Allied Health

Question 1

Describe an ambulatory setting.

Answer 1

• advanced medical technology to provide consults, medications, and treatments
• outpatient, minor surgeries, therapies, and preventive services
• this also includes doctor offices, X-ray labs, dialysis centers, and urgent care facilities

Question 2

Describe an acute setting.

Answer 2

• hospital setting
• patient care for diseases that come on quick or lasts short periods of time
• provide diagnostic setting, technical equipment, pharmaceuticals, medical supplies, and diagnosis’s for illnesses

Question 3

Describe a long term setting.

Answer 3

• these are skilled nurse facilities, assisted living and rehabilitation

Question 4

Describe the role of a medical administrative assistant.

Answer 4

• patient chart/medical records
• knowledge of medical terms
• experience with medical billing and coding
• experience with project management

Question 5

Describe some of the roles of a medical assistant.

Answer 5

• administrative and clinical tasks (answering phones, handling and filing medical records)
• obtaining patient health and history
• take vitals
• administer medications, injections, immunizations
• assist with medical procedures
• drawing blood

Question 6

Describe some of the roles of a medical transcriptionist.

Answer 6

• transcribes providers voice into comprehensive reports
• transcribes patients medical histories and physicals
• discharge summaries
• operative reports
• autopsies
• diagnostic report summaries

Question 7

Describe the responsibilities of an optician.

Answer 7

• fitting and dispensing eyeglasses
• may design the frames
• dispense prescription contact lens for a valid prescription from optometrists

Question 8

What does a health information manager do?

Answer 8

Collection, analysis, storage, management and confidential distribution of patient health information.

Question 9

What does a medical biller and coder do?

Answer 9

Manages health insurance claims and invoices and making sure health providers receive payments.

Question 10

What is the difference between a physical and occupational therapist?

Answer 10

A physical therapist is helping people have the ability to walk without assistance. An occupational therapist helps with wound care and ADL’s.

Question 11

What is the Affordable Care Act?

Answer 11

This is a federal reform act previously known as Patient Protection and Affordable Care Act that was signed by President Obama in March of 2010.

Question 12

What does the Affordable Care Act hope to accomplish?

Answer 12

• expanding access to health insurance
• increased consumer healthcare protections
• making improvements to both Medicaid and child health insurance program
• emphasizing prevention and wellness and improving the overall quality of healthcare services and the system

Question 13

What changes were made to the Affordable Care Act?

Answer 13

• PCIP allows people with preexisting conditions such as cancer to qualify
• adults up to 26 can stay on their parents insurance
• available to citizens 55-65; helped to reimburse healthcare providers to cover early retirees until benefits took hold July 1st, 2014
• addresses the shortage of providers in certain areas by providing scholarships, loan forgiveness, and other money to those who work in underserved areas
• companies are required to explain the costs of insurance premiums, which prevents excessive insurance charges
• Medicaid eligibility numbers have increased for each state
• additional funding is available

Question 14

What are the Independent Payment Advisory Board goals?

Answer 14

Their goal is to have a slow growth in Medicare spending by reducing health care and prescription drug costs, eliminating waste, and improving health care for senior citizens.

Question 15

How does the ACA effect children’s health insurance, protect health consumers, and benefit senior citizens?

Answer 15

children: can’t be denied insurance based on preexisting conditions
health consumers: insurance companies are held accountable and are now required to reinvest 80% of the money received from insurance premiums; because of this they can’t deny paying claims, create maximum annual payment limits or lifetime payment limits
Consumers can now receive assistance with insurance claims, more easily access information, and challenge the decisions of carriers.
Senior citizens- free preventive care such as wellness checkups, access to community transition programs, and lower out of pocket costs for prescription drugs

Question 16

What is the Accountable Care Organizations (ACO) and their goals?

Answer 16

Groups of doctors, hospitals, and other healthcare providers who come together voluntarily to give coordinated high-quality care to their Medicare patients. Their goals are that patients get the right care at the right time and reduce costs.

Question 17

What methods have ACA used to increase access to healthcare through Medicaid?

Answer 17

• doctors receive higher reimbursement rates for treating patients who have Medicaid as their primary insurance
• individual states receive incentives designed to expand coverage
• individuals who can afford health insurance are now required to enroll
• the Health Insurance Marketplace was created to allow individuals and businesses to browse, compare, and purchase health insurance plans

Question 18

What restrictions did ACA place on health insurance companies to avoid discrimination and protect health care consumers?

Answer 18

• preventing companies from charging higher rates based on gender, age or preexisting conditions
• insurance companies can’t refuse to pay if a person does to participate in clinical trials
• they can’t cap or a create a maximum on, the dollar amount an individual receives

Question 19

How will the ACA improve preventive health?

Answer 19

Providers will be reimbursed based on quality of care rather than the number of patients treated so a value-based approach.
- this includes traditional fee for service and providing services without cost sharing and expanding coverage such as immunizations and screening exams at no cost to consumer

Question 20

How will the ACA ensure that healthcare continues to be affordable?

Answer 20

• reducing costs by ensuring preventive health care and affordable health insurance are available to over 30 million people without insurance
• guaranteeing continued growth of the marketplace and premiums are more affordable
• controlling costs; value based rather than fee for service

Question 21

How will the ACA change insurance payments?

Answer 21

They will be bundled to save money. This means that one set amount of money will be distributed for each episode of care and one agency will be responsible for the distribution of funds

• this will lower costs because doctors will collaborate on the best treatment options for patients
• this lowers the cost for consumers because services and treatments are paid for in their entirety, rather than being billed separately on multiple claims

Question 22

What is the difference between a licensure and certification?

Answer 22

licensure: federal state or local government grants an individual permission to practice a particular profession and proof that a minimum level of competency has been met and usually doctors, nurses, and pharmacists
certification: voluntarily process by which private non governmental organization grant individuals who meet specific requirements and pass an assessment of achievement; usually supervision is needed

Question 23

What are National Patient Safety goals?

Answer 23

• helps accredited organizations address specific areas of concern in regard to patient safety
• correct IDs of patients
• correct medication administration
• infection prevention
• patient fall prevention

Question 24

What is attitude?

Answer 24

How a person feels about a particular aspect of culture.

Question 25

What is the difference between cultural awareness, cross cultural sensitivity, and cultural competence?

Answer 25

cultural awareness: recognizing or appreciating characteristics
cross cultural sensitivity: knowledge, awareness, and acceptance of cultures
cultural competence: the ability to interact with people of different cultures

Question 26

What is communication and the communication process?

Answer 26

Communication is the exchange of thoughts, ideas, information, and messages.

1. message- information must be accurate
2. sender- person giving info
3. channel- method
4. receiver- person receiving message
5. feedback- when/if the receiver and sender reverse positions

Question 27

Describe the different aspects of Medicaid.

Answer 27

• managed by states and based on income
• assistance program
• pay no costs for covered medical expenses
• a small copay is sometimes required
• varies from state to state, but run by the state and local government within federal guidelines
• covers basic health care and prescription drug costs, long term care, medical equipment, eye glasses, and dental care

Question 28

Describe the different aspects of Medicare.

Answer 28

• federal program
• for people who are 65 and older, certain people with disabilities, and those with end stage renal disease
• insurance program
• small monthly premiums for non hospital coverage
• bills are paid from trust funds, which those covered have paid into
• patients pay costs through deductibles
• covers medical necessary services and hospital care
• certain medical equipment
• certain prescription drugs (under part D)
  Part A: provides inpatient hospital coverage, care in a skilled nursing facility, hospice care and some home health care, and some durable equipment
  Part B: outpatient coverage such as certain doctor services, medical supplies, and preventive services
  Part C: Medicare advantage with added benefits
  Part D: prescription drug coverage
  Original Medicare is one of the two options to chose from once you are enrolled.

Question 29

What test do pharmacists have to take?

Answer 29

PTCE