Intro to Allied Health

Question 1

Healthcare System Definition

Answer 1

Group of people, agencies and/or institutions that provide healthcare services to individuals in a variety of settings

Question 2

9 Major Areas of Healthcare

Answer 2

1) Ambulatory Care Centers - community centers delivered on an outpatient basis, doesn’t allow overnight stay
2) Acute Care Centers/Hospitals - Provides care for individuals who have disease that comes on quickly or that lasts for a short period of time
3) Long Term Care - Physical/Emotional needs for an extended time
4) Home Care - Works within home
5) Doctor’s Office - Doctor receives and treats medical patients
6) Specialty Hospitals - Specialized care to specific patients, populations, or diseases
7) Health Maintenance Organizations - Provides preventative healthcare options at a reduced cost
8) Rehabilitation Centers - helping patients return to their highest state of optimal health
9) Hospice Care - Provides care to patients who are critically ill and are expected to live 6 months or less

Question 3

Healthcare Provides are required in all settings, including the community, ambulatory and home healthcare settings (T/F)

Answer 3

True

Question 4

Healthcare Managers hold ___

Answer 4

Hold leadership roles to oversee healthcare agencies

Question 5

Medical Assistants

• May ___
• Prepare ___

Answer 5

May Take Vital Signs, prepare patients for tests and other similar tasks

Question 6

Medical transcriptionists

Answer 6

Transcribe voice recordings into text, including summaries of medical histories, discard summaries and diagnostic report summaries

Question 7

Home Health Aides

• Assist
• Monitor
• Work

Answer 7

Assist individuals w/ ADLs (activities of daily living), monitor health status and work with families

Question 8

Opticians

Answer 8

fit and dispense eyeglasses and contact lenses

Question 9

5 Major hospital based professions

Answer 9

1) Health Information Management (HIM)
2) Medical Biller and coder
3) Occupational Therapy Aide
4) Pharmacy Technician Professional
5) Physical Therapy Aide

Question 10

Health Information Managers

Answer 10

Collect, process, analyze and distribute important healthcare information to clinical and administrative staff throughout the healthcare organization

Question 11

Medical Biller and Coder

Answer 11

Examines records, assigns codes and creates reimbursement document

Question 12

Occupational Therapy Aide

Answer 12

Assists a licensed therapist to provide services to patients who have difficulties in performing work

Question 13

Pharmacy Technician

Answer 13

Supervised by a pharmacist while supplying prescriptions and medications

Question 14

Physical Therapy Aide

Answer 14

Works under supervisor and helps patients recover, regain movement and manage pain caused by illness and injury

Question 15

________: Assembles medicines for prescriptions
________: Monitors and maintains EMRs
________: Assists with splinting
________: Administers heat, water, sound and ultrasound procedures

Physical Therapy Aide, Occupational Therapy Aide, Health Information Manager, Pharmacy Tech

Answer 15

Pharmacy Tech
Health Information Manager
Occupational Therapy Aide
Physical Therapy Aide

Question 16

Health Insurance can either be run by government (public) or private companies (T/F)

Answer 16

True

Question 17

3 Types of Public Health Insurance

Answer 17

Medicaid - State run gov’t insurance program that helps people with lower income pay for medical care
Medicare - plan provided by the gov’t for people 65 and older
Affordable Care Act (ACA) an act signed into law in March 2010 by President Obama with the goal of increasing the quality of affordability of health insurance in the US

Question 18

Private Health Insurance

Answer 18

Provided by employers and other organizations. Employers often pay a portion of the cost of an employee health insurance plan, then the employee pays the rest

Question 19

3 Types of Managed Care Plans

Answer 19

1) Health Maintenance Organizations (HMOs)
2) Preferred Provider Organizations (PPO)
3) Point of Service: Allows individuals to choose either HMO or PPO each time they receive medical care

Question 20

Medicaid

Answer 20

State run government insurance program that helps people with lower income pay for medical care

Question 21

Medicare

Answer 21

Federal insurance program for people who are 65 and older, certain younger people with disabilities and people w/ kidney failure.

People who qualify: must have previously worked and paid taxes to the government.

Question 22

Affordable Care Act (ACA)

Answer 22

An act signed into law in Mar 3020 by Pres Obama with the gal of increasing the quality or affordability of health insurance in the US

Question 23

Deductible

Answer 23

The minimum amount that a person must pay out of pocket before a health insurer will pay any expenses to the healthcare provider

Question 24

Co-payment

Answer 24

Predetermined amount defined by the health insurer that must be paid each time a health service is accessed

Question 25

Coinsurance

Answer 25

Splitting the cost between individuals and their insurance carrier

Question 26

4 Major Government health insurance

Answer 26

Medicare - Federal insurance program for people who are 65 and older, certain younger people with disabilities and people w/ kidney failure.
Medicaid -
Tricare
Children’s Health Insurance Program

(Also be aware of Federal Employee Health Benefits, Indian Health Service for those of Native Am descent IHS, Veterans Health Administration, and Program of All Inclusive Care for the Elderly PACE)

Question 27

Medicare divided into 4 categories

Answer 27

A - Hospital Payment Plan, includes inpatient hospital coverage, skilled nursing care, nursing home care, and hospice care
B - covers services and supplies that are medically necessary to treat your health condition. Your medical insurance plan, outpatient services (lab tests doctors visits DME or any med equipment used in the home. Also covers ambulance and preventative services.
C - Medicare Advantage Plan, enables beneficiaries to select a plan that includes supplemental insurance. Covers ouf ot pocket costs that are not covered by A & B. Allows to choose plan that includes prescription drug coverage at no additional premium or choose a plan without prescription. Private companies run all Medicare Part C Plans which combines coverage for hospital stays w/ coverage for doctors’ visit.
D - Medicare Prescription Drug Benefit, US fed gov’t program that subsidizes the costs of prescription drugs and insurance premiums for medical beneficiaries. Purchased one of two ways: 1) only as Part D, 2) In addition to Part C

Question 28

Diagnosis Related Groups (DRGs)

Answer 28

Statistical system of classifying any inpatient stay into groups for the purposes of payment. Uses a formula to calculate reimbursement for healthcare providers in acute care settings.

Question 29

2 Types of diagnosis to DRGs

Answer 29

1) Principal Diagnosis - primary condition being led to the patient being admitted to the hospital
2) Secondary Diagnosis - complications that may affect patients course of treatment or prolong the length of the hospital stay

Question 30

What is Medicaid? How is it funded and managed?

Answer 30

Largest source of funding for health insurance for low income families in the US
Funded and managed by both federal and state governments but it is only managed at a state level

Question 31

How do you qualify for Medicaid?

Answer 31

A family must earn a salary that’s below the poverty level

Question 32

Are there any Medicaid Programs specifically for children?

Answer 32

Children’s Health Insurance Program: Qualified families with children who don’t have health insurance coverage
Families who qualify have healthcare coverage that is either free or low cost.

Question 33

What’s Tricare? Who manages and regulates it? Does it cover the families of those who have served or are serving?

Answer 33

• Provides civilian health benefits to those who have served or are currently serving in the military
• Dept of Defense manages and regulates Tricare
• Yes, includes uniformed services, retirees, spouses and unmarried children, Medal of honor recipients and their families and reservists and their families.

Question 34

2 Types of Private Health Insurance

Answer 34

1) Health Maintenance Organizations

2) Preferred Provider Organization

Question 35

2 Types of Private Health Insurance

Answer 35

1) Health Maintenance Organizations

2) Preferred Provider Organization