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FBLA Terms > everything > Flashcards

everything Flashcards

1
Q

3 foot radius

A

Wear a surgical mask when 3 feet within a patient with droplet spread disease

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2
Q

Accounts Receivable

A

matthew buys me starbucks
i owe him $2
matthew has account recivable of $2
i gotta pay him back

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3
Q

Adjudicate

A

To review evidence by an insurance company to decide whether to pay in full, partially, or not at all for a claim.

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4
Q

Admission Certification

A

A method of assuring that only those patients who need hospital care are admitted.
cant fake those injuries=bad

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5
Q

Adverse Selection

A

Market situation where buyers and sellers have different information.

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6
Q

Affidavit

A

A written statement made under oath that is typically used in legal proceedings

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7
Q

Antiseptic

A

A substance that stops or slows down the growth of microorganisms

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8
Q

ASC

A

Ambulatory Surgery Centers

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9
Q

Copay

A

A contribution made by an insured person toward the cost of medical treatment

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10
Q

CPT-4

A

A uniform coding system consisting of descriptive terms and identifying codes- used for surgeries, diagnostic tests, etc.

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11
Q

Current Liabilities

A

A company’s short term financial obligations- typically due within a year

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12
Q

Debits

A

The system of collecting life insurance premiums on a weekly or monthly basis involving an actual visit by the agent.

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13
Q

Disnfectants

A

Any substance or process that is used primarily on non-living objects to kill germs

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14
Q

DNR

A

Do-Not-Resuscitate

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15
Q

EHR

A

Electronic Health Record

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16
Q

EMR

A

Electronic Medical Record

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17
Q

Equal Pay Act

A

Protects workers from discrimination based on sex- equal pay

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18
Q

ERIS

A

Employee Retirement Income Security

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19
Q

Evidence Based Medicine

A

A medical practice/care that emphasizes the practical application of current research

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20
Q

Fair Labor Standards Act of 1938

A

A labor law that created the right to a minimum wage and “time and a half” overtime pay when people work over 40 hours per week

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21
Q

FUTA

A

Federal Unemployment Tax Act- provides payments of unemployment compensation to workers who have lost their jobs

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22
Q

HCPCS

A

Healthcare Common Procedure Coding System- used for basic health care services; medical devices, supplies, etc.

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23
Q

HDHP

A

High Deductible Health Plan- a plan with a higher deductible than a traditional insurance plan

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24
Q

HEDIS

A

Healthcare Effectiveness Data and Information Set- plans to measure performance on important dimensions of care and service

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25
Q

HIPAA

A

Health Insurance Portability and Accountability Act- federal law that requires the creation of national standards to protect sensitive patients health info from being disclosed without the patients consent

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26
Q

HMO

A

Health Maintenance Organization- a type of health insurance plan that typically have lower monthly premiums, pay less out of pocket, not flexible w coverage

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27
Q

ICD- 9 Codes

A

International Classification of Diseases- the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the U.S

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28
Q

ICD-9 Codes 0-739

A

Nonallopathic lesions of head region not elsewhere classified

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29
Q

ICD-9 Codes 740-999

A

Anencephalus and similar anomalies

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30
Q

Infection Timeline

A

The invasion and growth of germs in the body

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31
Q

In Loco Parentis

A

Latin for, “in place of a parent”, refers to the legal responsibility of a person or organization

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32
Q

JCAHO

A

Joint Commision on Accredidation of Healthcare Organizations- nonprofit organization based in the U.S that accredits over 20,000 healthcare organizations and programs

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33
Q

Latent

A

A conditon that is present but not active or causing symptoms
think trees dormant in winter

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34
Q

Managerial Accounting

A

A practice of identifying, measuring, analyzing, interpreting, and communicating financial information to managers for the pursuit of an organization’s role

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35
Q

Medicaid

A

A joint federal and state program the gives health coverage to some people with limited income and resources

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36
Q

Medicare

A

Federal health insurance for anyone over the age of 65

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37
Q

Medicare Part A

A
  1. Inpatient care in a hospital
  2. Skilled nursing facility care
  3. Nursing home care(not custodial or long term care)
  4. Hospice care
  5. Home health care
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38
Q

Medicare Part B

A
  • Medically necessary services
  • Preventive services
    (ex.)
    • Clinical research
    • Ambulance services
    • Durable medical equipment
    • Limited outpatient prescription drugs
    • Mental Health
      • In patient, outpatient, partial
        hospitalization
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39
Q

Medicare Part C

A

Medicare Advantage plans- sometimes offered by medicare- approved private companies that must follow rules set by Medicare

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40
Q

Medicare Part D

A

Helps cover cost of perscription drugs- is optional

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41
Q

National Relations Labor Act (NRLA)

A

1935- Labor law that gurantees the right of private sector employees to organize into trade unions, engage in collective barganing, and take collective action such as strikes

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42
Q

NCQA

A

National Commitee for Quality Assurance Exist to improve quality of health insurance - independent non- profit organization

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43
Q

NPDB

A

National Practitioner Data Bank- database that contains medical malpractice payment and adverse action reports on healthcare professionals
DATABASE FOR DOCS WHO MAKE MISTAKES

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44
Q

NPI

A

National Provider Identifier- unique identification number for covered health care providers
also HIPAA standard

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45
Q

OASIS

A

Outcome and Assesment Information Set- database to collect and report assesment data by home and health agencies
HOME HEALTHCARE ASSETMENT

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46
Q

Financial Accounting

A

specific branch of accounting that involves a processing of recording, summarizing, and reporting the myriad of transactions resulting from business operations over a period of time

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47
Q

Jurisprudent

A

the application of medical knowledge to questions of the law affecting life or poverty

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48
Q

OSHA

A

Occupational Safety and Health Standard- ensures healthy and safe working conditions

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49
Q

Paitent Bill of Rights

A

to receive appropriate assessment of and treatment for pain in a consistent manner

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50
Q

POMR

A

Problem Oriented Medical Record- a way of recording patient health information in a way that’s easy for physicans to read and revise

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51
Q

POS

A

Point of Service- a type of healthcare plan where members recieve services from a network of providers

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52
Q

PPACA

A

Patient Protection and Affordable Care Act(Obamacare)- a comprehensive healthcare reform law enacted in 2010 in the U.S

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53
Q

PPO

A

Preferred Provider Organization- a type of healthcare plan where members recieve services from a network of preferred providers at a lower cost than non- preffered providers

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54
Q

Preliminary Screening

A

Initial evaluation of a person’s health condition to determine the next course of action

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55
Q

Premiums

A

The amount of money that a person or an organization pays to an insurance company in exchange for health insurance coverage

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56
Q

Protected Health Information

A

Confidential medical information that is protected by law and cannot without paitents consent

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57
Q

Provisions of HIPAA

A

The Health Insurance Portability and Accountablity Act establishes standards for the protection and confidentiality of medical information

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58
Q

SCHIP

A

State Children’s Health Insurance Program- a U.S governemnt program that provides healthcare coverage

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59
Q

Single Payer System

A

A healthcare system in which the government is the sole payer for healthcare services, rather than private insurance companies

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60
Q

Stark Law

A

Physician Self-Referral Law, a federal law that prohibits physicians from referring patients for certain designated health services to entities in which the physician has a financial interest.

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61
Q

Systemic

A

Pertaining to the whole system or body, rather than just a part.

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62
Q

Triage

A

The process of determining the priority of patients’ treatments based on the severity of their conditions.

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63
Q

TRICARE

A

A healthcare program for active-duty and retired military personnel and their families in the US

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64
Q

UHDDS

A

Uniform Hospital Discharge Data Set, a set of standard definitions and codes used to collect and report data on hospital discharges

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65
Q

5S Theory

A

A Japanese management philosophy that focuses on sorting, simplifying, sweeping, standardizing, and sustaining a clean and organized workplace

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66
Q

6 Management Functions

A

Planning, organizing, staffing, directing, controlling, and evaluating

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67
Q

15M - sales max SBA loan

A

A loan from the Small Business Administration with a maximum amount of $15 million for businesses that meet certain criteria.

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68
Q

Acceptance Authority Theory

A

A management theory that emphasizes the importance of empowering employees to make decisions within their areas of responsibility

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69
Q

Accountable Care Organization

A

A type of healthcare organization that aims to coordinate and manage care for a patient population in a cost-effective manner

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70
Q

ADR Provision

A

Alternative Dispute Resolution Provision, a clause in a contract that provides for the resolution of disputes through methods such as mediation or arbitration

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71
Q

Adverse Occurrences

A

Negative events or outcomes, such as patient harm or adverse drug reactions.

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72
Q

Affordable Health Choices Act

A

A proposed healthcare reform bill aimed at making healthcare more affordable and accessible.

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73
Q

Age Discrimination in Employment Act

A

A federal law that prohibits employment discrimination against individuals 40 years of age or older.

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74
Q

Aggregate Data

A

Data that has been compiled from multiple sources and summarized in a way that masks individual identities.

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75
Q

Altruism

A

Unselfish concern for the welfare of others.

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76
Q

Americans With Disabilities Act

A

A federal law that prohibits discrimination against individuals with disabilities in employment, public accommodations, transportation, and other areas.

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77
Q

ASC

A

Ambulatory Surgery Center, a type of healthcare facility that provides same-day surgical procedures.

78
Q

At-Will contract w/ or w/o restrictive covenant

A

An employment contract in which termination must be following with limits defined by a contract.

79
Q

Fairness and consistency

A

The principle of treating all individuals or groups in an equitable and impartial manner, following established rules and procedures.

80
Q

Family and Medical Leave Act

A

A federal law that provides eligible employees with up to 12 weeks of unpaid, job-protected leave for certain family and medical reasons.

81
Q

Fiduciary

A

A person or organization that has a legal obligation to act in the best interest of another person or organization, such as a trustee or guardian.

82
Q

Financial Statements

A

A set of reports that provide information on a company’s financial performance, including its income statement, balance sheet, and cash flow statement.

83
Q

Fraud

A

Deception or dishonesty intended to result in financial or personal gain.

84
Q

GAP Analysis

A

A method of comparing an organization’s current performance with its desired or ideal performance, in order to identify areas for improvement.

85
Q

Governance

A

The system of rules, practices, and processes by which a company or organization is directed and controlled.

86
Q

Healthcare reform

A

Changes to the healthcare system aimed at improving access, quality, and affordability of care.

87
Q

Human Resource Management- HRM

A

The process of managing an organization’s workforce, including recruiting, hiring, training, and development.

88
Q

Informed Consent

A

The process by which a patient provides knowledgeable and voluntary agreement to a proposed medical treatment or procedure.

89
Q

Inteligent Systems

A

Systems that use artificial intelligence and machine learning algorithms to perform tasks and make decisions, such as expert systems and natural language processing systems.

90
Q

Internal Pressure on HSO’s

A

Factors within a healthcare service organization that influence its operations and decision-making, such as budget constraints or changing patient needs.

91
Q

Joint Commission

A

An independent, non-profit organization that accredits and certifies healthcare organizations in the US.

92
Q

Leadership

A

The ability to influence and guide individuals, groups, or organizations towards a common goal or vision.

93
Q

Legislation

A

Laws passed by a government or governing body.

94
Q

Liability

A

Legal responsibility for something, such as for damages or debts.

95
Q

Managed Care

A

A system of healthcare delivery that emphasizes cost control and quality improvement through mechanisms such as pre-authorization and utilization review

96
Q

Management Information Systems- MIS

A

A field of study that deals with the development and use of information systems and technology to support decision-making and improve organizational performance

97
Q

Marketing Mix

A

The four elements of marketing, including product, price, promotion, and place (distribution).

98
Q

Medical Staffing Agencies

A

Organizations that provide temporary or permanent medical staff to healthcare organizations.

99
Q

Medical-Surgical Nursing

A

A specialized field of nursing that focuses on the care of adult patients with acute and chronic medical conditions.

100
Q

Medicolegal Issues

A

Legal and ethical issues arising in the healthcare field, such as informed consent and patient confidentiality.

101
Q

Medigap Insurance

A

A type of insurance that helps pay for some of the out-of-pocket costs associated with Original Medicare, such as deductibles and copayments.

102
Q

Minority Health

A

The study of disparities in health outcomes and access to care experienced by racial and ethnic minority groups.

103
Q

Outcome Measures

A

Indicators of the success or effectiveness of a healthcare intervention or treatment.

104
Q

Patient Confidentiality

A

The ethical and legal principle that protects a patient’s personal and medical information from being disclosed to others without the patient’s permission.

105
Q

Patient Satisfaction

A

A measure of how well a healthcare organization

106
Q

Family Medical Leave Act (FMLA)

A

Federal law that requires employers to grant eligible employees up to 12 weeks of unpaid, job-protected leave per year for certain medical and family reasons.

107
Q

Fair Labor Standards Act of 1938

A

A federal law that established minimum wage, overtime pay, recordkeeping, and child labor standards affecting full-time and part-time workers in the private sector and in federal, state, and local governments.

108
Q

External Pressure on HSO’s

A

Refers to the various forces outside a healthcare organization that affect its operations and decision-making. Examples include regulations, competition, changes in technology, and shifting patient needs and preferences.

109
Q

Exchange Relationships

A

Relationships between healthcare organizations and other stakeholders, such as patients, insurers, and regulators. These relationships often involve exchange of goods, services, information, or payment.

110
Q

Environment for HSOs

A

The external and internal conditions and circumstances that influence the operation and performance of healthcare organizations. This includes factors such as regulations, competition, patient needs and preferences, technology, workforce, and finances.

111
Q

Employee Retirement Income Security Act (ERISA)

A

Federal law that sets standards for private pension plans, including requirements for participation, vesting, funding, and reporting.

112
Q

Employee Polygraph Protection Act

A

Federal law that prohibits most private employers from using lie detector tests, either for pre-employment screening or during employment

113
Q

Domains of mangement

A

The broad categories or areas of responsibility in an organization, such as finance, operations, marketing, and human resources.

114
Q

D&O Insurance

A

Directors and officers insurance, a type of liability insurance that protects individual directors and officers of a company against claims made by shareholders, employees, or other stakeholders for wrongful acts or omissions in their professional capacity.

115
Q

DMAIR

A

Data, Metrics, Analysis, Improvement, and Reporting. A process used by healthcare organizations to monitor and improve performance by collecting, analyzing, and using data to inform decisions and actions.

116
Q

Direct Care

A

Healthcare services that are provided directly to patients, typically by physicians, nurses, or other clinical staff.

117
Q

Declining Reimbursement

A

A decrease in the amount of payment received by healthcare organizations from insurers or government programs for the services they provide to patients.

118
Q

Data Dictionary

A

A comprehensive listing of data elements, definitions, and attributes used within an organization.

119
Q

Covenant

A

A legally binding agreement or promise, often between two parties, that imposes obligations or restrictions on one or both parties.

120
Q

Corporate Structure of Hospitals

A

The organizational and ownership structure of hospitals, which can vary and may include for-profit, non-profit, or government-owned entities.

121
Q

COO

A

Chief Operating Officer, a senior executive responsible for overseeing the day-to-day operations of an organization.

122
Q

Controlling

A

A management function that involves monitoring and regulating the activities and performance of an organization to ensure that it stays on track and achieves its goals.

123
Q

Contract with money stability and free agency

A

A type of employment contract that combines financial stability and job security with the freedom and flexibility for employees to pursue other opportunities.

124
Q

Compliance

A

Adherence to laws, regulations, standards, and policies, as well as ethical and professional norms. In healthcare, compliance refers to ensuring that healthcare organizations and their staff follow relevant laws, regulations, and standards related to patient care, privacy, and billing

125
Q

COBRA

A

Consolidated Omnibus Budget Reconciliation Act, a federal law that allows eligible employees and their dependents to temporarily continue their group health coverage when a qualifying event occurs, such as job loss or reduction in hours.

126
Q

CNO

A

Chief Nursing Officer, a senior executive responsible for overseeing the nursing function

127
Q

Feedback Model

A

A system in which information about the results of a process is used to continuously improve and adjust the process.

128
Q

First Line Managers

A

Front-line supervisors who are responsible for managing the day-to-day activities of workers in an organization.

129
Q

Formal Authority Theory

A

A theory that explains the distribution of power and control within an organization based on formal job titles, hierarchy, and the delegation of authority.

130
Q

Heijunka

A

A Lean manufacturing concept that involves leveling production, reducing batch sizes, and creating a smooth flow of work.

131
Q

HHS

A

The United States Department of Health and Human Services, the main federal agency responsible for protecting the health of all Americans and providing essential human services.

132
Q

Hill-Burton Act

A

A federal law passed in 1946 that provides funding for construction and modernization of healthcare facilities in underserved areas.

133
Q

Immigration Reform and Control Act

A

A federal law passed in 1986 that provides for the legalization of certain undocumented immigrants and establishes penalties for employers who knowingly hire undocumented workers

134
Q

Increasing Population Need

A

The growing demand for healthcare services due to the increasing size of the population.

135
Q

Incremental Budget

A

A budgeting method where only the changes in budget from the previous year are considered, rather than creating a budget from scratch.

136
Q

Indemnity Insurance

A

An insurance policy that provides reimbursement for specific expenses, rather than paying a predetermined amount for each service.

137
Q

Indirect Care

A

Healthcare services provided by support staff, such as administration, housekeeping, and maintenance, rather than direct patient care provided by healthcare professionals.

138
Q

Input/Output Management Model

A

A model that outlines the inputs (resources) and outputs (results) of a process in order to optimize performance.

139
Q

Jidoka

A

A Lean manufacturing concept that involves stopping the production line when a problem occurs, rather than continuing to produce defective items

140
Q

Integration Clause

A

A clause in a contract that specifies the terms and conditions for integrating all previous negotiations and agreements into the final contract.

141
Q

Joint Several Liability

A

A legal concept where two or more parties are held jointly responsible for the same debt or obligation.

142
Q

Key LEAN Principles

A

Principles of continuous improvement, waste reduction, and customer focus that are central to the Lean manufacturing philosophy.

143
Q

Laissez Faire

A

A philosophy of minimal government intervention in economic affairs, allowing the market to operate freely.

144
Q

LLC

A

A limited liability company, a type of business structure that provides limited liability protection to its owners while allowing for flexible tax treatment and management.

145
Q

Line Managers

A

Managers who are responsible for the direct supervision of workers and the execution of specific functions within an organization.

146
Q

Lean

A

A philosophy of continuous improvement that emphasizes minimizing waste, maximizing efficiency, and putting the customer first.

147
Q

Matrix Management Method

A

A management approach where individuals report to multiple managers, creating cross-functional teams and combining expertise to achieve common goals.

148
Q

MDS Version 2.0

A

The latest version of the Minimum Data Set, a standardized tool for collecting patient assessment data in long-term care facilities.

149
Q

Maximum Notice Possible and Severance

A

The maximum amount of notice an employer must give an employee before terminating their employment, as well as any severance pay that may be required.

150
Q

Middle Managers

A

Managers who are responsible for overseeing the work of line managers and implementing the strategies and policies set by top management.

151
Q

Accounts Payable (Meena)

A

A record of money owed by a business to its creditors or suppliers for goods or services purchased on credit.

152
Q

Acute Infection

A

An infection that comes on suddenly and is usually severe in nature

153
Q

Bioethics

A

The branch of ethics concerned with the relationships between biology, medicine, and ethical principles.

154
Q

Cellular Telephone

A

A type of mobile phone that uses cellular networks to communicate.

155
Q

Charges

A

A payment demanded for a serice or product

156
Q

Cheif Complaint

A

The primary reason for which a patient seeks medical attention.

157
Q

Claim Form

A

A document used to request payment from an insurance company for medical services rendered

158
Q

Coding

A

The process of assigning codes to medical diagnoses, procedures, and treatments in order to accurately report and bill for healthcare services

159
Q

CPT- Code

A

A code used to identify a medical service or procedure for billing purposes

160
Q

EMTALA

A

The Emergency Medical Treatment and Active Labor Act, a federal law that requires hospitals to provide emergency medical treatment to anyone who comes to the emergency room, regardless of their ability to pay.

161
Q

EOB

A

Explanation of Benefits, a document provided by an insurance company that explains the payment and coverage details of a medical claim.

162
Q

Etiquette

A

A code of behavior that defines socially acceptable behavior in a particular setting.

163
Q

Flexible Spending Account

A

An employer-sponsored benefit that allows employees to set aside pre-tax dollars to pay for certain medical expenses.

164
Q

Healthcare Power of Attorney

A

A legal document that designates a person to make healthcare decisions on behalf of another person in the event that person becomes unable to make decisions for themselves.

165
Q

Infectious Waste

A

Waste materials that have the potential to spread disease, including medical waste such as used needles, gowns, and other materials contaminated with bodily fluids.

166
Q

Malfeasance

A

Improper or illegal conduct, especially by a public official.

167
Q

Ophthalmology

A

The branch of medicine that deals with the anatomy, physiology, and diseases of the eye.

168
Q

OTC Drugs

A

Over-the-counter drugs, which can be purchased without a prescription.

169
Q

PHI

A

Protected Health Information, a type of personal health information that is protected by federal law.

170
Q

Shock

A

A medical emergency in which the body is not getting enough blood flow, which can lead to organ failure and death.

171
Q

Supplemental Insurance

A

Insurance coverage that provides additional benefits to a primary insurance policy.

172
Q

Systemic Infection

A

An infection that has spread throughout the body

173
Q

DE

A

Disease Entity, a specific type of medical condition or illness.

174
Q

Subpoena

A

A legal order requiring a person to appear in court or produce evidence.

175
Q

Summary Report

A

A brief report that provides a summary of important information.

176
Q

The Intent of HIPAA Law

A

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy of individuals’ health information and establishes standards for electronic health information. The intent of the law is to ensure the confidentiality and security of health information while promoting its use to improve the quality of healthcare.

177
Q

ICD

A

Internation Classification of Diseases, a coding system used to classify diseases and other health problems.

178
Q

Modifers of Code

A

Additional codes used to provide additional information about a medical service or procedure for billing purposes.

179
Q

Time Specific (stream) scheduling

A

Scheduling that is based on the amount of time needed to complete a task

180
Q

Wave Scheduling

A

A scheduling system in healthcare administration in which patients are scheduled in groups, or “waves,” based on similar treatment needs or resource requirements. This allows for efficient use of resources and improved patient flow, while reducing wait times and improving patient experience.

181
Q

EPA

A

Environmental Protection Agency, a U.S. federal agency responsible for protecting human health and the environment by enforcing environmental laws and regulations.

182
Q

HIV

A

Human Immunodeficiency Virus, a virus that attacks the immune system and can lead to AIDS.

183
Q

HBV

A

Hepatitis B Virus, a virus that attacks the liver and can cause chronic liver disease.

184
Q

HCV

A

Hepatitis C Virus, a virus that attacks the liver and can cause chronic liver disease.

185
Q

SOAP Charting

A

A documentation method in healthcare where information is recorded using the acronym SOAP (Subjective, Objective, Assessment, and Plan), to provide a comprehensive and organized record of a patient’s care.

186
Q

Five Vital Signs

A

A set of five medical measurements commonly taken to assess a patient’s basic health status, including body
1. temperature
2.pulse rate
3.breathing rate
4.blood pressure
5.oxygen saturation.

187
Q

Clinical Laboratory Improvement Amendments (CLIA) of 1988

A

U.S. federal regulations that set standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results.

188
Q

MRI Machine

A

Magnetic Resonance Imaging, a medical imaging technique that uses a strong magnetic field and radio waves to produce detailed images of internal organs and tissues.

189
Q

FEMA

A

Federal Emergancy Management Agency - US government agency that coordinates the responses to disasters.

190
Q

CEU

A

Continuing Education Unit

191
Q

CMS

A

Centers for Medicated Services

FBLA Terms (7 decks)

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