4010 week3 Word Scramble
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Question | Answer |
CO-PAY | COPAYMENT |
EPO | EXCLUSIVE PROVIDER ORGANIZATION |
FMC | FOUNDATION FOR MEDICAL CARE |
HMO | HEALTH MAINTENACE ORGANIZATION |
IPA | INDEPENDENT OR INDIVIDUAL PRACTICE ASSOCIATION |
MCO | MANAGED CARE ORGANIZATION |
PCP | PRIMARY CARE PHYSICIAN |
POS | POINT OF SERVICE |
PPG | PHYSICIAN PROVIDER GROUP |
UR | UTILIZATION REVIEW |
PHP | PREPAID HEALTH PLAN |
BUFFING | A PHTSICIAN JUSTIFYING THE TRANSFERENCE OF SICK, HIGH-COST PATIENTS TO OTHER PHYSICIANS IN A MANAGED CARE PLAN |
CAPITATION | A SYSTEM OF PAYMENT USED BY MANAGED CARE PLANS IN WHICH PHYSICIANS AND HOSPITALS ARE PAID A FIXED PER CAPITA AMOUNT FOR EACH PATIRNT ENROLLED OVER A STATED PERIOD OF TIME |
CARVE OUTS | MEDICAL SERVICES NOT INCLUDED WITHIN THE CAPITATION RATES AS BENEFITS OF A MANAGED CARE CONTRACT AND MAY BE CONTRACTED SEPARATELY |
CHURNING | WHEN PHYSICIANS SEE A HIGH VOLUME OF PATIENTS MORE THAN MEDICAL NECESSARY TO INCEASE REVENUE |
COPAYMENT | A PATIENTS PAYMENT OF A PORTION OF THE COST AT THE TIME OF SERVICE IS RENDERED |
DEDUCTIBLE | A SPECIFIC DOLLAR AMOUNT THAT MUST BE PAID BY THE INSURED BEFORE A MEDICAL INSURANCE PALN OR GONVERNMENT PROGRAM BEGINS CONVERTING HEALTH CARE COST |
DIRECT REFERRAL | AUTHORIZATION REQUEST FORM IS COMPLETED AND SIGNED BY THE PHYSICIAN AND HANDED TO PATIENT TO BE DONE DIRECTLY |
GATEKEEPER | IN THE MANAGED CARE SYSTEM THIS IS THE PHYSICIAN WHO CONTROLS PATIENTS ACCESS TO SPECIALISTS AND DIAGNOSTIC SERVICES |
PARTICIPATING PHYSICIAN | A PHYSICIANWHO CONTRACTS WITH AN HMO OR OTHER INSURANCE COMPANY TO PROVIDE SERVICES WHO HAVE AGREED TO ACCEPT A PLAN PAYMENT |
TERTIARY | SERVICES REQUSTED BY A SOECIALIST FROM ANOTHER SPECIALIST |
V CODES | HEALTH CARE ENCOUNTERS THAT OCCUR FOR REASONS OTHER THAN ILLNESS OR INJURY OR SPECIAL CIRCUMSTANCES OR PROBLEMS |
E CODES | CODING USED TO DESCRIBE ENVIRONMENT EVENTS, CIRCUMSTANCES, AND CONDITIONS AS THE EXTERNAL CAUSES INJURY, POISONING, AND OTHER ADVERSE EFFECTS |
ACCIDENTAL | UNEXPECTED HAPPENING CAUSING INJURY TRACEABLETO A DEFINITE TIME AN PLACE |
BENGIN | DOES NOT HAVE THE PROPERTIES OF INVASION AND METASTASIS |
MALIGNANT | HAS THE PROPETY OF INVASION AND METASTASIS |
METASTSIS | SPEARD OF DISEASE-PRODUCING AGENCY (AS CANCER OR BACTERIA) FROM THE INITIAL OR PRIMARY SITE IF DISEASE TO ANOTHER PART OF THE BODY |
NEOPLASM | ANY NEW OR ABNORMAL GROWTH OF TISSUE SERVING NO PHYSIOLOGICAL FUNCTION |
POISIONING | CONDITION RESULTING FROM AN OVERDOSE OF DRUGS OR CHEMICAL SUBSTANCES OF FROM THE WRONG DRUG OR AGENT GIVEN OR TAKEN IN ERROR |
PRIMARY | INITIAL OR IDENTIFICATION OF THE CONDITION OR CHEIF COMPLAINT |
THERAPEUTIC USE | CORRECT SUBSTANCE ADMINISTERED PROPERLY AND AS PRESCRIBED |
UNCERTIAN BEHAVIOR | BEHAVIOR OF THE NEOPLASM IS UNKNOWN AND CANNOT BE ASCERTIAN UNTIL A BIOPSY OR EXCISION IS PREFORMED |
UNSPECIFIED BEHAVIOR | DIAGNOSTIC INFORMATION HAS NOT SPECIFIED THE NATURE OF BEHAVIOR THAT MAY BE KNOWN |
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