MED 112 Review (Courtney Parks)

1. flow the movement of monies into or out of a business
3. amount that the insured pays on covered services before benefits begin
5. electronic equivalent of a business document
6. account software used for scheduling appointments, billing and financial record keeping
8. combines coverage of medical cost and delivery of healthcare for a prepaid premium
10. companies that help providers handle such electronic transactions as submitting claims and manage electronic medical record systems
11. failure to use professional skill when giving medical services that results in injury or harm
13. provider one who directly treats the patient
14. entity health plan, clearing house, or provider who transmits any health information in electronic form
17. services those services for which insurance does not pay

1. fixed prepayment to a medical provider for all necessary contracted services provided to each patient who is a plan member
2. care offers a more restricted choice of providers and treatments in exchange for lower premiums, deductibles and other charges than traditional indemnity insurance.
3. organizing a patient’s health records in chronological order using a systematic, logical, and consistent method
4. impermissible use or disclosure under the Privacy Rule that compromises the security or privacy of PHI
7. percentage of each claim that the insured pays
9. person who buys an insurance plan
10. process of earning a credential through a combination of education and experience followed by national examination
12. periodic payment the insured is required to make to keep the policy in effect
15. Services services that include primary care, emergency care, medical specialist's services and surgery
16. health plan or program