MED112 Review (Stacy)

2. provider who does not join a particular health plan
3. abbreviation indicating the code to use when a disease or condition cannot be placed in any other category
7. action that improperly uses another’s resources
8. four- or five- character code number
11. recognition of a superior level of skill by an official organization
12. method of converting a message into encoded text
14. a fixed prepayment covering provider’s services for a plan member for a specified period
16. amount the insured must pay for healthcare services before a health plan’s payment begins
17. health plan or program
18. individually identifiable health information transmitted or maintained by electronic media

1. failure to use professional skill when giving medical services that results in injury or harm
4. name or phrase formed from or based on a person’s name
5. intentional deceptive act to obtain a benefit
6. use of ICD-10-CM classification system to capture the side of the body that is documented;
9. conditions that remain after an acute illness or injury has been treated and resolved
10. person who buys an insurance plan
13. word or phrase that describes a main term in the Alphabetical Index
14. illness or condition with a long duration
15. illness or condition with severe symptoms and a short duration
17. provider who agrees to provide medical services to a payer’s policyholders according to a contract