Terms WEEK ONE Flashcards

Organizations & Definitions

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1
Q

Administrative Duties of a MA

A
  • greet patients
  • schedule appts
  • answering phones
  • maintaining medical records
  • billing, process insurance
  • medical transcriptions
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2
Q

Clinical Duties of a MA

A

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

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3
Q

licensed medical professionals include

A

-medical doctors
- practical nurses
- registered nurses
- nurse practitioners

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4
Q

OSHA means & it’s meaning

A

Occupational Safety and Health Administration: safety in the workplace

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5
Q

CLIA means & it’s meaning

A

Clinical Laboratory Improvement Amendments: Laboratory Compliance

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6
Q

HIPAA means and it’s meaning

A

Health Insurance Portability and Accountability Act; Privacy and confidentiality

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7
Q

MA programs are accredited by

A

CAAHEP & ABHES

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8
Q

CAAHEP means

A

Commission for Accreditation of Allied Health Education Programs

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9
Q

ABHES

A

Accrediting Bureau of Health Education Schools

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10
Q

Scope of Practice

A

Certain duties MA can perform under their license to be covered, unless certified or trained

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11
Q

Standard of Care

A

minimum requirement for medical workers to perform; everyone who comes in the hospital has to be treated

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12
Q

Medical Doctors

A

Diagnosis illness, provides treatments, performs procedures, write prescriptions. Uses drugs or surgery.

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13
Q

Osteopathic Providers (DO)

A

uses modern medicine techniques and surgical procedures and osteopathic manipulative therapy

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14
Q

Nurse Practitioners

A

diagnose prescribe medications. Focuses on preventative care and disease prevention

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15
Q

Physician Assistant

A

Practices medicine under the direction and supervision of a licensed MD or DO. Able to make clinical decisions.

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16
Q

Medical Laboratory Technician

A

performs testing on blood, body fluids, and other specimens

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17
Q

Pharmacy Technician

A

Assists pharmacists with duties

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18
Q

Radiology Technician

A

uses imaging equipment to assist providers in diagnosing and treating diseases.

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19
Q

ACO

A

Accountable Care Organization: group of physicians, hospitals and care providers come together voluntarily to provide quality care to Medicare patients

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20
Q

PCH

A

Patient-centered medical home: primary care provider(PCP) coordinates treatment to make sure patients receive required care

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21
Q

HMO

A

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

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22
Q

PPO

A

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

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23
Q

Nursing Homes and Assisted Living

A
  • residents require healthcare on regular basis
  • frail, elderly &disabled
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24
Q

Hospice Care

A
  • patients with less than six months to live
  • terminal conditions
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25
Q

Palliative Care

A

only relieving pain

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26
Q

Ambulatory (walk-in)

A
  • physician offices/clinics
  • urgent care centers
  • hospitals/emergency department
  • surgical centers
27
Q

General Providers

A
  • able to assess a wide range of symptoms
  • diagnose and builds treatment plans
28
Q

Specialist Providers

A

assess more specific sets of symptoms, diagnoses, and conditions

29
Q

General Practitioners

A

Medical doctors who treat acute and chronic illnesses and provide preventative care and health education. May take holistic approach to healing

30
Q

Internists

A

specially trained to solve diagnostic problems, manage severe long-term illnesses, and help patients with multiple, complex chronic conditions.

31
Q

Medicare

A

patients over 65; Part A (hospitalization), Part B (medical office visits), Part D (medications)

32
Q

Medicaid

A

medically indigent/low income

33
Q

Tricare

A

active duty service and family members

34
Q

CHAMPVA

A

Veterans Affairs

35
Q

Allowed Amount

A

maximum amount a third-party (insurance) will pay for a procedure or service

36
Q

Copay

A

a set amount of money that is paid by the patient at the time of service

37
Q

Co Insurance

A

the policyholder and insurance carrier share costs, 80/20

38
Q

Deductible

A

amount of money paid out of pocket before insurance carrier begins paying

39
Q

CMS 1500 Form

A
  • 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.
40
Q

Direct billing

A

insurance carrier allows provider to submit directly to insurance company electronically

41
Q

Clearinghouse

A

allows provider to submit all insurance claims using software. Clearinghouse audits, sorts claims, and send them to the appropriate insurance company

42
Q

Special Instructions for Medicare & Medicaid claims

A

invoice cannot exceed 12 months from service

43
Q

Ambulatory

A

able to walk

44
Q

Managed Care

A

a health insurance plan or health care system that coordinates the provision, quality and cost of care for its enrolled members

45
Q

Osteopathic

A

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

46
Q

Anatomical postion

A

Feet facing forward, palms forward, arms at sides, standing up facing forward

47
Q

Supine

A

lying face up

48
Q

Prone

A

lying face down

49
Q

Dorsal Recumbent

A

lying facng upwad with flexed knees, feet flat on floor

50
Q

Fowler Position

A

sitting upright with back angled at 90 degrees

51
Q

Semi-Fowler’s position

A

sitting with back angled at 45 degrees

52
Q

Anterior

A

toward the front of the body, also known as ventral

53
Q

Posterior

A

toward the back of the body, also known as dorsal

54
Q

Superior

A

above; toward the head

55
Q

Inferior

A

below; toward the feet

56
Q

Medial

A

closer to the midline of the body

57
Q

Lateral

A

Further from the midline of the body (toward the side)

58
Q

Superficial

A

closer to the surface of the body; more external

59
Q

Deep

A

farther from the body’s surface; more internal

60
Q

Proximal

A

closer to the body’s trunk

61
Q

Dextrad

A

toward the right

62
Q

Sinistrad

A

toward the left

63
Q

Otorhinolaryngologist

A

specialist that is referred to as an ENT; ear, nose and throat