Admin Flashcards
When are third party administrators used
To administer services and to pay claims for self-insured group plans
What do physician hospital organizations involve
A major hospital or hospital chain and its physicians
Who mandates workers compensation
The State
What is the goal of workers compensation insurance carriers
Returning the injured worker to the workforce as soon as possible
What is third-party reimbursement
Reimbursement by the policyholder’s insurance company for services performed by health care professionals
What do health maintenance organizations provide
Preventive measures and limits where individuals can receive care
How much do HMOs normally cover in medical costs
Generally 100% as long as care is rendered at an HMO facility.
On what basis do preferred provider organizations pay
Fee for service
What do preferred provider organizations provide
Discounted health care but limits where a person can go for treatment
What is the point of service plan made up of
The structure of an HMO, yet allowing members to go outside the HMO to obtain services
Medicare services which population
Aged and disabled
Medicare services which population
Low incomes and limited resources
What is the billing code for ice?
97010
What is the 5 step approach to creating a clinical question?
Ask, Acquire, Appraise, Apply, Assess
NOCSAE
National Operating Committee on Standards for Athletic
Malfeasance
when an individual commits an act that is not legally his/hers to perform
Negligence
the failure to use ordinary or reasonable care
Nonfeasance
when an individual fails to perform a legal duty
ACSM
American College of Sports Medicine
5 domains of athletic training
prevention, clinical evaluation and diagnosis, immediate care, treatment rehab and reconditioning, organization and administration, professional responsibilities
NATA president
Jim Thorton
HIPAA
Health Insurance Portability and Accountability Act
FERPA
Family Educational Rights and Privacy Act
CPT
current procedure terminology
NPI
national provider identifier
OSHA
Occupations Safety and Health Administration
What are the seven steps of the budget cycle?
plan budget, gather feedback, build consensus, present final plan, approve, implement, evaluate
What is liability?
a quality or state of being legally obligated or accountable; legal responsibility to another or to society
What is negligence?
failure to provide the standard of care that a reasonably prudent person would have provided
What are the four key areas of a policy and procedure manual?
policy, purpose, procedures, documentation
When was NATA founded?
1950
What drove the early creation of organized athletic training?
The establishment of intercollegiate and interscholastic athletes of the USA
What are the 6 domains on athletic training?
Prevention. Clinical evaluation and diagnoses. immediate care, Treatment rehab and reconditioning. Organization and admin. Professional responsibiliteies
What is the most restrictive regulatory factor that varies by state?
Licensure
