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abbreviations week 3
terminilogy
Question | Answer |
---|---|
CO-Pay | patient's payment of a portion of the cost at the time the service is rendered |
EPO | exclusive provider organization |
FMC | foundation for medical care |
HMO | health maintenance organization |
IPA | independent or individual practice association |
MCO | managed care organization |
PCP | primary care physician |
POS | point of service |
PPG | physician provider group |
PPO | preferred provider organization |
UR | utilization review |
PHP | prepaid health plan |
buffing | physician's justifying the transfer of sick, high-cost patients to other physician's in a managed care plan |
capitation | system of payment used in which physician's and hospitals are paid a fixed per capita for ea. pt. |
carve outs | medical services not included with in the capitation rate as benefits of a managed care contract |