" " Flashcards
Electronic Health Record
A digital version of a patients paper chart ( physician uses )
Electronic Medical Record
A digital version of the traditional paper-based medical record ( hospital uses )
Inpatient
A patient who stays in the hospital for more than 24 hrs
Outpatient
A patient who receives medical treatment without being admitted to the hospital
Allergist
Specializes in diagnosis and treatment of allergies
Personal Health Record
A health record that provides a summary of medical information
Anesthesiologist
Doctor who specializes in anesthesia and anesthetics
Bariatric
A branch of medicine that deals. With the treatment of obesity
Chiropractic
Treating people who are sick/pain by moving bones in the spine or joints
Dentistry
Treatment of diseases, disorders, and conditions of the oral cavity
Endonotist
Dentist who specializes in maintaining teeth through endodontic therapy
Oral Surgeon
Branch of surgery dealing with the surgical treatment/repair of conditions of the mouth/jaw
Orthodontist
Specializes in straightening crooked teeth
Pendodontist
Branch of dentistry that deals with children’s teeth
Periodontist
A practitioner of periodontics
Dermatology
Treats diseases of the skin and also the nails and hair
Emergency Medicine
Physician that works in the e.r that treats anyone in a accident or illness asap
Geriatrics
Treatment of diseases of people of old age
Hospice
Treatment of helping someone towards the end of there life
Gynecology
Study of diseases or the reproductive organs of the female
Endocrinology
Treatments of the endocrine system
Cardiovascular Medicine
Diagnoses diseases of the heart, blood vessels, & your lungs
Gastroenterology
Diagnoses/treatment of any problems with your digestive tract
Gerontology
Treatment/diagnose of the aging process
Immunology
Treatments of immunization system
Oncology
The study of tumors
Pulmonary Disease
Lung disorder characterized by chronic of lung air flow that interferes with normal breathing
Nephrology
Medicine that deals with physiology and diseases of the kidneys
Rheumatology
The study of arthritis
Infectious Disease
Disorders caused by organisms
Hematology
The study of physiology of the blood
Obstetrics
Physician that delivers babies
Opthamology
Specializes in medical/surgical care of the eyes
Pathology
Interprets/Diagnose changes caused by disease in tissues/body fluids
Pediatric
Specialty of medical science with the mental health of children
Psychiatry
Treatment/prevention of mental disorders
Urology
Treatment involving male/female urinary tract
Orthopedics
Branch of medicine concerned with the corrections or preventions of disorders
Otorhinolaryngology
Medical specialty concerned with diseases of the ear,nose, and throat
Radiology
Branch of medicine concerned with the use of radiant energy
S.O.A.P
Subjective Objective Assess Plan
P.O.M.R
Problem Oriented Medical Record
Demographics
The information about the patients them self ( medical history, finance, insurance
E-Prescribing
Electronic transmission of drug prescription from doctors computer to the pharmacy’s computer
ICD 10-CM
System used by physician and other healthcare providers to classify and code all diagnoses, symptoms, and procedures ( hospital uses )
ICD 10-PCS
A system of medical classification used for procedural code that track health interventions taken by medical professionals
CPT
A medical code set that is used to report medical,surgical, and diagnostic procedures
HCPCS
” hicks picks “ set of health care procedure codes based on medical terminology
Interoperability
Describes the extent to which systems and devices can exchange data, and interpret shared data
SNOMED CT
terminology used by physicians and other health care providers for electronic exchange
LOINC
A database for identifying medical laboratory observations
UMLS
Biomedical terms for developing a understanding for specialized vocabulary used in biomedicine
Fixed Appointment
Whatever time you have your appointment is the time you see the doctor
Cluster Scheduling
When different patients have the same procedures and can be seen during the same time
Double Booking
Two or more patients booked at the same time if they’re family related
Wave Scheduling
Having a fixed time from 9-12pm then after that having walk-ins
Anterior
The front
Distal
Central point , origin
Dorsal
Toward the back
Frontal Plane
Vertical plane that divides the body into ventral and dorsal
Lateral
Side of the body
Medial
The middle
Posterior
Hind part of the body
Proximal
The beginning
Transverse plan
Divides body into superior and inferior parts
Ventral
The front or any anterior parts
Lateral Recumbent Position
The patient is laying on the left or right side
Normal Anatomic Position
Standing erect , facing forward , feet forward slightly apart, arms down, palms forward
Prone Position
Lies flat with chest down, back up
Supine Position
Back downward , laying faced up
QHS
Every night at bedtime
QID
4 times a day
QOD
Every other day
TID
3 times a day
WT
Weight
PC
After meals
AA
Of each
AC
Before meals
BID
Twice a day
QH
Every Hour
Q4H
Every 4 hours
Q8H
Every 8 hours
Sig
Directions
PRN
Whenever necessary
Buccal Route
Relating to, near, involving, supplying a cheek
Sublingual
Medication is placed under the tongue
Subcutaneous
Beneath, under all the layers of the skin
Lozenge
Tablet that is slowly dissolved in the mouth
Ligitation
Process of taking legal action
Civil Law
The system of law concerned with private relations between members of the community
Confidentiality
Indicating confidence or intimacy , entrusted with secrets
Malpractice
Negligent professional activity by a medical practitioner
Negligence
Failure to take proper care in doing something
Fraud
Wrongful deception intended to result in financial gain
Abuse
Use something to bad effect for a bad purpose
Subpoena
ordering a person to attend court
Summons
Urgently call to be present as a witness in a law court
Deposition
The action of deposing someone
Electronic Data Interchange
Transfer of data from one computer to another by standardized message formatting
Code Sets
Set of codes used for encoding elements
T.P.O
Treatment ,payment , operation; patients rights related to use and disclosure of individuals health information
Designated Record Set
A group of records maintained by / for a covered entity that is the medical and billing records about individuals
HMO
( health maintenance organization ) structured, once you pick your primary care physician, you can’t change
PPO
( preferred provider organization ) managed care where you pick your primary care physician and you can change
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
EPO
(Exclusive Provider Organization) have to use exclusively use that doctors network
Group Health Plan
When your employer gives you a health insurance
Private Health Insurance
Employer only offers one health insurance coverage
Beneficiary
A person that is dependent on someone else’s coverage
Participating Provider
A person or group in who’s name the insurance policy is held in
Policy Holder
Primary person who pays for the policy
Fee Schedule
A complete listing of fees by Medicare to pay doctors, providers, & suppliers ( RVRBS )
Coordination of Benefits
A process where they determine which of your insurance will pay first due to the fact you have 2 insurances
Dependent
An insured person who is legible for insurance coverage
Self Insure
Employer Pays directly for your health insurance
Medicare
Health insurance for people who are 65 and older
Medicaid
Health insurance for low-income families
TRICARE
Health care insurance for Active Military
CHAMPVA
Program for disabled veterans & their families
Workers Compensation
Insurance you receive once you’ve injured yourself at work
Sliding Fee Scale/Schedule
variable prices based on a customers ability to pay
Deductible
A amount you have to pay every year towards your medical bill
Approved Amount
He money paid by Medicare to a healthcare provider
UCR - Usual
The amount paid for a medical service In a geographic area based on what they’re usually charged
Coinsurance
Refers to money that an individual is required to pay for services, after deductible has been paid
Medicare’s Criteria
- US CITIZEN / Resident for 5 continous years
- 65 and older , eligible for security
- disabled
- have end stage renal disease
- Lou Gehrig’s disease
