MDCA 1321 Exam Unit 1 Questions & Answers 2024/2025
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Course
MDCA 1321
Institution
MDCA 1321
MDCA 1321 Exam Unit 1 Questions & Answers 2024/2025
Appointment schedule - ANSWERSa list of all the patients to be seen in the practice for a particular time period
Appointment slot - ANSWERSa single space or hole in the appointment schedule
Overbooking - ANSWERSthe practice scheduling m...
MDCA 1321 Exam Unit 1 Questions &
Answers 2024/2025
Appointment schedule - ANSWERSa list of all the patients to be seen in the practice for a particular time
period
Appointment slot - ANSWERSa single space or hole in the appointment schedule
Overbooking - ANSWERSthe practice scheduling more patients than the physician can see, also called
double booking
Scheduling formula - ANSWERSrefers to a particular way each practice has of determining how long it
takes to provide each service
Eligibility - ANSWERSa term used to identify whether or not a pt is eligible to receive insurance benefits
Encounter form - ANSWERSa printed list of the most common procedures and treatments performed by
the dr
Basic Ins Coverage - ANSWERSins usually covers the physician's fee, hospital expenses up to a maximum
amount and surgical fees
Major medical Ins - ANSWERSsometimes called catastrophe ins because it is designed to help offset huge
medical expenses that result from a lengthy illness or serious accident
Comprehensive Ins coverage - ANSWERSinsurance combines the benefits of both basic ins and major
medical ins
Medicare - ANSWERSan insurance program sponsored by the federal government to protect the elderly
and disabled population
, Medicaid - ANSWERSa financial assistance program sponsored jointly by the federal government and the
states to provide health care for the poor
Managed Care - ANSWERSins coverage that attempts to keep medical costs under control by providing
incentives for the physician to keep the patient healthy
Service Limitations - ANSWERSrefers to a specific detail in each managed care contract that determines
which services will or will not be covered
Contractual rate - ANSWERSa managed care system that refers to a predefined price the ins co pays for
services the physician performs
Copayment - ANSWERSis an amount each patient is required to pay for a particular service he or she
receives from the physician or other managed care provider
Primary Care Physician - ANSWERSis a dr who has contracted with a managed care plan and has agreed
to be responsible for providing the health care for specific patients participating in the plan
Capitation payment - ANSWERSrefers to a monthly payment offered by ins co to drs for each patient who
has chosen him or her as their primary care physician
Specialist - ANSWERSrefers to a provider who has specialized training in a particular area of medicine
Eligibility roster - ANSWERSis a list of all the members of an ins plan who selected a particular primary
care physician
Referring doctor - ANSWERSa physician who refers his or her patients to another physician
Password - ANSWERSis a private word, phrase or numeric combination used as a safety device for
entering the software
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