CPB Certified Professional Biller Certification Practice Exam

What does HMO stand for in a healthcare context?

1. Health Maintenance Organization

2. Health Management Operations

3. Healthcare Maintenance Order

4. Health Monitoring Organization

The correct answer is: Health Maintenance Organization

The term HMO stands for "Health Maintenance Organization." This type of health insurance plan focuses on preventive care and wellness, emphasizing regular check-ups and screenings to maintain the health of its members. HMOs typically require members to select a primary care physician (PCP) and get referrals from that physician to see specialists, which helps to coordinate care and manage costs effectively. While the other options may include terms relevant to healthcare or management, they do not accurately represent the widely accepted definition of HMO within the context of health insurance and organizational structure in healthcare. "Health Maintenance Organization" captures the essence of the HMO model, which prioritizes maintaining health rather than just treating illness.