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CCMA > INSURANCE AND SPECIALISTS > Flashcards

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
Q

PEDIATRICIANS

A

NEWBORN, INFANT, CHILD, ADOLESCENT HEALTH CARE

26
Q

PSYCHIATRISTS

A

MENTAL DISORDERS/CONDITIONS

27
Q

RADIOLOGISTS

A

X-RAYS, ULTRASOUND, NUCLEAR MEDICINE, COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING

28
Q

UROLOGISTS

A

DISORDERS OF URINARY TRACT

29
Q

ALLOWED AMOUNT

A

MAX AMOUNT THIRD-PARTY PAYER WILL PAY FOR SERVICE

30
Q

COPAYMENT

A

AMOUNT OF MONEY PAID AT TIME OF MEDICAL SERVICE

31
Q

COINSURANCE

A

POLICYHOLDER AND INSURANCE COMPANY SHARE COST OF COVERED LOSSES IN RATION, SUCH AS 80:20

32
Q

DEDUCTIBLE

A

SPECIFIC AMOUNT OF MONEY A PATIENT MUST PAY OUT OF POCKET BEFORE THE INSURANCE CARRIER BEGINS PAYING

33
Q

MEDICARE

A

PATIENTS 65+, PART A (HOSPITALIZATION), PART B (ROUTINE VISITS)

34
Q

TRICARE

A

DEPENDENTS OF MILITARY PERSONNEL

35
Q

CHAMPVA

A

SURVIVING SPOUSES AND DEPENDENT CHILDREN OF VETERANS WHO DIED AS A RESULT OF SERVICE-RELATED DISABILITIES

36
Q

MEDICAID

A

MEDICALLY INDIGENT POPULATION

37
Q

BLUE CROSS BLUE SHIELD

A

LARGEST

CCMA (3 decks)

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