Exam Prep #1 Flashcards
Foundational Knowledge and Basic Science
List 10 responsibilities of a MA.
-Checking patients in at the front desk.
-Answering phone calls.
-Scheduling appointments.
-Interviewing patients for case histories and -key information before appointments.
-Compiling medical records and charts.
-Processing insurance payments.
-Transferring lab results to the appropriate clinician.
-Maintaining supplies and appearance for the office.
-Explaining treatment and procedures.
-Preparing and administering vaccinations.
-Obtaining VS.
-Assisting the provider with exams.
-Drawing bloodwork and urine samples.
-Obtaining height and weight.
-Performing EKG.
-Care wounds and complete dressing changes.
-Medications with supervision.
List 5 healthcare personnel.
-Medical Doctors
-Osteopathic Doctors
-Nurse Practitioners
-Physician Assistant
-Medical Lab Technicians
-Pharmacy Technician
-Occupational Therapists
-Medical Receptionist
-Physical Therapist
-Radiological Technician
Define Scope of Practice.
Refers to the duties and tasks that a healthcare provider can perform based on their education and training.
What are some additional credentials of an MA.
-CPT
-CET
-CBCS
-CEHRS
Every state requires an MA to be licensed in the state. T/F?
False, except for certain testing (x-ray, phlebotomy)
What are 4 type’s of HMO’s?
-Group Model HMOs
-Individual Practice Association Model HMO (IPA)
-Network Model HMO
-Staff Model HMO
HMO’s often use who as the “gatekeepers”.
Primary Care Physician (PCP)
Programs which contracts are established with providers of medical care. Provides better benefits for services is called what? PPO
Preferred Provider Organization
Health care plan allowing the covered patients to choose to receive a service from participating/non-participating providers is called what? Patients pay higher. POS
Point of Service
Delivers high-quality, cost-effective primary care is called what? PCMH
Patient-Centered Medical Home
Groups of hospitals, physicians and other providers who coordinate care for patients and deliver the right care at right time is called what? ACO
Accountable Care Organizations
What does Hospice provide?
Special kind of care for patients experiencing an advanced, end of life illness.
When primary care providers, care managers, and psychiatric consultants work together to monitor patient progress is called what? CCM
Collaborative Care Model
A payment model that offers financial incentives to physicians, hospitals, and medical groups for performance measures is called what? P4P
Pay for Performance
Pay for Performance is also known as what?
Value-Based Purchasing
List 3 general health services.
- General Practitioners
- Family Practitioners
- Internists
List 10 specialty health services.
- Allergists
- Anesthesiologists
- Cardiologists
- Dermatologists
- Endocrinologists
- Gastroenterologists
- Hematologists
- Infectious Disease Specialists
- Nephrologists
- Neurologist
- Obstetrician
- Gynecologists
- Oncologists
- Ophthalmologists
- Pathologists
- Pediatrician
- Podiatrists
- Plastic Surgeons
- Urologists
Physician who treats acute and chronic illnesses and provides preventive care and health education to patients of all ages.
General Practitioners
Medical specialty doctor within primary care that provides continuing and comprehensive healthcare for the individual and family across all ages.
Family Practitioners
Doctors who specialize in the internal organs and systems of the body, but they are not limited to those areas. Treat only adults.
Internists
Doctors that treat immune system disorders such as asthma, eczema, food allergies, insect allergies, autoimmune diseases.
Allergists/Immunologists
Doctors that give you drugs to numb your pain or to put you under surgery, childbirth, or other procedures. Monitor vital signs when under anesthesia.
Anesthesiologists
Doctors who specialize on the heart and blood vessels. Ideal for heart failure, heart attack, high blood pressure, irregular heartbeat.
Cardiologists
Doctors who help with skin, hair, nails, moles, scars, acne or skin allergies.
Dermatologists
Doctors who specialize on hormones and metabolism. Treat conditions such as diabetes, thyroid problems, infertility, and calcium and bone disorders.
Endocrinologists
Doctors who specialize in digestive organs, stomach bowels, pancreas, liver, and gallbladder. Ideal for abdominal pain, ulcers, diarrhea, jaundice, or cancers in the digestive tract. As well as colonoscopy.
Gastroenterologists
Doctors who specialize in diseases of the blood, spleen, and lymph glands, like sickle cell disease, anemia, hemophilia, and leukemia.
Hematologists
Doctors who diagnose and treat infections in any part of your body, like fevers, Lyme disease, pneumonia, tuberculosis, HIV, and AIDS.
Infectious Disease Specialists
Doctors who treat kidney diseases as well as high blood pressure and fluid and mineral imbalances linked to kidney disease.
Nephrologists
Doctors who specialize in the nervous system, which includes the brain, spinal cord, and nerves. Treat strokes, brain and spinal tumors, epilepsy, Parkinson’s disease, and Alzheimer’s disease.
Neurologist
A doctor who specializes in the care of women during pregnancy, childbirth, and after delivery
Obstetrician
Doctor who diagnoses and treats issues with female reproductive organs.
Gynecologists
Doctors who specialize in cancer. Perform chemotherapy treatments and often work with radiation oncologists and surgeons
Oncologists
Eye doctors. Prescribe glasses or contact lenses and diagnose and treat disease like glaucoma.
Ophthalmologists
Lab doctors that identify the cause of diseases by examining body tissues and fluids under microscopes.
Pathologists
Doctors who care for children from birth to young adulthood.
Pediatricians
Doctors who care for problems in ankles and feet. Includes injuries from accidents or sports or ongoing health conditions like diabetes.
Podiatrists
Doctors who rebuild or repair the skin, face, hands, breasts, or body.
Plastic Surgeons
These are surgeons who care for men and women for problems in the urinary tract, like a leaky bladder.
Urologists
List 7 insurance plans.
-Managed Care Plan
-Medicare
-Medicaid
-TRICARE
-Worker’s Compensation
-Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)
-Private Health Insurance Companies
An umbrella term for all healthcare plans that provide healthcare in return for preset monthly payments and coordinated care. MCP
Managed Care Plan
A federally sponsored health insurance program for those over the age of 65 and for individuals under 65 who are disabled.
Medicare
Joint federal and state program that provides health coverage to qualifying children, pregnant women, parents, seniors, and individuals with disabilities. Largest source of healthcare in the United States.
Medicaid
Government-sponsored program under which authorized dependents of military personnel receive medical care. Originally called CHAMPUS.
TRICARE
A system of laws that protects employees against the loss of wages and the cost of medical care resulting from an occupational accident, disease, or death. Unless the employee is proven negligent.
Worker’s Compensation
A comprehensive health care program in which the VA pays the cost of covered health care services and supplies for eligible beneficiaries. Cannot be eligible for TRICARE, but can be the spouse or child of disabled veterans.
Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)
Which insurance plan are patients not eligible for covered under the CHAMPVA insurance?
TRICARE
Individual health insurance available to an individual or family through either the federal health insurance marketplace.
Private Health Insurance Companies
Insurance fundamental that helps Medicare Fee for Service (FFS) beneficiaries make informed decisions about items and services Medicare usually covers, but not in specific situations.
Advanced Beneficiary Notice
Insurance fundamental when the maximum amount of money that many third-party payers allow for specific procedure or service.
Allowed Charge
Insurance fundamental where a policy provision frequently found in medical insurance whereby the policyholder and the insurance company share the cost of covered losses in a specified ratio.
Co-Insurance
Insurance fundamental where a sum of money that is paid at the time of medical service. Form of co-insurance
Co-Payment
Insurance fundamental where specific amounts of money a patient must pay out of pocket before the insurance carrier begins paying. Average between $100-$500. Amount is met on a yearly or per-incident basis.
Deductible
Insurance fundamental when a letter or statement from the insurance carrier describing what was paid, denied, or reduced in payment.
Explanation of Benefits (EOB)
Insurance fundamental when a physician or other healthcare provider who enters into a contract with a specific insurance company or program and by doing so agrees to abide by certain rules and regulations set forth by that third-party payer.
Participating Provider (PAR)
Medical term for bone.
Oste-
Medical term for muscle.
Myo-
Medical term for nerves.
Neur-
Medical term for heart.
Cardio-
Medical term for blood.
Hemo- or Sangru-
Medical term for blood vessels.
Angio-
Medical term for veins.
Veno- or Phleb-
Medical term for aorta.
Aort-
Medical term for arteries.
Arteo-