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FBLA :( > FBLA > Flashcards

FBLA Flashcards

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1
Q

Reviews and accredits hospitals

A

Joint Commission on Accreditation of Healthcare Organizations

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2
Q

Reviews and accredits health plans

A

National Committee for Quality Assurance

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3
Q

ASC

A

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

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4
Q

Single Payer System

A

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

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5
Q

Equal Pay Act

A

Pay equality amongst genders

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6
Q

Medicare Part C

A

Allows people with Medicare to enroll in supplemental indemnity plans

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7
Q

Reimbursement for home health care plans

A

Outcome and Assessment Information Set

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8
Q

Needed for Medicare reporting

A

Uniform health discharge data set

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9
Q

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

A

Protected Health Information

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10
Q

HIPPA

A

Health Information Privacy and Portability act

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11
Q

Premiums

A

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

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12
Q

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

A

Health Maintenance Organization

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13
Q

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

A

High Deductible Health Plan

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14
Q

Medicare

A

Health care plan entitled to people 65 and older

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15
Q

Medicaid

A

Health care plan granted by states to low income individuals

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16
Q

Financial Accounting

A

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

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17
Q

codes used for outpatient services and supplies

A

Healthcare Common Procedure Coding System

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18
Q

EMR

A

Electronic record for individual patients

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19
Q

EHR

A

Electronic record for a population

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20
Q

Triage

A

Determining which patients to admit first

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21
Q

Medicare Part D

A

Medicare drug coverage

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22
Q

Records of practitioner credentials

A

National Practitioner Data Bank

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23
Q

DNR

A

Do not recessetate order

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24
Q

Affidavit

A

Sworn statement of facts in an incident

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25
Q

In Loco Parentis

A

Court makes decisions in place of the parents

26
Q

Credits

A

Positive account changes. Right (middle) side of ledger

27
Q

Debits

A

Negative account changes. Left side of ledger

28
Q

Accounts Receivable

A

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

29
Q

International Disease Classification codes

A

ICD-9 Codes

30
Q

Codes for diseases or disorders

A

ICD-9 Codes 0-739

30
Q

Program that helps needy families with children get insurance

A

State Children’s Health Insurance Program

31
Q

Preliminary Screening

A

Interview of patient to obtain signs and symptoms

31
Q

“Obamacare”

A

Patient Protection and Affordable Care Act

31
Q

Helps track treatments in medical records

A

Problem Oriented Medical Record

32
Q

Codes for treatments

A

CPT-4

32
Q

Medicare Part A

A

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

32
Q

Adverse selection

A

Attracting patients that are sicker than usual

33
Q

Admission Certification

A

Admitting patients that need more care

33
Q

Evidence Based Medicine

A

Uses EMR of patient to determine the best treatment

33
Q

National Labor Relations Act

A

Allows hospital/health care providers to use bargaining units

34
Q

Fair Labor Standards Act of 1938

A

Establishes Minimum Wage, Ages, overtime pay for workers

35
Q

Compares health plan performance

A

Healthcare Effectiveness Data and Information Set

35
Q

Establishes and regulates workplace safety

A

Occupational Safety and Health Administration

36
Q

Provisions of HIPPA

A

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

36
Q

Copay

A

Payment defined by policy that grants access to the treatment

37
Q

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

A

Preferred provider organization

38
Q

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

A

POS

38
Q

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

A

Employee Retirement Income Security Act

39
Q

TRICARE

A

Military health insurance program

40
Q

Managerial Accounting

A

Financial data for internal users: Board, executives and managers

41
Q

Systemic

A

Disease affects multiple organs

42
Q

Stark Law

A

Prohibits physicians from making referrals to Medicare

43
Q

Codes for injuries

A

ICD-9 Codes 740-999

44
Q

Current Liabilities

A

Expenses to be paid

45
Q

3ft Radius

A

Droplet isolation zone

45
Q

Infection Timeline

A

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

46
Q

Antiseptic

A

Inhibits microbial growth on surfaces and tissues

47
Q

Disinfectants

A

Destroy microbes on non living matter

48
Q

Knowledgeable on the law

A

Jurisprudent

49
Q

8-20 digit number for Medicare providers

A

NPI

50
Q

Patient Bill of Rights

A

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

51
Q

Medicare Part B

A

Outpatient care. Extends Medicare to supplemental treatments, and physicians

FBLA :( (2 decks)

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