wk 3 terms/acronyms
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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continuity of care | documenting patient care services so that others who treat the patient have a source of information on which to base additional care and treatment
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copayment | provision in an insurance policy that requires the policyholder or patient to pay a specified dollar amount to a health care provider for each visit or medical service recieved
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deductible | amount for which the patient is financially responsible before an insurance policy provides coverage
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Fee schedule | list of predetermined payments for health care services provided to patients
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Policy holder | a person who signs a contract with a health insurance company and who, thus, owns the health insurance policy
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socialized medicine | type of single-payer system in which the government owns and operates health care facilities and providers receive salaries
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third party payer | a health insurance company that provides coverage, such as BlueCross BlueSheild
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accreditation | voluntary process that a health care facility or organization undergoes to demonstrate that it has met standards beyond those required by law
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capitation | provider accepts pre-established payments for providing health care services to enrollees over a period of time (usually on year)
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fee for services | reimbursement methodology that increases payment if the health care service increase, if multiple units of service are provided, or if more expensive services (e.g. brand name vs generic prescription drugs)
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gag clause | prevents providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services
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gatekeeper | primary care provider for essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists
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EFT | Electronic Funds Transfer
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EHR | Electronic Healthcare Records
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EOB | Explanation of Benefits
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FECA | Federal Employment Compensation Act
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HCPCS | Healthcare Common Procedural Coding System
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HIPAA | Health Insurance Portability Accountability Act
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HMO | Health Maintenance Organization
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ICD | International Classification of Disease
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IPA | Independent Practice Association
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IPO | Integrated Provider Organization
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IPPS | Inpatient Prospective Payment System
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Created by:
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