NHA module 1 Flashcards
generally require referrals to specialists, as well as preauthorization for outpatient procedures, and treatments
HMO (health maintenance organization)
insured person can go to specialist without referrals, can see in and out of network
PPO (preferred provider organization)
care delivery model that the primary care provider coordinates treatment to make sure patients get care when and where they need it
patient centered medical home (PCMH)
an amount of money paid at time of medical service
copayment
a specific amount of money a patient must pay out of pocket before the insurance carrier begins paying
deductible
generally covers patients 65 and older
medicare
americas oldest and largest network of independent health insurers
BCBS
protects wage earners against loss of wages and cost of medical care resulting form occupational accident or disease as long as not proven negligent
workers compensation
what happens in the rooming process?
a. check to see any pending orders or lab results for provider to view
b. perform hand hygiene
c. provide patient with end of visit summary
d. identify yourself and patient using 2 identifiers
e. document chief complaint
a, b. d
primary reason for office visit
chief complaint
how often should MA take updates on family history?
a. every 3 months
b. every annual checkup
c. every visit
c
tests for mood and anxiety
GAD7
tests for mood and anxiety
GAD7
questions to ask about chief complaint
- pain, scale 1 to 10
- other symptoms
- where pain located
- what kind of pain (dull, sharp)
enables patients to determine how their information may be used and how it has been disclosed
HIPPA
