Medical Insurance Chapter 1 Study Guide Exam Questions and Answers (Solved Papers) Preferred Provider Organization (PPO) - Correct Answers ✅a managed care network of providers under contract to provide services at discounted fees Copayment - Correct Answers ✅an amount that an insured person pays at the time of a visit to a provider Health Maintenance Organization (HMO) - Correct Answers ✅an organization that contracts with a network of providers for the delivery of health care for a prepaid premium Certification - Correct Answers ✅recognition of a superior level of skill by an official organization Schedule of Benefits (SOB) - Correct Answers ✅A list of medical services covered under an insurance policy Indemnity - Correct Answers ✅health plan that protects beneficiaries against losses Fee-for-service (FFS) - Correct Answers ✅payment method based on provider's charges Coinsurance - Correct Answers ✅the percentage of each claim that an insured person must pay 1 / 2
Medical Insurance Chapter 1 Study Guide Exam Questions and Answers (Solved Papers) Etiquette - Correct Answers ✅standards of professional behavior Electronic Health Record (EHR) - Correct Answers ✅a computerized lifelong health care record for an individual that incorporates data from providers who treat the individual Compliance - Correct Answers ✅actions that are performed to satisfy official requirements Consumer-driven health plan (CDHP) - Correct Answers ✅type of medical insurance combining a high deductible health plan and a medical savings plan Self funded(self insured) health plans - Correct Answers ✅a method by which organizations pay for health insurance directly and set up a fund from which to pay In an HMO with a gatekeeper system a(n) _____ coordinates the patient's care and provides referrals - Correct Answers
✅PCP
Which of the following combines a health plan that has a high deductible and low premiums with a special "savings
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