Chapter 1 Flashcards

1
Q

AHCCS

A
Arizona 
Healthcare 
Cost 
Containment 
System 
- A unique form of Arizona welfare, used instead of Medicaid
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2
Q

APC

A

Ambulatory
Patient
Classification
- System implemented in 2000, determines payment to hospitals for outpatient services

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3
Q

CLI88

A
Clinical 
Laboratory 
Improvements 
of 
88 
- mandates that all labs use the the same standards regardless of type, location, or size
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4
Q

CEU’s

A

Continuing
Education
Units
- Credits for some form of continuing education to continually upgrade skills and knowledge

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5
Q

CPT

A

Current
Procedural
Terminology
- Coding system for billing at physician’s offices

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6
Q

DRG’s

A

Diagnosis
Related
Groups
- Hospitals are reimbursed at a set amount for each patient procedure using established disease categories

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7
Q

HIPPA

A
Health
Insurance
Portability
Accountability
Act
- Enacted in order to secure patient information and regulate patient privacy
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8
Q

HMO

A

Health
Maintenance
Organization
- Group practices are reimbursed on a prepaid, negotiated, discounted basis

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9
Q

ICD-9-CM

A
International
Classification
of
Disease
Ninth
Revision
Clinical
Modifications
- Coding system that groups together familiar disease and operations for reimbursement
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10
Q

MCOs

A

Managed
Care
Organizations
- Groups that contract with local providers to establish a complete network of healthcare services

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11
Q

PHS

A

Public
Health
Service
- Federal agency offering monitoring, screening, and education of the public

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12
Q

PPO

A

Preferred
Provider
Organization
- Independent group of physicians or hospitals that offer services to employers at discounted rates in exchange for a steady supply of patients

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13
Q

PPS

A

Prospective
Payment
System
-Limits the standardized Medicare/Medicaid payments made to hospitals, started in 1983

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14
Q

TAT

A

Turn
Around
Time
- time it takes for the laboratory test request to be completed and charted

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15
Q

Patients Bill of Rights

A

An accepted statement of principles that guides healthcare workers in their dealing with patients while in a hospital or other healthcare facility

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16
Q

Barriers

A

Anything interfering with communication, such as personal bias or cultural diversity

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17
Q

Certification

A

A process indicating completion of a defined academic and training requirements and a satisfactory score on a national examination

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18
Q

Entitlement Programs

A

Right, such as Social Security, earned through employment

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19
Q

Exsanguinate

A

Blood loss to the point of being life-threatening (Hint: Poor George Washington)

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20
Q

Gatekeeper

A

Primary care physicians in a managed care plan who coordinates the patient’s healthcare needs

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21
Q

Kinesic Slip

A

When nonverbal messages do not match verbal messages

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22
Q

Kinesics

A

Study of body motion and language, such as facial expressions, gestures, and eye contact

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23
Q

Medicaid

A

Program funded by state and federal government for providing medical care to the poor

24
Q

Medicare

A

Federally funded program enacted in 1965 that provides healthcare to persons older than age 65 and the disabled, regardless of financial status

25
Q

Phlebotomy

A

Procedure for withdrawing blood from the body

26
Q

Primary Care

A

Service in which the family physician offers an initial consult and related treatment

27
Q

Proxemics

A

Study of an individual’s concept and use of space

28
Q

Reference Laboratory

A

Large, independent organization that performs all types of laboratory testing for many different facilities and physicians

29
Q

Secondary Care

A

Healthcare beyond primary care, which until recently was considered inpatient service

30
Q

Tertiary Care

A

Highly complex services and therapy performed as inpatient, requiring a patient to stay overnight or longer

31
Q

Third-Party Payer

A

Fiscal Intermediary that pools individual contributions for a common group objective, protection from financial disaster

32
Q

Another name for Blood Bank?

A

Immunohematology

33
Q

The hospital department the laboratory coordinate therapeutic drug monitoring with is the ___________

A

Pharmacy

34
Q

Another term for outpatient care is __________ .

A

Ambulatory Care

35
Q

_______________________ is part of the phlebotomists’ role because they represent the laboratory, promote good public relations with visitors, staff, and patients’, and the patient often equates blood-drawing experiences with the quality of overall care received.

A

Promoting good public relations

36
Q

Outpatient phlebotomy areas such as in a physicians office or patient care service center will assign a _______, a national coding system, for reimbursement.

A

CPT code

37
Q

The ______________ is responsible for administering oxygen therapy.

A

Respiratory Therapy Department

38
Q

The term _____________ describes a sophisticated and highly complex medical care.

A

Tertiary Care

39
Q

The term “____________” is derived from the Greek word that literally means Cut a Vein.

A

phlebotomy

40
Q

It is NOT a phlebotomist’s duty to start __________.

A

Intravenous (IV) lines

41
Q

The credentials for an ASCP certified phlebotomist are __________.

A

PBT

42
Q

_____________ are proof of participation in workshops to upgrade skills required by agencies to renew certifications

A

Continuing education units (CEU’s)

43
Q

A Medical Technologist is also referred to as a ____________ .

A

Clinical Laboratory Scientist

44
Q

When a patient doesn’t speak English, is a child, or is upset emotionally it is considered a _________ to effect communication.

A

barrier

45
Q

A way to confirm a response to a patient is to say: “_____________” .

A

I understand how you must be feeling

46
Q

A frowning face is an example of __________

A

negative kinesis

47
Q

Wearing __________ is not part of communicating a professional appearance.

A

strong cologne

48
Q

Hanging up on an angry caller is not part of ____________

A

proper telephone protocol

49
Q

__________ is not performed by local public health agencies.

A

Licensure of Healthcare Personnel

50
Q

If you were hiring a phlebotomist, what credentials, professional qualities, and work ethics would you want a person to have?

A

Good customer service/people skills, certification ASPT, professional attitude/attire, work well under pressure

51
Q

Phlebotomist calls neighbors to let them know a friend is in the hospital. Is this proper? Why, or why not?

A

No, HIPPA describes such an act as breaching a patients right to privacy.

52
Q

How is it possible to tell if you’re getting a message through to a patient who is hard of hearing/spanish?

A

Look for an interprator, like a coworker or family member of a patient. Be certain the patient seems attentive and not just nodding along vacantly to questions.

53
Q

What to do with a cranky patient?

A

Laugh it off inside, do your best to be comforting while addressing and assuaging the patients concerns, being empathetic and explaining the importance of having their blood drawn

54
Q

Patient calls at the same time as a supervisor?

A

Answer the phone professionally with a greeting and an introduction of the department and your name, ask what you can do to help, transfer if they have the wrong department.

55
Q

What are the two part of a clinical lab?

A

Clinical and Anatomical

56
Q

What are the 9 branches of a Clinical lab?

A

Hemotology, Coagulation, Chemistry, Urinalysis, Serology/Immunology, Blood Bank/Immunohemotology, Microbiology, Cytogenetics, Specimen Processing

57
Q

What are the 2 branches of the anatomical lab branch?

A

Histology, Cytology