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91

Confidentiality

Indicating confidence or intimacy , entrusted with secrets

92

Malpractice

Negligent professional activity by a medical practitioner

93

Negligence

Failure to take proper care in doing something

94

Fraud

Wrongful deception intended to result in financial gain

95

Abuse

Use something to bad effect for a bad purpose

96

Subpoena

ordering a person to attend court

97

Summons

Urgently call to be present as a witness in a law court

98

Deposition

The action of deposing someone

99

Electronic Data Interchange

Transfer of data from one computer to another by standardized message formatting

100

Code Sets

Set of codes used for encoding elements

101

T.P.O

Treatment ,payment , operation; patients rights related to use and disclosure of individuals health information

102

Designated Record Set

A group of records maintained by / for a covered entity that is the medical and billing records about individuals

103

HMO

( health maintenance organization ) structured, once you pick your primary care physician, you can't change

104

PPO

( preferred provider organization ) managed care where you pick your primary care physician and you can change

105

POS

(Point of Service )managed care, you can stay inside the plan but if you go to another doctor , you pay a higher price than your co-pay

106

EPO

(Exclusive Provider Organization) have to use exclusively use that doctors network

107

Group Health Plan

When your employer gives you a health insurance

108

Private Health Insurance

Employer only offers one health insurance coverage

109

Beneficiary

A person that is dependent on someone else's coverage

110

Participating Provider

A person or group in who's name the insurance policy is held in

111

Policy Holder

Primary person who pays for the policy

112

Fee Schedule

A complete listing of fees by Medicare to pay doctors, providers, & suppliers ( RVRBS )

113

Coordination of Benefits

A process where they determine which of your insurance will pay first due to the fact you have 2 insurances

114

Dependent

An insured person who is legible for insurance coverage

115

Self Insure

Employer Pays directly for your health insurance

116

Medicare

Health insurance for people who are 65 and older

117

Medicaid

Health insurance for low-income families

118

TRICARE

Health care insurance for Active Military

119

CHAMPVA

Program for disabled veterans & their families

120

Workers Compensation

Insurance you receive once you've injured yourself at work