Chapter 1
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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| Benefits | The amount of money a health plan pays for services covered in an insurance policy.
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| Capitation | Payment method in which a prepayment covers the provider's services to a plan memeber for a specified period of time.
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| Centers for Medicare and Medicaid Services (CMS) | Federal agency within the department of Health and Human Services that runs Medicare, Medicaid, Clinical Laboratories (under the CLIA program) and other governmental health programs.
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| Coinsurance | The portion of charges that an insured person must pay for health care services after payment of the deductible amount; usually sated as a percentage.
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| Consumer-Driven Health Plan | Type of employment-sponsored medical insurance that combines a high deductible plan with a medical savings plan that covers some out-of-pocket expenses.
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| Copayment | an amount that a health plan requires a beneficiary to pay at the time of services for each health care encounter.
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| Credentialing | The process of periodic verification that a provider or facitlity meets the professional standards of a certifying organization. Physician credentialing involves screening and evaluating qualifications and other credentials, including licensure, required
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
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.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
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.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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