insurance terms and acronyms week 3
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| continuity of care | the delivery of services provided to a person that proceeds without a lapse or interruption, with the intended purpose of maintaining a level of health and treatment.
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| copayment | a specified amount the insured must pay toward the charge for professional services rendered at the time of service.
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| deductible | an amount to be paid before insurance will pay.
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| Fee schedule | a list of predetermined payment amounts for professional services provided to patients.
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| Policy holder | a person or group in whose name an insurance policy is held
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| Socialized medicine | medical and hospital care for all at a nominal cost by means of government regulation of health care and subsidies derived from taxation.
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| third party payer | a fancy way of referring to your health plan or health insurer. When you see a doctor or go in for a medical procedure, you'll pay a share of the bill, maybe through a copayment.
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| accreditation | a process in which an educational institution or program establishes credibility or legitimacy by complying with predetermined standards.
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| capitation | the health care provider is paid a fixed amount per member per month for each patient who is a member of a particular insurance organization regardless of whether services were provided.
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| fee for service | payment for each service that is provided; individuals who choose to pay high premiums so that they have the flexibility to seek medical care from health care professionals of their choice.
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| gag clause | A gag clause is often used as part of an employment contract as a way for an employer to protect special and/or proprietary corporate information, trade secrets, and confidential employee information.
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| gatekeeper | one who regulates access to someone or something; in insurance, a primary care physician who coordinates the patient's referral to specialists and hospital admissions.
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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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| ERA | electronic remittance advice
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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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You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
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