3255408271 | WHO | World Health Organization | 0 | |
3255411188 | ICD | International Classification of Diseases | 1 | |
3255414014 | Who developed ICD to: | collect data for statistical purposes | 2 | |
3255415365 | CPT | Current Procedural Terminiology | 3 | |
3255423377 | CPT was developed by... | American Medical Association | 4 | |
3255423378 | AMA | American Medical Association | 5 | |
3255429244 | Medicare | federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease | 6 | |
3255433723 | Medicaid | A joint federal and state program that helps low-income individuals or families pay for the costs associated with long-term medical and custodial care, provided they qualify. | 7 | |
3255437579 | Medicaid is funded by .... | funded by the federal government, Medicaid is run by the state where coverage may vary. | 8 | |
3255439797 | Medicaid is run by... | funded by the federal government, Medicaid is run by the state where coverage may vary. | 9 | |
3255444216 | HIPAA | Health Insurance Portability and Accountability Act of 1996 | 10 | |
3255448098 | HIPAA regulates | andates regulations that govern privacy, security, and electronic transaction standards for health care information | 11 | |
3255453058 | PIP | Personal Injury Protection | 12 | |
3255455777 | PIP | Reimburses medical expenses for covered individuals, regardless of fault, for treatment due to an auto accident. | 13 | |
3255461262 | Disability Insurance | offers income protection to individuals who become disabled for a long period of time, and as a result can no longer work during that time period | 14 | |
3255467748 | Disability insurance is managed by | Social Security | 15 | |
3255471891 | Disability insurance is paid if | Was under the care and treatment of a licensed provider during initial disability and continues care with the same | 16 | |
3255474343 | OSHA | Occupational Safety and Health Administration | 17 | |
3255476807 | OSHA protects | protect all employees against injuries from occupational hazards in the workplace | 18 | |
3255479650 | OSHA is an agency under | U.S. Department of Labor | 19 | |
3255490909 | HMO | Health Maintenance Organization | 20 | |
3255497776 | HMO gives access to what doctors and nurses | Those within their network, care is covered only if you see a doctor within their network (few opportunities for out of network docs) | 21 | |
3255503853 | Networks are made up of | providers that have agreed to lower their rates for plan members and also meet quality standards | 22 | |
3255513963 | Lower insurance premiums | HMO | 23 | |
3255519923 | PPO | Preferred Provider Organization | 24 | |
3255528020 | PPO gives you access to what doctors and nurses | Those within and outside of network, but better cost if you see an in-network doc | 25 | |
3255536651 | Higher insurance premiums | PPO | 26 | |
3255541440 | low or no deductible | HMO | 27 | |
3255545531 | HMO Act of 1973 | authorized federal grants and loans to private organizations that wished to develop HMOs which are responsible for providing health care services to subscribers in a given geographic area | 28 | |
3255548831 | Blue Cross Policy | plan initiated by Baylor University to guarantee Dallas teachers 21 days of hospital care for $6 a year, in 1929 | 29 | |
3255553882 | DRG stands for | Diagnosis Related Group | 30 | |
3255553883 | DRG is | statistical system of classifying any inpatient stay into groups for the purposes of payment | 31 | |
3255560310 | Copayment is abbreviated | Co-Pay | 32 | |
3255561837 | Co-Pay | in an insurance policy and paid by an insured person each time a medical service is accessed | 33 | |
3255571646 | BCBS | Blue Cross Blue Shield | 34 | |
3255571647 | Clinical Laboratory Improvements Act | CLIA | 35 | |
3255580595 | CLIA | regulates all laboratory testing (except research) performed on humans in the U.S. | 36 | |
3255586122 | AMA is for | medical organization for professionals and medical students | 37 | |
3255588297 | Third Party Administrator | TPA | 38 | |
3255588298 | TPA | An organization that administrates group insurance policies for an employer | 39 | |
3255594366 | Civilian Health and Medical Program of the Department of Veterans Affairs | CHAMPVA | 40 | |
3255597440 | CHAMPVA | comprehensive health care program in which the Department of Veterans Affairs (VA) shares the cost of covered health care services and supplies with eligible beneficiaries | 41 | |
3255605607 | Who are CHAMPVA beneficiaries | The spouse or child of a veteran who has been rated permanently and totally disabled for a service-connected disability by a VA regional office, or The surviving spouse or child of a veteran who died from a VA-rated service-connected disability, or The surviving spouse or child of a veteran who was at the time death rated permanently and totally disabled, or The surviving spouse or child of a military member who died in the line of duty, not due to misconduct (in most of these cases, these family members are eligible for TRICARE, not CHAMPVA). | 42 | |
3255617219 | Tricare | military insurance | 43 | |
3255627451 | Who is eligible for Tricare | Active duty family members Retired service members and their families Family members of activated Guard/Reserve members Non-activated Guard/Reserve members and their families who qualify for care under the Transitional Assistance Management Program Retired Guard/Reserve members (age 60 and receiving retired pay) and their families Survivors Medal of Honor recipients and their families Qualified former spouses | 44 |
Introduction to Medical Billing & Coding Flashcards
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