Define Premium?
The amount you pay each month
What does HIPAA stand for?
Health Insurance Portability and Accountability Act
List 3 nonverbal examples
Define open-ended questions
Questions phrased in such a way that it cannot be answered with a "yes" or a "no"
CMS
Center for Medicare/Medicaid services
Define Deductible
a specified amount of money that the insured must pay before an insurance company will pay a claim.
How many PHI indicators are there?
18
List 3 examples of external noise
What is Mirroring?
Rephrasing or restating what the patient has already said in a way that allows the patient to elaborate more.
EOB
Explanation of Benefits
Define Copay
Name 5 PHI indicators
List 3 examples of internal noise
What are some things you can observe from a patient?
Anxiety- Nervousness, tense, sweating, abnormal breathing
Depression- Fatigue, sadness, irritability, trouble concentrating
Abuse- Bruises, burns, cuts, failure to thrive
HHS
Health and Human Services
Who is eligible for Tricare?
Uniformed service members, retirees, and their families
What are the four components of the HIPAA Simplification Rule?
1.Transactions, code sets, and unique identifiers
2.Privacy
3. Security
4. Enforcement
How would you show active listening?
Give full attention
Make eye contact
Ask clarifying questions
List 5 components of a Health History Form
HMO
Healthcare Maintenance Organization
Explain the difference between Medicare and Medicaid
The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. Medicare is managed by the federal government and is mainly based on age. But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare
Who owns the medical record?
The Medical Record is OWNED by the physician or facility that created the record
What are the 5 pillars of Maslow's Hierarchy of Needs
Physiological
Safety
Belongingness and love
Esteem
Self Actualization
What does PQRST stand for?
P: Provoke or Palliative
This step addresses if there is anything that triggered or triggers the patients symptoms (provoke) or anything that helps to relieve symptoms (palliative). Example: "What causes the stomach pain to occur?" "Is there anything that relieves or aggravates your pain?"
Q: Quality or Quantity
This step allows patients to explain their symptoms on a deeper level (quality) or how often or to what level they are experiencing their symptoms (quantity). Example: "Could you describe your stomach pain: dull, burning, sharp, aching, etc.?" "Does the pain come and go, if so how often are you experiencing your stomach pain?"
R: Region or Radiation
This step identifies the specific area that patients are experiencing their symptoms (region) or if it moves from one location to another (radiation). Example: "Where exactly do you feel your pain?" "Is it always in the same spot or have you experienced it elsewhere?"
S: Severity Scale
This step addresses how severe the patients symptoms are. Example: "Rate your pain on a scale of 1 to 10 with 10 being the worst pain you've ever experienced." "In what ways has the pain interfered with your daily life?"
T: Timing
The final step assess how long the patient has been experiencing their symptoms. Example: "How long have you had this stomach pain?"
NPP
Notice of Privacy Practices