TERMINOLOGY
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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| BUFFING | A PHYSICIANS JUSTIFYING THE TRANSFERENCE OF SICK, HIGH-COST PATIENTS TO OTHER PHYSICIANS IN A MANAGED CARE PLAN
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| CAPITATION | A SYTEM OF PAYMENT USED BY MANAGED CARE PLANS IN WHICH PHYSICIANS AND HOSPITALS ARE PAID A FIXED PER CAPITA AMOUNT FOR EACH PATIENT ENROLLED OVER A STATED PERIOD OF TIME
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| CARVE-OUTS | MEDICAL SERVICES NOT INCLUDED WITHIN THE CAPITATION RATE AS BENEFITS OF A MANAGED CARE CONTRACT AND MAY BE CONTRACTED FOR SEPERATELY
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| CHURNING | WHEN PHYSICIANS SEE A HIGH VOLUME OF PATIENTS- MORE THAN MEDICALLY NECESSARY TO INCREASE REVENUE
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| COPAYMENT | A PATIENTS PAYMENT OF A PORTION OF THE COST AT THE TIME THE SERVICE IS RENDERED
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| DEDUCTABLE | A SPECIFIC DOLLAR AMOUNT THAT MUST BE PAID BY THE INSURED BEFORE A MEDICAL INSURANCE PLAN OR GOVERNMENT PROGRAM BEGINS COVERING HEALTH CARE COSTS
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| DIRECT REFERRAL | THE AUTHORIZATION REQUEST FORM IS COMPLETED AND SIGNED BY THE PHYSICIAN AND HANDED TO THE PATIENT
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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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Created by:
reginacamarena
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