Match the following:
A) individual practice association (IPA) health maintenance organization (HMO)
B) staff model health maintenance organization (HMO)
C) major medical insurance
D) outpatient insurance
E) open access health maintenance
F) exclusive provider organization (EPO)
G) point-of-service (POS) plan
H) network model health maintenance organization (HMO)
I) long-term care insurance
J) preferred provider organization (PPO)
1) The type of managed care plan that hires the physicians and pays their salaries
2) The type of health maintenance organization (HMO) that does not require a referral from a PCP to see a specialist
3) The type of insurance that offers protection for large medical expenses beyond the coverage of routine healthcare
4) The type of managed care plan that combines the features of health maintenance organization (HMO) and preferred provider organization (PPO) plans
5) The type of plan that pays benefits only for services provided by network providers but does not have a health maintenance organization (HMO) license
6) The type of insurance that covers both medical and custodial services
7) The type of managed care plan that contracts with two or more multispecialty group practices to form a provider network
8) A type of HMO in which the MCO contracts with individual physicians and facilities to build the provider network
9) The type of managed care plan in which members have financial incentives, such as lower copayments, when they obtain care from network providers
10) This type of insurance provides protection for emergency department visits and other outpatient divisions in a hospital or medical facility.
1) B) staff model health maintenance organization (HMO)
2) E) open access health maintenance
3) C) major medical insurance
4) G) point-of-service (POS) plan
5) F) exclusive provider organization (EPO)
6) I) long-term care insurance
7) H) network model health maintenance organization (HMO)
8) A) individual practice association (IPA) health maintenance organization (HMO)
9) J) preferred provider organization (PPO)
10) D) outpatient insurance
You might also like to view...
Which of the following is not true of text macros?
A) Text macros cannot be modified for specific clinical findings. B) Text macros can be used for standard descriptions that are longer than a few words. C) Text macros can include fields for selecting needed clinical findings. D) Text macros can be used for frequently needed specific language, like a consent statement.
The fraudulent practice of coding a procedure or service at a higher level than that provided to receive a higher level of reimbursement is known as code creep, overcoding, overbilling, or ________.
Fill in the blank(s) with the appropriate word(s).
Identify the type of punctuation required in the following sentences.? ?The test results are in therefore the operation will proceed
A) ?comma B) ?hyphen C) ?semicolon D) ?apostrophe
How does the body respond to histamine release?
A. The blood pressure increases. B. The capillaries constrict. C. There is increased secretion of gastric juices. D. The smooth muscles relax.