Hot Topics Flashcards
CPT: Category I
- What list are they found in?
- What are they arranged by?
- How many digits? And #s, alpha, or both?
- Tabular List
- Arranged by sections
- 5-digit, numeric
CPT: Category II
- What are these used for?
- Are these used as part of the insurance billing process?
- What letter is the 5th digit?
- Performance measure
- No
- F
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?
- Temporary
- Emerging and new tech, services, and procedures
- No
- T
HCPCS: Level I
- Alpha or numeric?
- What comprises Level I?
- What do these codes identify?
- 5-digit numeric code
- CPT (Current Procedural Terminology)
- Medical services and procedures by physicians and other health care professionals
HCPCS: Level II
- What does this include?
- Alpha or numeric?
- 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
What are the 3 types of Managed Care Organizations (MCOs)?
- Health maintenance organication (HMO)
- Preferred provider organization (PPO)
- Exclusive provider organization (EPO)
HMO: What are they required to include in health plan?
Preventative care
HMO: What is the goal?
Reduce the cost of while still providing quality health care
HMO: High or low monthly premiums?
Low
HMO: What are patients required to select?
PCP: Primary Care Provider
- Acts as a gatekeeper to more specialized care
HMO: Are precertifications and preauthorizations always required for hospital admissions, outpatient procedures, and treatments?
Yes!
PPO: Do PPOs contract with a group of providers?
Yes
PPO: What type of fee plan does a PPO use?
Fee for service; preferred by providers
EPO: What features does an EPO include?
Both from HMO and PPO
EPO: Are you required to select a PCP?
Nope!
TRICARE: Who does this serve?
- Uniformed service members
- Retired service members
- Families of the above
CHAMPVA: Who does this serve?
- Families of veterans who were permanently disabled or killed in line of duty
Maslow: What are the bottom four levels?
- Deficiencies
- Coping behaviors
Maslow: What are the top four levels?
- Growth
- Brings long-lasting happiness
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
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
Maslow: Describe physiological needs
- Air, food, drink, shelter, warmth, oxygen, sleep, etc
- Needed for survival
Maslow: Describe safety needs
- Protection of elements, security, order, law, stability, etc
Maslow: Describe love + belongingness needs
- Friendhip, intimacy, acceptance in a group, receiving and giving affection
- Need to be accepted by others
Maslow: Describe esteem needs
- Self-esteem, achievement, mastery of skills, independence, status, pestige, etc
Maslow: Describe cognitive needs
- Knowledge, curiosity, understanding, and exploration
Maslow: Describe aesthetic needs
- Search for beauty, balance, symmetry, form, etc
Maslow: Describe self-actualization needs
- Realize our own potential, seek self-fulfillment, and experience personal growth
Maslow: Describe transcendence needs
- Help others achieve their very best
- Requires we give our time and talent to help others
Erikson: What does his theory focus on?
Developmental crisises
Erikson: Trust v mistrust
- Age range
- Goal of stage
- 0-1.5 years: infancy
- Must develop trust
- Must be able to mistrust should need arise
Erikson: Autonomy v shame + doubt
- Age range
- Goal of stage
- 1.5-3 years: toddler
- Must explore + manipulate things
Erikson: Initiative v guilt
- Age range
- Goal of stage
- 3-6 years: preschool
- Encouraged to try new activities
- Assume responsibilities and learn new skills
- Feels purposeful and increase self-esteem
Erikson: Industry v inferiority
- Age range
- Goal of stage
- 6-12 years: school age
- Must seek to finish tasks
- Recognition for accomplishments is important
Erikson: Indentity v role confusion
- Age range
- Goal of stage
- 12-18 years: adolescence
- To know who you are as a person and how you fit into world
- Meaningful self-image
Erikson: Intimacy v isolation
- Age range
- Goal of stage
- 18-25 years: young adult
- Friendships
- Takes on commitments
Erikson: Generativity v stagnation
- Age range
- Goal of stage
- 25-60 years: middle adulthood
- Balance between concern for next generation and self-absorbed
Erikson: Ego integrity v despair
- Age range
- Goal of stage
- 60+ years: late adulthood
- Reflect on one’s life
- Come to term rather than regreat
Kübler-Ross: List the stages of grief in order, staring with 1.
- Bargaining
- Depression
- Denial
- Acceptance
- Anger
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Kübler-Ross: Describe denial stage
- Refuses to accept fact
- Denial common defense mechanism
Kübler-Ross: Describe anger stage
- Directed at self or others
Kübler-Ross: Describe bargaining stage
- Bargain with higher power
- Bargain with provider
Kübler-Ross: Describe depression stage
- Feelings of sadness, fear, uncertainity
- May grieve loss of health or independence
- May dread change that is occurring
Kübler-Ross: Describe acceptance stage
- Has come to terms
Drug Categories: Put in order from least to most severe for pregnant people!
- D
- C
- A
- X
- B
- 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!
What is a nevus/nevi?
mole(s)
In what kind of infection do neutrophils increase in numbers?
Bacterial
In what kind of infection do eosinophils increase in numbers?
Allergic
What does the abbreviation Cx stand for?
Communication
Drug Schedules: How are these categorized?
- I
- II
- III
- IV
- V
Drug Schedules: Describe Schedule I
- No therapeutic value
- Highly addictive
- Marijuana, LSD
Drug Schedules: Describe Schedule II
- Has some medical use
- Highly addictive
- Morphine, Codeine
Drug Schedules: Describe Schedule III
- More physically dependent than psychological
- Valium
Drug Schedules: Describe Schedule IV
- More psychologically dependent than physical
- Nicotine
Drug Schedules: Describe Schedule V
- Non-addictive
- Everything else - antibiotics
Documentation: SOAP
- What does this stand for?
- Subjective
- Objective
- Assessment
- Plan
Documentation: CHEDDAR
- What does this stand for?
- Chief complaint
- History of presenting illness
- Examination
- Details
- Drugs + Dosage
- Assessment
- Retun visit info/Referral
Describe universal/standard precautions
- Done with every patient to maintain health
- Washing hands
- Wearing gloves
Is sanitization used for organic or inorganic things?
Organic, ex: hands
Is disinfection used for organic or inorganic things?
Inorganic, ex: tabletops
What are the three types of isolation precautions?
- Airborne
- Contact
- Droplet
Which of the following reflect super small germs suspended in the air that travel far (AKA greater than 6-feet)?
- Airborne
- Contact
- Droplet
Airborne
Example: TB
Which of the following reflect bigger droplets that do not travel further than 6-feet?
- Airborne
- Contact
- Droplet
Droplet
Example: Flu, Cold, Whooping Cough
Which of the following are spread by touch?
- Airborne
- Contact
- Droplet
Contact
Example: C-Diff, MRSA
Name some precautions as it pertains to airborne?
- N95 mask
- HEPA filter
- PAPR - hood with filtered fan
- Negative pressure room (no air from room goes out)
Name some precautions as it pertains to contact?
- Gloves
- Gown
- Booties
Name some precautions as it pertains to droplet?
- Face mask
- Goggles
- Face shield
