FBLA

Question 1

Reviews and accredits hospitals

Answer 1

Joint Commission on Accreditation of Healthcare Organizations

Question 2

Reviews and accredits health plans

Answer 2

National Committee for Quality Assurance

Question 3

ASC

Answer 3

Ambulatory services center. Line by line billing allows for less costs

Question 4

Single Payer System

Answer 4

Government Run. Care Triad (Cost, quality, access)

Question 5

Equal Pay Act

Answer 5

Pay equality amongst genders

Question 6

Medicare Part C

Answer 6

Allows people with Medicare to enroll in supplemental indemnity plans

Question 7

Reimbursement for home health care plans

Answer 7

Outcome and Assessment Information Set

Question 8

Needed for Medicare reporting

Answer 8

Uniform health discharge data set

Question 9

Records of a patient’s past and present health condition, how the care was provided and how the patient paid

Answer 9

Protected Health Information

Question 10

HIPPA

Answer 10

Health Information Privacy and Portability act

Question 11

Premiums

Answer 11

Money paid to insurers to negate the risk of loss. Lower payments result in high treatment costs

Question 12

Individuals pay a fixed amount and get access to facilities within the plan

Answer 12

Health Maintenance Organization

Question 13

Insurance plan for high risk individuals. Low premium but has high deductibles

Answer 13

High Deductible Health Plan

Question 14

Medicare

Answer 14

Health care plan entitled to people 65 and older

Question 15

Medicaid

Answer 15

Health care plan granted by states to low income individuals

Question 16

Financial Accounting

Answer 16

Financial data for external users: Stockholders, lenders, insurers, government

Question 17

codes used for outpatient services and supplies

Answer 17

Healthcare Common Procedure Coding System

Question 18

EMR

Answer 18

Electronic record for individual patients

Question 19

EHR

Answer 19

Electronic record for a population

Question 20

Triage

Answer 20

Determining which patients to admit first

Question 21

Medicare Part D

Answer 21

Medicare drug coverage

Question 22

Records of practitioner credentials

Answer 22

National Practitioner Data Bank

Question 23

DNR

Answer 23

Do not recessetate order

Question 24

Affidavit

Answer 24

Sworn statement of facts in an incident

Question 25

In Loco Parentis

Answer 25

Court makes decisions in place of the parents

Question 26

Credits

Answer 26

Positive account changes. Right (middle) side of ledger

Question 27

Debits

Answer 27

Negative account changes. Left side of ledger

Question 28

Accounts Receivable

Answer 28

Payers who still need to send funds. Assets are still accessable, but not tangible (liquid)

Question 29

International Disease Classification codes

Answer 29

ICD-9 Codes

Question 30

Codes for diseases or disorders

Answer 30

ICD-9 Codes 0-739

Question 30

Program that helps needy families with children get insurance

Answer 30

State Children's Health Insurance Program

Question 31

Preliminary Screening

Answer 31

Interview of patient to obtain signs and symptoms

Question 31

"Obamacare"

Answer 31

Patient Protection and Affordable Care Act

Question 31

Helps track treatments in medical records

Answer 31

Problem Oriented Medical Record

Question 32

Codes for treatments

Answer 32

CPT-4

Question 32

Medicare Part A

Answer 32

Inpatient coverage, home health, hospice. Also defines limits of Medicare usage

Question 32

Adverse selection

Answer 32

Attracting patients that are sicker than usual

Question 33

Admission Certification

Answer 33

Admitting patients that need more care

Question 33

Evidence Based Medicine

Answer 33

Uses EMR of patient to determine the best treatment

Question 33

National Labor Relations Act

Answer 33

Allows hospital/health care providers to use bargaining units

Question 34

Fair Labor Standards Act of 1938

Answer 34

Establishes Minimum Wage, Ages, overtime pay for workers

Question 35

Compares health plan performance

Answer 35

Healthcare Effectiveness Data and Information Set

Question 35

Establishes and regulates workplace safety

Answer 35

Occupational Safety and Health Administration

Question 36

Provisions of HIPPA

Answer 36

Cannot be denied coverage for group insurance, coverage wait cannot exceed 12-18 months, safeguards electronic information, privacy of health records

Question 36

Copay

Answer 36

Payment defined by policy that grants access to the treatment

Question 37

Typical insurance style. Individuals pay a fee for service along with copay and deductibles through a network of providers

Answer 37

Preferred provider organization

Question 38

Similar to a HMO, but with extensions through payment similar to a PPO plan

Answer 38

POS

Question 38

Act that allows employers to set up insurance plans. Also allows funding for Medicaid

Answer 38

Employee Retirement Income Security Act

Question 39

TRICARE

Answer 39

Military health insurance program

Question 40

Managerial Accounting

Answer 40

Financial data for internal users: Board, executives and managers

Question 41

Systemic

Answer 41

Disease affects multiple organs

Question 42

Stark Law

Answer 42

Prohibits physicians from making referrals to Medicare

Question 43

Codes for injuries

Answer 43

ICD-9 Codes 740-999

Question 44

Current Liabilities

Answer 44

Expenses to be paid

Question 45

3ft Radius

Answer 45

Droplet isolation zone

Question 45

Infection Timeline

Answer 45

Incubation, Itching/chills phase, peak stage with vomiting/aches/chills, recovery stage

Question 46

Antiseptic

Answer 46

Inhibits microbial growth on surfaces and tissues

Question 47

Disinfectants

Answer 47

Destroy microbes on non living matter

Question 48

Knowledgeable on the law

Answer 48

Jurisprudent

Question 49

8-20 digit number for Medicare providers

Answer 49

NPI

Question 50

Patient Bill of Rights

Answer 50

Access to closest ER, choice of doctor, pediatrician, etc

Question 51

Medicare Part B

Answer 51

Outpatient care. Extends Medicare to supplemental treatments, and physicians