INSURANCE AND SPECIALISTS Flashcards

1
Q

CPT

A

CERTIFIED PHLEBOTOMY TECHNICIAN

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2
Q

CET

A

CERTIFIED EKG TECHNICIAN

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3
Q

CBCS

A

CERTIFIED BILLING AND CODING SPECIALIST

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4
Q

CEHRS

A

CERTIFIED ELECTRONIC HEALTH RECORDS SPECIALIST

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5
Q

HMO

A

HEALTH MAINTENANCE ORGANIZATION - REQUIRE REFERRALS TO SPECIALISTS

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6
Q

PPO

A

PREFERRED PROVIDER ORGANIZATION - ABLE T GO DIRECTLY TO SPECIALISTS

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7
Q

ALLERGISTS

A

EVALUATE DISEASES/DISORDERS OF THE IMMUNE SYSTEM (ANAPHYLAXIS, ASTHMA, AUTOIMMUNE)

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8
Q

ANESTHESIOLOGIST

A

MANAGE PAIN OR USE SEDATION DURING SURGICAL PROCEDURES

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9
Q

CARDIOLOGISTS

A

DIAGNOSE/TREATE DISEASES OR CONDITIONS OF THE HEART AND BLOOD VESSELS

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10
Q

DERMATOLOGISTS

A

SKIN CONDITIONS

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11
Q

ENDOCRINOLOGIST

A

HORMONAL AND GLANDULAR CONDITIONS (DIABETES MELLITUS)

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12
Q

GASTROENTEROLOGISTS

A

STOMACH, INTESTINES, ESOPHAGUS, LIVER, PANCREAS, COLON, RECTUM

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13
Q

GYNECOLOGISTS

A

FEMALE REPRODUCTIVE SYSTEM, FERTILITY DISORDERS

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14
Q

HEMATOLOGISTS

A

BLOOD AND BLOOD-PRODUCING ORGANS (ANEMIA, LEUKEMIA, LYMPHOMA)

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15
Q

HEPATOLOGISTS

A

LIVER, BILIARY TREE, GALLBLADDER, PANCREAS

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16
Q

NEONATOLOGIST

A

NEWBORN CARE

17
Q

NEPHROLOGISTS

A

KIDNEY CARE

18
Q

OBSTETRICIANS

A

CARE FOR WOMEN DURING AND AFTER PREGNANCY

19
Q

ONCOLOGISTS

A

CARE FOR CANCER PATIENTS

20
Q

OPHTHALMOLOGISTS

A

EYE CONDITIONS

21
Q

ORTHOPEDISTS

A

BONES, JOINTS, MUSCLES, TENDONS, LIGAMENTS

22
Q

OTOLAYNGOLOGISTS

A

EAR, NOSE, THROAT

23
Q

NEUROLOGISTS

A

NERVOUS SYSTEM

24
Q

PATHOLOGISTS

A

BODY TISSUES, BLOOD, URINE, OTHER BODILY FLUIDS

25
PEDIATRICIANS
NEWBORN, INFANT, CHILD, ADOLESCENT HEALTH CARE
26
PSYCHIATRISTS
MENTAL DISORDERS/CONDITIONS
27
RADIOLOGISTS
X-RAYS, ULTRASOUND, NUCLEAR MEDICINE, COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING
28
UROLOGISTS
DISORDERS OF URINARY TRACT
29
ALLOWED AMOUNT
MAX AMOUNT THIRD-PARTY PAYER WILL PAY FOR SERVICE
30
COPAYMENT
AMOUNT OF MONEY PAID AT TIME OF MEDICAL SERVICE
31
COINSURANCE
POLICYHOLDER AND INSURANCE COMPANY SHARE COST OF COVERED LOSSES IN RATION, SUCH AS 80:20
32
DEDUCTIBLE
SPECIFIC AMOUNT OF MONEY A PATIENT MUST PAY OUT OF POCKET BEFORE THE INSURANCE CARRIER BEGINS PAYING
33
MEDICARE
PATIENTS 65+, PART A (HOSPITALIZATION), PART B (ROUTINE VISITS)
34
TRICARE
DEPENDENTS OF MILITARY PERSONNEL
35
CHAMPVA
SURVIVING SPOUSES AND DEPENDENT CHILDREN OF VETERANS WHO DIED AS A RESULT OF SERVICE-RELATED DISABILITIES
36
MEDICAID
MEDICALLY INDIGENT POPULATION
37
BLUE CROSS BLUE SHIELD
LARGEST