Insurance/Administration Flashcards
What type of insurance offers group coverage?
Employer-sponsored plans
What does ICD stand for?
Internal Classification of Diseases
What do the first 3 digits of the ICD code signify?
the category of the disease
What does Medicare pt B cover?
Medical insurance
What does Medicare pt A cover?
Hospital insurance
When is an unpaid account typically considered overdue?
after 30 days
What is a Preferred Provider Organization? (PPO)
Can choose doctors, hospitals, and specialists in the organization
Higher out of pocket costs
What is Medicaid?
joint federal and state program that gives health insurance to those with limited income or fall below the poverty line
What is a Point-of-Service plan? (POS)
Like a PPO but with fewer costs and fewer choices
Requires a referral from a PCP for a specialist
Hybrid of HMO and PPO plans
What is Medicare
health insurance for people 65 and older
What is TRICARE
health insurance for uniformed officers
What is a Health Maintance Organization? (HMO)
subscribers pay a predetermined fee in return for a range of medical services from physicians and healthcare workers registered with the organization.
What is an Exclusive Provider Organization? (EPO)
In-network providers are covered
No coverage for out-of-network providers
When a patient receives immunization, where will the code most likely be found in the ICD-9 CM book?
V codes
What does OSHA stand for?
Occupational safety and health act
