Which insurance plan requires referrals - ANSWER HMO
Oldest and largest insurance company - ANSWER Blue cross blue shield
What Specialty what a patient See for hyperthyroidism - ANSWER Endocrinology
What duty is a medical assistant allowed to perform independently - ANSWER Vital signs
W...
NHA Medical assistant Review Course
2023.
Which insurance plan requires referrals - ANSWER HMO
Oldest and largest insurance company - ANSWER Blue cross blue shield
What Specialty what a patient See for hyperthyroidism - ANSWER Endocrinology
What duty is a medical assistant allowed to perform independently - ANSWER Vital
signs
Who is responsible for a medical assistant duties and performance - ANSWER Doctor
If a patient had a cerebrovascular accident what type of therapy will regain motor
function and independence - ANSWER Physical
Which of the following professionals assist patient with improving mobility strength and
range of motion - ANSWER Physical Therapist
Patient experiencing Subluxation Should be treated by what practice of medicine -
ANSWER Chiropractic care
Who specializes in the management and treatment of interstitial cystitis - ANSWER
Urologist
What specialist would a patient go to for vertigo - ANSWER Otolaryngologist
Who specializes in evaluating mental illness, Physical illness, and disability through
analyzing patient health needs and providing health education to patients of all ages -
ANSWER Preventative medicine
What healthcare delivery models emphasize patients in Baltimore and organizing their
own health care - ANSWER Patient centered medical home(PCMH)
What is the Maximum reimbursement a third-party payer will provide - ANSWER
Allowable amount
A provider who sees patients of all ages with a wide variety of acute severe medical
conditions - ANSWER Family practitioner
Accountable Care Organization (ACO) - ANSWER Group of physicians, hospitals and
other healthcare providers provide coordinated high-quality care to Medicare patients
,Capitation - ANSWER payment to a provider that covers each plan member's health
care services for a certain period of time
global budget - ANSWER Fixed total dollar amount paid annually for all care
Health Maintenance Organization (HMO) - ANSWER insurance method that focuses on
prevention of disease, must see providers from an approved list and requires referrals
pay for performance - ANSWER A reimbursement plan that links payment to quality and
efficiency as an incentive to improve the quality of health care and to reduce costs.
Preferred Provider Organization (PPO) - ANSWER Doesn't need a primary care
physician and can go directly to a specialist without a referral
Copayment - ANSWER Due at the time of service
Coinsurance - ANSWER a provision under which both the insured and the insurer share
the covered losses
Deductible - ANSWER Amount you must pay before you begin receiving any benefits
from your insurance company
Explanation of Benefits (EOB) - ANSWER paper document from a payer that shows
how the amount of a benefit was determined
participating provider - ANSWER one who has a contractual agreement with an
insurance plan to render care to eligible beneficiaries and then bill the insurance carrier
directly
Medicare - ANSWER 65+ government insurance
Medicare Part A - ANSWER hospital insurance
Medicare Part B - ANSWER medical insurance
Medicare—Part D - ANSWER Prescription drug coverage
Donut Hole - ANSWER Medicare part D coverage gap
TRICARE - ANSWER U.S. government health insurance plan for all military personnel
Medicaid - ANSWER A health care payment program sponsored by federal & state
governments
,managed care - ANSWER A system that combines the financing and the delivery of
appropriate, cost-effective health care services to its members.
Workers Compensation - ANSWER A form of insurance paid by the employer providing
cash benefits to workers injured or disabled in the course of employment.
CMS-1500 - ANSWER Standard claim form used for outpatient reimbursement
hemorrhage - ANSWER Excessive or profuse bleeding
laceration - ANSWER a cut, tear
colostomy - ANSWER the surgical creation of an artificial excretory opening between
the colon and the body surface
conjunctiva - ANSWER The delicate membrane that lines the eyelids and covers the
exposed surface of the eye.
Diverticula - ANSWER abnormal side pockets in the intestinal wall
metastasis - ANSWER The spread of cancer cells beyond their original site
villus - ANSWER folded projection that increases the surface area of the walls of the
small intestine
ganglion - ANSWER collection of nerve cell bodies in the peripheral nervous system
cicatrix - ANSWER a normal scar resulting from the healing of a wound
Hepatitis - ANSWER inflammation of the liver
Anterior - ANSWER front of the body
bilateral - ANSWER both sides
Caudal - ANSWER toward the tail
Cephalic - ANSWER head
dextro - ANSWER right
Distal - ANSWER farther away from
dorsal recumbent - ANSWER lying on back with legs bent and feet flat
Eversion - ANSWER turning outward or inside out
, extension - ANSWER Straightening a body part
External - ANSWER outside
Flexion - ANSWER bending a joint
Fowler's position - ANSWER Raising the head of the bed at a 90 degree angle
Inferior - ANSWER below
Internal - ANSWER inside
knee-chest, knee-elbow position - ANSWER Drawing the knees to the chest
Lateral - ANSWER to the side, away from the middle
lithotomy position - ANSWER lying on back with legs raised and feet in stirrups
Medial - ANSWER midline of the body
oblique - ANSWER Slanting, on an incline
peripheral - ANSWER Outside the center area
Posterior - ANSWER back of body
prone - ANSWER lying face down
Proximal - ANSWER Closer to the point of attachment or center
quadrant - ANSWER dividing an area horizontally and vertically into four parts
recumbent - ANSWER lying down on side
Rotation - ANSWER Turning around an axis or center point.
Sims position - ANSWER lying on left side with right knee drawn up and with left arm
drawn behind, parallel to the back
sinistro - ANSWER left
Superior - ANSWER above
supine position - ANSWER lying on the back
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