MED112 Review (Stacy)

3. provider who agrees to provide medical services to a payer’s policyholders according to a contract
4. illness or condition with severe symptoms and a short duration
5. action that improperly uses another’s resources
7. person who buys an insurance plan
10. individually identifiable health information transmitted or maintained by electronic media
11. word or phrase that describes a main term in the Alphabetical Index
15. abbreviation indicating the code to use when a disease or condition cannot be placed in any other category
16. failure to use professional skill when giving medical services that results in injury or harm
18. a fixed prepayment covering provider’s services for a plan member for a specified period
19. illness or condition with a long duration

1. intentional deceptive act to obtain a benefit
2. use of ICD-10-CM classification system to capture the side of the body that is documented;
6. provider who does not join a particular health plan
8. recognition of a superior level of skill by an official organization
9. name or phrase formed from or based on a person’s name
11. four- or five- character code number
12. conditions that remain after an acute illness or injury has been treated and resolved
13. method of converting a message into encoded text
14. amount the insured must pay for healthcare services before a health plan’s payment begins
17. health plan or program