Chapter One Vocab Flashcards
Abstracting
Enter codes and other patients information into computer software.
Accrediation
Voluntary process that hospital does to demonstrate that it has met standards required by the law
Accreditation Council for Graduate Medical Education (ACGME)
Oversees medical graduates
Active
Medical Staff Category. Delivers most hospital medical services, performs significant organizational and admin medical staff duties
Agenda
A list of all items of business to discuss.
American Recovery and Reinvestment Act
Implementation of Health Information Technologies
Associate
Medical Staff Category. Advancement to active category is being considered.
Bylaws
Rules and regulations established by a company for internal management
Centers for Medicare and Medicaid Services (CMS)
Oversees Medicaid and Medicare.
Chief Resident
Final year of graduate school.
Code of Federal Regulations (CFR)
Rules that establishments must follow based on laws
Consulting
Medical Staff Category. Includes highly qualified practitioners available as consultants when needed
Continuum of care
A complete range of programs and services
Courtesy
Admits an occasional patient to the hopstial
Current Procedural Terminology (CPT)
five digit codes assigned to ambulatory procedures and purposes
Deemed status
To exceed or meet medicaid or medicare requirements of care. Pertaining to medical facilities to receive reimbursement.
Deeming authority
The Center of Medicaid & Medicare services. CMS
Deficit Reduction Act of 2005
Created Medicaid Integrity Program MIP, a program to detect fraud and abuse.
Disaster recovery plan
A plan that ensures appropriate responses to disasters.
do not resuscitate (DNR)
Alerts doctors and medical staff to not try to resuscitate someone if they stop breathing or their heart stops beating.
Electronic Health Record (EHR)
Records on a patient
Electronic Signature
All technological options available to authenticate a documents.
Emergency Medical Treatment and Labor Act (EMTALA)
Provide all patients with a medical screening examination (MSE) Stabilize any patients with an emergency medical condition. Transfer or accept appropriate patients as needed.
Encoder
Software tool for coders to select diagnostic and procedure codes.
Coding
assigning codes to diagnosis, procedures, and services.
For-Profit
Privately owned and excess income is divided amongst shareholders.
Nondiscrimination Act (GINA)
Places of care cannot refuse patients for potential diseases due to their genetic make up
Governing board
Elected individuals of a hospital responsible for its operations and quality of care.
Government-supported hospitals
Public hospitals. Not for profit. Support y local, regional, and federal taxes and operated in the latter.
Groupers
Grouping diagnostic codes.
HCPCS Level One and Two (National) codes
Codes for procedures and services
Healthcare Integrity and Protection Data Bank (HIPDB)
Combats fraud and abuse by recording practitioners actions.
Health care proxy
A legal doc that assigns another person to make the medical decisions for someone if they become inapplicable to doing so themselves.