Insurance/Billing Terms

Question 1

HSA

Answer 1

Health Savings account

Question 2

Coverage

Answer 2

expenses covered by an insurance plan

Question 3

co-payment

Answer 3

amount of money for which a patient is responsible to pay

Question 4

deductible

Answer 4

amount of money

Question 5

out-of-pocket costs

Answer 5

costs that aren’t covered by insurance that the patient has to pay for

Question 6

ACO

Answer 6

accountable care organizations. group of medical providers that voluntarily care for Medicare patients

Question 7

POS

Answer 7

Point of Service. These insurance plans allow patients to see providers within their network and use other services outside of their network

Question 8

HMO

Answer 8

health maintenance organizations. these are coverage plans that only allow a patient to see a specialist if they have been referred by a physician.

Question 9

PPO

Answer 9

Preferred provider organization. These plans allow patients to see a specialist without a referral or prior authorization

Question 10

MAR

Answer 10

Medication administration record. used by hospitals to keep track of what medications are given and when