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49 Cards in this Set
- Front
- Back
Societal rules or regulations that are prudent or obligatory to observe |
Laws |
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Referring to numerous distinct ethic, religious, and cultural groups that coexist in society |
Pluralistic |
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A set of moral standards or a code for behavior to govern an individual's interactions with other individuals and within society. |
Ethics |
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Internal environment |
Internal milieu |
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Refers to the ethical implications of biomedical technology and its practices |
Bioethics |
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The tendency to have an opinion or view that is often without considering evidence and other information. Learned within cultural contexts |
Bias |
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Stubborn and complete intolerence of and creed, belief, or opinion that differs from ones own |
Bigotry |
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y difficult or perplexing situation or problem |
Dilemma |
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Individual who assumes the care of hispitalized individuals in place of their primary care provider |
Hospitalist |
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An insurance contract by which a bonding agency gaurentees payment of a specified sum to an employer in the event of a financial loss to the employer caused by the act of a specified employee; a legal obligation to pay specific sums |
Bond |
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Health care providers are paid a fixed monthly compensation for a range of services for each health maintenance organization (HMO) member in their care |
Capitation |
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The practice of medicine thar complements traditional medicine with alternative medicine |
Complementary medicine |
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A corporation of a number of different companies operating in a number of different feilds |
Conglomerate |
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A medical expense that is a members responsibility; usually a fixed amount of 25$ or higher |
Co-payment |
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A cost sharing arrangement in which the member pays a set amount toward covered services before the insurance carrier begins to make payments |
Deductible |
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Pays providers for each services performed |
Fee-for-service |
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A term referring to managed care primary care providers responsible for referring members to specialists (usually within the same plan) with the intent of matching the client's needs and preferences with the appropriate and cost-effective use of those specialists services |
Gatekeeper |
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Type of business management in which three or more individuals organize to render professional service and share the same equipment and personnel |
Group practice |
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A type of managed care plan oferring gealth care services from participating physicians and providers to an enrolled group of persons for a predetermined fee per member |
Health Maintenance Organization (HMO) |
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The practice of medicine that accounts for the whole person (body, mimd,spirit, and lifestyle) using all appropriate therapies, both traditional and alternative |
Integrative medicine |
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A type of business management formed by hospitals, physicians and other providers, and clinics to offer client care |
Joint venture |
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A type of health care plan; generally one of 2 types, mainly HMO or perferred provider organization (PPO) |
Managed care |
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Members or clients can seek treatment from providers outside the health care plan but pay more to do so |
Opt-out option |
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Type of business management involving the association of two or more individuals who are co- owners of their business |
Partnership |
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A type of managed care that encourages providers to improve the quality of their clients care; reimburse them for their progress towards a fixed goal. |
Pay for performance (P4P) |
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A type of business agreement between a medical service provider and an insurer organization in which the fees for specific services are predetermined for an already established group of clients assigned to or selected by the provider |
Preferred provider organization (PPO) |
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Specific type of corporation in which licensed individuals organize to render a professional service to the public. Such licensed individuals include physicians, medical providers, lawyers, and dentists |
Professional service corporation |
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Type of business management owned by a single individual |
Sole proprietorship |
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Documentation usually from a professional organization that an individual has met certain requirments and standards set forth by that organization |
Certification |
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Person who has additional education and experience in the health care feild to manage a facility |
Clinic manager |
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These are awarded to professionals within a particular feild after gaining additional knowledge at a workshop or seminar |
Continuing education units (CEU's) |
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Evidence of having achieved a certain level of knowledge through education and experience |
Credential |
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An agreement in which one state recognizes the licensing procedure of another state, considers it valid, and grants a license to practice; sometimes referred to as reciprocity |
Endorsement |
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A graduate from a 9- month to one year practical nurse vocational or college program who has passed the state licensing examination for practical or vocational nurses |
Licensed practical nurse (LPN) or licensed vocational nurse (LVN) |
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Legal permission, granted by statutes, to perform specific acts; for instance, a physician is licensed to practice medicine |
Licensure |
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Person who assists the provider in both administrative and clinical duties; education varies from on-the-job instruction to two years in an accredited program for medical assisting |
Medical assistant (MA) |
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Person who has had education and experience in current procedural terminology, 4th edition (CPT-4) and International Classification of Diseases (ICD-9, ICD-10) coding; responsible for the correct application of codes for procedures, supplies, and diagnoses used for billing professional medical services |
Medical/professional coder |
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A graduate from a certificate or associate degree program whi works under the supervision of the provider or medical technologist in a laboratory preparing specimens and operating automated analyzers |
Medical laboratory technichian (MLT) |
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A graduate from a 4- year college or university program in medical technology that includes 1 year of clinical experience in the laboratory. They perform complex tests and analyses, ensure accuracy of testing, and may supervise mlt's. |
Medical technologist (MT) |
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Person who may or may not have formal education; will have superior medical terminology knowledge as well as keyboarding and grammer skills; transcribes medical dictation |
Medical transcriptionist |
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An RN ( usually with a bachelor of science in nursing) who has sucessfully completed additional education in an NP program at the masters or doctoral level. |
Nurse practitioner |
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A provider who is identified by law as a doctor of medicine (MD) or a doctor of osteopathic medicine (DO) |
Physician |
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Person with 1 to 4 years of education in an approved PA program; a PA works under the supervision of the physician |
Physician assistant |
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Any health care professional who examines, diagnoses, and treats individuals |
Provider |
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And agreement by which two states recognize the licensing procedures of each other, consider them valid, and grant licenses to practice based on the other states licensure. Aka endorsement |
Reciprocity |
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A graduate from a 2 year associates degree, 3 year diploma, or 4 to 5 year bachelor's degree program who passed the states licensing examination for RN's. Works under the direction of the physician |
Registered nurse (RN) |
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An entry in an official record listing names of persons satisfying certain requirements and level of education |
Registration |
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Terminology used by state licensing boards that defines the procedures , actions, and processes that are permitted for a professional depending on their education, experience, and demonstrated compentency |
Scope of practice |
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A chronological file used as a reminder to do specific tasks on schedule usually daily, weekly, or monthly |
Tickler file |