Healthcare Organizations Health Insurance Government and Healthcare Workers and Workflow Medical Terminology
100
What is a hospital?
Patients can receive both inpatient and outpatient care at this type of facility.
100
What is a pre-existing condition?
Diabetes is considered to be one when applying for a hew health insurance plan.
100
What is ICD-10?
This code set was adopted by US HCOs to change the way clinicians document diagnosis and medical problems.
100
What is a Medical Assistant (or Nurse, RN, LPN)?
This person is responsible for taking vital signs and reviewing basic medical history upon rooming the patient.
100
What is heart?
The root word meaning cardio.
200
What is a health insurance company?
This HCO offers indirect patient care by sharing medical expenses with the patient.
200
What is a co-pay?
On some plans, this flat rate must be paid each time a particular service is received.
200
What is the HITECH Act?
This legislation passed as a sub-component of ARRA in 2009 pushed hospitals and physician clinics to adopt an EHR.
200
What is the pharmacist?
This person reviews and dispenses the medications administered to the patient during the course of an inpatient admission.
200
What is endo-?
A prefix meaning inside or within.
300
What is a public hospital?
This type of hospital or clinic is owned by the government and often provides medical care free of charge to the patient.
300
What is Medicaid?
This is a US healthcare program for families and individuals with low income and resources.
300
What is the Joint Commission?
This group accredits health systems, allowing them to qualify for state and federal money.
300
What is an insurance company?
Billing staff are responsible for reviewing and submitting claims to this type of healthcare organization for payment.
300
What is -ology?
A suffix meaning the study of.
400
What is a classification?
A hospital or clinic can have more than one of these types.
400
What is an Explanation of Benefits?
This is a detailed report showing medical expenses and the amounts covered by a health insurance plan.
400
What is the PPACA (Patient Protection and Affordable Care Act)?
Under this act, insurers are prohibited from denying a patient coverage based on a pre-existing condition.
400
What is workflow?
Defined actions performed in sequence to accomplish a goal.
400
What is -ectomy?
A suffix describing surgical removal.
500
What is a research organization?
The American Cancer Society is an example of this type of indirect HCO.
500
What is a premium?
A fee the insured pays the insurance company.
500
What is Meaningful Use?
For a hospital to be eligible for reimbursement through this program, their EHR vendor must be certified by the ONC.
500
What are SOAP notes?
A report completed by a physician during and after a patient office visit.
500
What is -itis?
A suffix meaning the inflammation of.






Introduction to Healthcare Operations

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