar specialty who share the same overhead and staff and practice medicine together

Health Maintenance Organization(HMO)

type of managed care company that serves participating patients by offering services at a fixed rate within the group of participating providers and facilities.

method of billing outpatient services provided by nonphysician provider when working under the direct supervision of a physician

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Principles Chp 7&8

Medical Law and Ethics

Question	Answer
Allied Health Care Professionals	health care-related professions who assist, facilitate, or complement the work of physicians
Associate Practice	legal agreement in which physicians share staff and overhead expenses of operation, but do not share legal responsibility or profit of business
Certification	process that verifies qualifications and assess background for ability to LEGALLY work in their field
Credentialing	process of verifying an individual's professional qualifications
CHAMPVA	designed for disabled veterans and their dependents
Coinsurance	percentage of payment that is agreed on by the insured as their portion of any claims
copay	fixed amount determined by health insurance policy that is paid for services to offset premiums paid by the insured
Dedeuctible	amount of money that is paid by the insured before the insurance company pays for services.
Gatekeeper	person, like primary care physician, that is appointed by a managed care carrier to maintain and approve services to reduce costs and unnecessary spending
Group Practice	medical practice with three or more physicians of the same or similar specialty who share the same overhead and staff and practice medicine together
Health Maintenance Organization(HMO)	type of managed care company that serves participating patients by offering services at a fixed rate within the group of participating providers and facilities.
Incident to billing	method of billing outpatient services provided by nonphysician provider when working under the direct supervision of a physician
Indemnity Plan

Created by: user-1963897

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