What type of public health care agency is operated by the government?
The U.S. of health and human services is the official agency at what level?
Health activities that take place at the international level go through what organization?
Health care that provides a diverse range of medical services is called?
What is a one day surgical care center?
These provide follow up care to patients after hospitalization
A hospital that is dependent on gifts & donations as a source of revenue
The philosophy of this is to maintain comfort as death approaches
Places for people who are not candidates residing in a nursing home
Home with services that emphasizes privacy and choice
The monthly fee that a person must pay for health care insurance coverage
What takes place after an acute illness or injury?
Care that can be initiated at any stage of illness whether terminal or not
What is the need to hold costs within fixed limits?
Meets the health care needs of our veterans
What program is for adults ages 65 and older?
What program provides medical assistance for low income families?
Independent nonprofit organization that serves as an advisor to improve the nations health
A doctor who works with animals.
Health career that focuses on the relationship between the structure of the spine and nervous system and how it affects the restoration of health.
The branch of healing arts and sciences devoted to maintaining oral health.
An Osteopathic healthcare provider specifically trained to manage the needs and treatments of older people.
They do fieldwork to determine what causes a certain outbreak of disease or an injury and how to prevent it from reoccurring.
They examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system.
They measure blood to identify appropriate mechanical, pharmacological, and thermal manipulation of the heart to maintain a physiological state.
They care for children from infancy to late teen years in a hospital.
A physician who examines tissues, checks the accuracy of lab tests and interprets the results in order to facilitate the patient's diagnosis and treatment.
They collect blood for donation or for testing so the blood can be analyzed in a clinical laboratory.
They administer and score neurophysiological, psychological, personality and academic tests for patients with brain injury, neurological diseases, psychological health issues or learning disabilities.
They dispense medications prescribed by physicians and monitor patient health.
They analyze non-biological trace evidence found at crime scenes in order to identify unknown materials and match samples to known substances.
The study of the mind and behavior.
Devoted to the study of human movement with the foot and the ankle as their main focus.
They develop and monitor exercise programs to help people regain muscle strength and function.
Health professionals with specialized graduate degrees and experience in the areas of medical genetics and counseling.
They provide services that help restore function, improve mobility, reduce pain, and prevent permanent disabilities.
They seek to understand the aging process by studying what happens to our cells, organs and systems as we get older.
This career addresses the health of people living in low- and middle-income countries.
means that your doctor, provider, or supplier must accept the Medicare-approved amount as full payment for covered services
this visit is available once every twelve months after the first twelve months of Part B coverage
the percentage you pay for covered services after you have met your deductible
a fixed amount one pays to receive a medical service, usually at the time of service
the amount one pays annually before the plan begins to pay. This does not apply to services that require a copay
is long lasting, used for a medical reason, and typically used in an individual's home
the plan contract that gives detailed information about the plan, including: what is and is not covered, what an individual pays, etc.
a monthly summary sent to an individual to let them know what services were billed, what was paid by whom, and what amount the individual is responsible to pay.
in this type of plan you can only go to doctors, other health care providers, or hospitals in the plan’s network except in an urgent or emergency situation.
care that is usually given when an individual has decided that they no longer want care to cure terminal illness and/or one’s doctor has determined that efforts to cure an illness aren’t working.
a status for individuals starting when one is formally admitted to a hospital with a doctor’s order
a status for individuals getting emergency department services, observation services, surgery, lab tests, X-rays, or any other hospital services, and the doctor hasn’t written an order to admit them to a hospital as an inpatient
in a PPO, you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network
the periodic payment to Medicare, an insurance company, or a health care plan for health or prescription drug coverage
services to prevent illness or detect illness at an early stage
the doctor you see first for most health problems
a written order from a primary care doctor for a patient to see a specialist or get certain medical services, often required by HMOs
Health Maintenance Organization; A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the
Fixed sum of money that beneficiary must contribute towards the cost of their healthcare before insurance benefits begin
Official count/list of patient population
Not to be disclosed
Federal health insurance plan primarily for seniors
The administrative branch within the Department of Health and Human Services that is responsible for Medicare and Medicaid Services
ost sharing in which the subscriber is responsible for a specific percentage of the cost of healthcare
Person who is the holder of an insurance policy
Questionnaire to determine primary payor before Medicare
ederal law requiring employers to permit employees to continue their group health insurance coverage after termination
A fixed payment for a covered service
Preferred Provider Organization
oint federal and state program to provide Medical insurance for the poor
Collection and storage on patient demographic, insurance, and clinical data
Federal program for low income population
Federally funded health insurance for 65 yrs or older
A Doctor who treats only a certain part of the body or a certain condition
A member disagreement regarding unauthorized health services
A person's wishes regarding medical treatment, often including a living will
Law restricting access to a patient's personal health information
Formal member complaint
Unanticipated event resulting in death or serious injury (2 words)
Admitted to the hospital a second time within 30 days
Process to help identify what, how and why an event occured to prevent future occurence (3 words)
The right care, at the right time, in a format that the member can understand, is described as what kind of access?
An official inspection of an organization's accounts or processes
A life-threatening condition that arises when the body's response to infection injures its own tissues
Quality Improvement Project
Patient _________is the measure of how content a patient is with their healthcare and an important indicator of quality.
Lodging of a blockage-causing material inside a blood vessel
The California agency that protects managed health care consumer's rights and ensures a stable health care delivery system.
A standard or point of reference against which things may be compared or assessed
List of drugs approved by an insurance plan
A system of health care in which patients agree to visit only certain doctors and hospitals
The acronym for Health Maintenance Organization.
Also known as a primary care physician.
What is the amount you pay for health care services before your health insurance begins to pay?
A sum paid to cover money that has been spent or lost.
A federal law that is sometimes called the "privacy rule".
What type of claim form is used by a hospital?
Meaning of PPO.
Having inadequate insurance coverage.
The insured pays a share of payment made against a claim.
A federal system of health insurance for those requiring financial assistance.
Federal health insurance program for people 65 years or older.
A payment owed by the person insured at the time a covered service is rendered, covering part of the cost of the service.
Provides health care and financial protection.
M48.1 is an example of what type of code?
Organization paying for some serious treatments people need.
Subscription medical, less restrictive than HMO.
Focus solely on preventative care.
Government pays for all health cost.
Not covered by insurance.
Premium cost and medical expenses by health care plan.
Groups of drugs that have a different cost for each group.
the action you can take if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or your Medicare Prescription Drug Plan.
An agreement by your doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill you for any more than the Medicare deductible and coinsurance.
A geographic area where a health insurance plan accepts members if it limits membership based on where people live.
A coverage rule used by some Medicare Prescription Drug Plans that requires you to try one or more similar, lower cost drugs to treat your condition before the plan will cover the prescribed drug.
A person who has health care insurance through the Medicare or Medicaid programs.
The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services.
A written order from your primary care doctor for you to see a specialist or get certain medical services.
A request for payment that you submit to Medicare or other health insurance when you get items and services that you think are covered.
An amount you may be required to pay as your share of the cost for services after you pay any deductibles.
An amount added to your monthly premium for Part B or a Medicare drug plan (Part D) if you don't join when you're first eligible. You pay this higher amount as long as you have Medicare. There are some exceptions.
Approval that you must get from a Medicare drug plan before you fill your prescription in order for the prescription to be covered by your plan.
The amount you must pay for health care or prescriptions before Original Medicare, your prescription drug plan, or your other insurance begins to pay.
A type of Medicare prescription drug coverage determination, a drug plan's decision to cover a drug that's not on its drug list or to waive a coverage rule
A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits.
A complaint about the way your Medicare health plan or Medicare drug plan is giving care.
Health care that you get when you're admitted to a health care facility, like a hospital or skilled nursing facility.
The facilities, providers, and suppliers your health insurer or plan has contracted with to provide health care services.
Stroke Support Group
home health care