IntroToHC Midterm Flashcards
premium
patients paid the insurance company an agreed-upon amount
co-pay
a required set amount paid for each visit to the health care provider
Medicare
provides health insurance for people 65 and over or severely disabled people
part of Social Security
parts A-D
Medicaid
cost-assistance program to help pay medical costs for those with limited income
PPO
Preferred Provider Organization
group of hospitals that contract on a fee-for-service basis
HMO
Health Maintenance Organization
prepaid medical group practice plan providing a predetermined medical care benefit package
OBRA
Omnibus Budget Reconciliation Act
federally mandated and funded program that provides evaluations of individuals with mental health diagnoses and/or developmental disabilities entering nursing facilities
coding
number categories and codes from are inputted into the computer for billing purposes
priority
order of importance
priority is of high importance
accounts receivable
amounts due from customers for services, supplies, or equipment
QI
quality improvement
improve quality of care and decrease costs
QAPI
quality assessment and performance improvement
CQI
continuous quality improvement
TQM
total quality management
utilization review
evaluates the necessity and efficiency of health care services, procedures, and facilities
4 types of questions
- Close-ended- yes or no
- Open-ended- no answered with yes or no
- Probing questions- request clarification & more info
- Leading questions- when the answer is included in the question
slander
defamation of character in verbal form
libel
legal charge for defamation of character
defamation of character
legal charge for disclosing unauthorized info that could harm the reputation of another
living will
when a person states how they want their medical care or things distributed while they are still alive
informed/implied/expressed consent
Informed- after a procedure is explained, risks too, and the patient agrees
Implied- showing up to a dr apt, therapeutic exercises
Expressed- written consent
confidentiality
not giving away patient’s personal information, medical records, discussing cases to those who need not know
HIPPA
contract
formalized promises that are enforced by law
breech of contract
when someone fails to fulfill their part of the agreement in the contract
false imprisonment
if patients are held against their will
unless if they’re mentally incompetent or a danger
assault & battery
Assault- any threatening or implied act carried out or not in which the patient feels threatened
Battery- unauthorized touching of another person
advanced directives
written document detailing the patient’s wishes regarding health care decisions
Edward Jenner
demonstrated that cowpox as a vaccine provides immunity to smallpox
Hippocrates
- most famous Greek physician of ancient times
- observation and conservative treatment
- believed health was the balance of 4 humors