Match the definition in the left column with its correct term in the right column. Options will only be used once.
-Portion of the charge for medical services that the patient must pay

Question

​Match the definition in the left column with its correct term in the right column. Options will only be used once.
-​Portion of the charge for medical services that the patient must pay

Quizplus · Accepted Answer

A copayment is a specific amount that a patient pays out of pocket for a medical service or prescription drug, typically at the time of the visit or purchase.

Answer: B 
 Coinsurance refers to the percentage of healthcare costs that a patient is responsible for paying after meeting their deductible.

Answer: D 
 A deductible is the amount that a patient must pay out of pocket before their insurance coverage begins.

Answer: F 
 An HMO, or Health Maintenance Organization, is a type of managed-care system that provides healthcare services through a network of healthcare providers.

Answer: G 
 A managed-care system is an approach to healthcare in which providers coordinate patient care and costs are controlled through various mechanisms such as utilization management and provider networks.

Answer: H 
 A PPO, or Preferred Provider Organization, is a type of health insurance plan that allows patients to see providers both in and out of their network, but typically offers lower costs for in-network care.

Answer: I 
 A prospective payment system is a reimbursement model in which payment rates for healthcare services are established in advance, typically based on factors such as diagnosis or procedure codes.

Answer: J 
 Reimbursement refers to the payment or compensation that healthcare providers receive for services rendered to patients.

Answer: A and E 
 Capitation refers to a payment model in which providers are paid a fixed amount per patient per unit of time, regardless of the volume or type of services provided. Group contract refers to a type of insurance plan in which a single policy covers an entire group of people, such as employees of a company or members of a professional association.

​Match the Definition in the Left Column with Its Correct

Match the Definition in the Left Column with Its Correct