Hot Topics Flashcards

1
Q

CPT: Category I

  • What list are they found in?
  • What are they arranged by?
  • How many digits? And #s, alpha, or both?
A
  • Tabular List
  • Arranged by sections
  • 5-digit, numeric
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2
Q

CPT: Category II

  • What are these used for?
  • Are these used as part of the insurance billing process?
  • What letter is the 5th digit?
A
  • Performance measure
  • No
  • F
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3
Q

CPT: Category III

  • Is this a permanent or temp code?
  • What are these used for?
  • Have these been added to the Tabular List?
  • What letter is the 5th digit?
A
  • Temporary
  • Emerging and new tech, services, and procedures
  • No
  • T
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4
Q

HCPCS: Level I

  • Alpha or numeric?
  • What comprises Level I?
  • What do these codes identify?
A
  • 5-digit numeric code
  • CPT (Current Procedural Terminology)
  • Medical services and procedures by physicians and other health care professionals
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5
Q

HCPCS: Level II

  • What does this include?
  • Alpha or numeric?
A
  • Products, supplies, and services not included in CPT - ambulance and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) used outside physician’s office
  • Alpha-numeric - single alpha letter followed by 4 #s
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6
Q

What are the 3 types of Managed Care Organizations (MCOs)?

A
  1. Health maintenance organication (HMO)
  2. Preferred provider organization (PPO)
  3. Exclusive provider organization (EPO)
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7
Q

HMO: What are they required to include in health plan?

A

Preventative care

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8
Q

HMO: What is the goal?

A

Reduce the cost of while still providing quality health care

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9
Q

HMO: High or low monthly premiums?

A

Low

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10
Q

HMO: What are patients required to select?

A

PCP: Primary Care Provider

  • Acts as a gatekeeper to more specialized care
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11
Q

HMO: Are precertifications and preauthorizations always required for hospital admissions, outpatient procedures, and treatments?

A

Yes!

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12
Q

PPO: Do PPOs contract with a group of providers?

A

Yes

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13
Q

PPO: What type of fee plan does a PPO use?

A

Fee for service; preferred by providers

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14
Q

EPO: What features does an EPO include?

A

Both from HMO and PPO

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15
Q

EPO: Are you required to select a PCP?

A

Nope!

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16
Q

TRICARE: Who does this serve?

A
  • Uniformed service members
  • Retired service members
  • Families of the above
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17
Q

CHAMPVA: Who does this serve?

A
  • Families of veterans who were permanently disabled or killed in line of duty
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18
Q

Maslow: What are the bottom four levels?

A
  • Deficiencies
  • Coping behaviors
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19
Q

Maslow: What are the top four levels?

A
  • Growth
  • Brings long-lasting happiness
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20
Q

Maslow: Put the eight levels in order from bottom to top

  • Esteem needs
  • Aesthetic needs
  • Love and belongingness needs
  • Cognitive needs
  • Transcendence needs
  • Physiological needs
  • Safety needs
  • Self-actualization needs
A

Starting at the bottom and going up…

  • Physiological needs
  • Safety needs
  • Love and belongingness needs
  • Esteem needs
  • Cognitive needs
  • Aesthetic needs
  • Self-actualization needs
  • Transcendence needs
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21
Q

Maslow: Describe physiological needs

A
  • Air, food, drink, shelter, warmth, oxygen, sleep, etc
  • Needed for survival
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22
Q

Maslow: Describe safety needs

A
  • Protection of elements, security, order, law, stability, etc
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23
Q

Maslow: Describe love + belongingness needs

A
  • Friendhip, intimacy, acceptance in a group, receiving and giving affection
  • Need to be accepted by others
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24
Q

Maslow: Describe esteem needs

A
  • Self-esteem, achievement, mastery of skills, independence, status, pestige, etc
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25
Q

Maslow: Describe cognitive needs

A
  • Knowledge, curiosity, understanding, and exploration
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26
Q

Maslow: Describe aesthetic needs

A
  • Search for beauty, balance, symmetry, form, etc
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27
Q

Maslow: Describe self-actualization needs

A
  • Realize our own potential, seek self-fulfillment, and experience personal growth
28
Q

Maslow: Describe transcendence needs

A
  • Help others achieve their very best
  • Requires we give our time and talent to help others
29
Q

Erikson: What does his theory focus on?

A

Developmental crisises

30
Q

Erikson: Trust v mistrust

  • Age range
  • Goal of stage
A
  • 0-1.5 years: infancy
  • Must develop trust
  • Must be able to mistrust should need arise
31
Q

Erikson: Autonomy v shame + doubt

  • Age range
  • Goal of stage
A
  • 1.5-3 years: toddler
  • Must explore + manipulate things
32
Q

Erikson: Initiative v guilt

  • Age range
  • Goal of stage
A
  • 3-6 years: preschool
  • Encouraged to try new activities
  • Assume responsibilities and learn new skills
  • Feels purposeful and increase self-esteem
33
Q

Erikson: Industry v inferiority

  • Age range
  • Goal of stage
A
  • 6-12 years: school age
  • Must seek to finish tasks
  • Recognition for accomplishments is important
34
Q

Erikson: Indentity v role confusion

  • Age range
  • Goal of stage
A
  • 12-18 years: adolescence
  • To know who you are as a person and how you fit into world
  • Meaningful self-image
35
Q

Erikson: Intimacy v isolation

  • Age range
  • Goal of stage
A
  • 18-25 years: young adult
  • Friendships
  • Takes on commitments
36
Q

Erikson: Generativity v stagnation

  • Age range
  • Goal of stage
A
  • 25-60 years: middle adulthood
  • Balance between concern for next generation and self-absorbed
37
Q

Erikson: Ego integrity v despair

  • Age range
  • Goal of stage
A
  • 60+ years: late adulthood
  • Reflect on one’s life
  • Come to term rather than regreat
38
Q

Kübler-Ross: List the stages of grief in order, staring with 1.

  • Bargaining
  • Depression
  • Denial
  • Acceptance
  • Anger
A
  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance
39
Q

Kübler-Ross: Describe denial stage

A
  • Refuses to accept fact
  • Denial common defense mechanism
40
Q

Kübler-Ross: Describe anger stage

A
  • Directed at self or others
41
Q

Kübler-Ross: Describe bargaining stage

A
  • Bargain with higher power
  • Bargain with provider
42
Q

Kübler-Ross: Describe depression stage

A
  • Feelings of sadness, fear, uncertainity
  • May grieve loss of health or independence
  • May dread change that is occurring
43
Q

Kübler-Ross: Describe acceptance stage

A
  • Has come to terms
44
Q

Drug Categories: Put in order from least to most severe for pregnant people!

  • D
  • C
  • A
  • X
  • B
A
  • A: No fetal risk
  • B: Basically safe for animals so likely safe for humans
  • C: No adequate studies or human data
  • D: Evidence of fetal risk and benefits > risks
  • X: Evidence of fetal risk and risks > benefits
    “A” is OK and “X” marks the spot / or better yet… CROSSBONES; DIE!
45
Q

What is a nevus/nevi?

A

mole(s)

46
Q

In what kind of infection do neutrophils increase in numbers?

A

Bacterial

47
Q

In what kind of infection do eosinophils increase in numbers?

A

Allergic

48
Q

What does the abbreviation Cx stand for?

A

Communication

49
Q

Drug Schedules: How are these categorized?

A
  • I
  • II
  • III
  • IV
  • V
50
Q

Drug Schedules: Describe Schedule I

A
  • No therapeutic value
  • Highly addictive
  • Marijuana, LSD
51
Q

Drug Schedules: Describe Schedule II

A
  • Has some medical use
  • Highly addictive
  • Morphine, Codeine
52
Q

Drug Schedules: Describe Schedule III

A
  • More physically dependent than psychological
  • Valium
53
Q

Drug Schedules: Describe Schedule IV

A
  • More psychologically dependent than physical
  • Nicotine
54
Q

Drug Schedules: Describe Schedule V

A
  • Non-addictive
  • Everything else - antibiotics
55
Q

Documentation: SOAP

  • What does this stand for?
A
  • Subjective
  • Objective
  • Assessment
  • Plan
56
Q

Documentation: CHEDDAR

  • What does this stand for?
A
  • Chief complaint
  • History of presenting illness
  • Examination
  • Details
  • Drugs + Dosage
  • Assessment
  • Retun visit info/Referral
57
Q

Describe universal/standard precautions

A
  • Done with every patient to maintain health
  • Washing hands
  • Wearing gloves
58
Q

Is sanitization used for organic or inorganic things?

A

Organic, ex: hands

59
Q

Is disinfection used for organic or inorganic things?

A

Inorganic, ex: tabletops

60
Q

What are the three types of isolation precautions?

A
  1. Airborne
  2. Contact
  3. Droplet
61
Q

Which of the following reflect super small germs suspended in the air that travel far (AKA greater than 6-feet)?

  • Airborne
  • Contact
  • Droplet
A

Airborne

Example: TB

62
Q

Which of the following reflect bigger droplets that do not travel further than 6-feet?

  • Airborne
  • Contact
  • Droplet
A

Droplet

Example: Flu, Cold, Whooping Cough

63
Q

Which of the following are spread by touch?

  • Airborne
  • Contact
  • Droplet
A

Contact

Example: C-Diff, MRSA

64
Q

Name some precautions as it pertains to airborne?

A
  • N95 mask
  • HEPA filter
  • PAPR - hood with filtered fan
  • Negative pressure room (no air from room goes out)
65
Q

Name some precautions as it pertains to contact?

A
  • Gloves
  • Gown
  • Booties
66
Q

Name some precautions as it pertains to droplet?

A
  • Face mask
  • Goggles
  • Face shield