Terms WEEK ONE Flashcards
Organizations & Definitions
Administrative Duties of a MA
- greet patients
- schedule appts
- answering phones
- maintaining medical records
- billing, process insurance
- medical transcriptions
Clinical Duties of a MA
Depending on state’s regulations:
- assisting during exams
- perform diagnostic tests
- giving injections
- phlebotomy
- first aid
- administering medications
-vital signs
- removing sutures
- change clothes
- sterilizing equipments
- assisting in minor surgery
- patient education
licensed medical professionals include
-medical doctors
- practical nurses
- registered nurses
- nurse practitioners
OSHA means & it’s meaning
Occupational Safety and Health Administration: safety in the workplace
CLIA means & it’s meaning
Clinical Laboratory Improvement Amendments: Laboratory Compliance
HIPAA means and it’s meaning
Health Insurance Portability and Accountability Act; Privacy and confidentiality
MA programs are accredited by
CAAHEP & ABHES
CAAHEP means
Commission for Accreditation of Allied Health Education Programs
ABHES
Accrediting Bureau of Health Education Schools
Scope of Practice
Certain duties MA can perform under their license to be covered, unless certified or trained
Standard of Care
minimum requirement for medical workers to perform; everyone who comes in the hospital has to be treated
Medical Doctors
Diagnosis illness, provides treatments, performs procedures, write prescriptions. Uses drugs or surgery.
Osteopathic Providers (DO)
uses modern medicine techniques and surgical procedures and osteopathic manipulative therapy
Nurse Practitioners
diagnose prescribe medications. Focuses on preventative care and disease prevention
Physician Assistant
Practices medicine under the direction and supervision of a licensed MD or DO. Able to make clinical decisions.
Medical Laboratory Technician
performs testing on blood, body fluids, and other specimens
Pharmacy Technician
Assists pharmacists with duties
Radiology Technician
uses imaging equipment to assist providers in diagnosing and treating diseases.
ACO
Accountable Care Organization: group of physicians, hospitals and care providers come together voluntarily to provide quality care to Medicare patients
PCH
Patient-centered medical home: primary care provider(PCP) coordinates treatment to make sure patients receive required care
HMO
Health Maintenance Organizaion: plan contracts with groups of providers and facilities for preventative and acute care for patients; it requires referrals to hospitals and treatments
PPO
Preferred Provider Organization: more flexibility than an HMO, patient is not required to have a pcp and they can go directly to a specialist without referrals. In-network and out-of network providers
Nursing Homes and Assisted Living
- residents require healthcare on regular basis
- frail, elderly &disabled
Hospice Care
- patients with less than six months to live
- terminal conditions
Palliative Care
only relieving pain
Ambulatory (walk-in)
- physician offices/clinics
- urgent care centers
- hospitals/emergency department
- surgical centers
General Providers
- able to assess a wide range of symptoms
- diagnose and builds treatment plans
Specialist Providers
assess more specific sets of symptoms, diagnoses, and conditions
General Practitioners
Medical doctors who treat acute and chronic illnesses and provide preventative care and health education. May take holistic approach to healing
Internists
specially trained to solve diagnostic problems, manage severe long-term illnesses, and help patients with multiple, complex chronic conditions.
Medicare
patients over 65; Part A (hospitalization), Part B (medical office visits), Part D (medications)
Medicaid
medically indigent/low income
Tricare
active duty service and family members
CHAMPVA
Veterans Affairs
Allowed Amount
maximum amount a third-party (insurance) will pay for a procedure or service
Copay
a set amount of money that is paid by the patient at the time of service
Co Insurance
the policyholder and insurance carrier share costs, 80/20
Deductible
amount of money paid out of pocket before insurance carrier begins paying
CMS 1500 Form
- used by most health care payer to invoice insurance and government plans
- medical assistant must have all info to complete form
- sent electronically to insurance companies and government plans.
Direct billing
insurance carrier allows provider to submit directly to insurance company electronically
Clearinghouse
allows provider to submit all insurance claims using software. Clearinghouse audits, sorts claims, and send them to the appropriate insurance company
Special Instructions for Medicare & Medicaid claims
invoice cannot exceed 12 months from service
Ambulatory
able to walk
Managed Care
a health insurance plan or health care system that coordinates the provision, quality and cost of care for its enrolled members
Osteopathic
a type of medical care based on how the musculoskeletal system affects other body parts and using various manipulative methods along with conventional medical, pharmacological and other therapeutic procedures
Anatomical postion
Feet facing forward, palms forward, arms at sides, standing up facing forward
Supine
lying face up
Prone
lying face down
Dorsal Recumbent
lying facng upwad with flexed knees, feet flat on floor
Fowler Position
sitting upright with back angled at 90 degrees
Semi-Fowler’s position
sitting with back angled at 45 degrees
Anterior
toward the front of the body, also known as ventral
Posterior
toward the back of the body, also known as dorsal
Superior
above; toward the head
Inferior
below; toward the feet
Medial
closer to the midline of the body
Lateral
Further from the midline of the body (toward the side)
Superficial
closer to the surface of the body; more external
Deep
farther from the body’s surface; more internal
Proximal
closer to the body’s trunk
Dextrad
toward the right
Sinistrad
toward the left
Otorhinolaryngologist
specialist that is referred to as an ENT; ear, nose and throat
