Key Terms & definitions
Telehealth
The virtual delivery of health care services remotely.
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OPsIEEE
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What is a Medical Receptionist?
Check patients in and out, answer phones, schedule appointments, and perform other administrative tasks.
Hospice
Hospice
Capitations
A managed care method of monthly payments to the provider based on the number of enrolled patients, regardless of how many encounters a patient may have during the month.
What does CMAA mean
Certified Medical Administrative Assistant
Define Doctor of Osteopathic Medicine(DO)
Holistic approach to medicine. Training on osteopathic manipulative treatment, same educational requirements as an MD.
What is the role of a Physical Therapist
assist patients in improving mobility, strength, and range of motion
Specialty Care
outpatient facilities where patients who have complex or severe diseases and conditions are seen for routine visits by doctors who specialize in a specific disease or condition.
1. Certification:
2. Fee for service:
1. Verification by an outside agency that an employer is following established guidelines and standards of care and providing the highest quality of care for their patients.
2.System used by private insurance companies and not-for-profits in which insurance carriers determine the allowed charge either by a fee schedule or through service benefits that define covered services but not necessarily the exact payments.
MA Roles
work alongside a provider in a health care setting, such as a medical office.
cross-trained to perform both administrative and clinical duties.
greeting patients, scheduling, handling correspondence, and answering telephones.
obtain medical histories from pts, providing pt education, performing lab tests, preparing and administering immunizations.
Define a Physician Assistant(PA):
Must practice medicine under the direction and supervision of a licensed MD or DO, but they can make clinical decisions.
What Nurses are there ?
LPN one yr, can measure vital signs, administer some medications, and perform clinical care.
RNs 4yrs, have a much broader scope of practice than LPN’s
Home Health
specific types of care provided to those who cannot leave their home easily. MA’s working for the ordering provider are responsible for submitting the order for home health.
1. Managed care
2. Scope of practice
1. System used by private and public insurance plans that controls health care cost and improves preventive care for its patients by having contracts with providers and medical organizations. The three types of managed care plans are health maintenance organization (HMO), preferred provider organization (PPO), and point of service (POS).
2. A specific set of standards that a medical professional may perform within the limits of the medical license, registration, and/or certification.
Administrative
-Scheduling pt appointments
-pt registration (demographics, payer information, compliance forms)
-Updating and working in pt records
-Sending claims to insurance
-Collecting pt responsibility amounts (copays, coinsurance, deductible
Define a Doctor of Medicine(DM):
A professional degree for physicians who practice allopathic Medicine
What are the roles of a Medical Lab Tech and Occupational Therapist?
Medical Lab Tech : perform diagnostic testing on blood, bodily fluids, and other specimens under the supervision of a medical technologist.
Occupational Therapist : assist patients who have conditions that disable them developmentally, emotionally, mentally, or physically.
Mobile Health
bring health care to the communities that most need it and may otherwise lack access to the services provided.
1. Nutrition:
2. Patient-Centered Medical Home(PCMH)
1. The field of study focused on food and the substances in food that help people grow, recover from illnesses, and stay healthy.
2. A partnership between a patient and their care team in which total health is the focus and not just a single condition. A health care team consists of a provider (physician, nurse practitioner, physician assistant), CMAA, CCMA, nurses, and pharmacist.
Clinical
-Collecting and processing lab specimens
-Performing diagnostic testing (EKG, spirometry)
-Preparing and cleaning examination rooms
-Preparing the pt for evaluation and procedure
-Measuring vital signs
-Preparing medications and administering immunizations
Definition of Nurse Practitioner:
A registered professional with advanced training who can provide care and prescribe medication.
What are the roles of a Pharmacy Tech and A Radiology Tech?
Pharmacy Tech- Perform routine medication dispensing
Radiology Tech- Use imaging equipment
Primary Care (PCP)
outpatient care settings where pts are seen for routine type visits, wellness checks, prevention counseling, chronic conditions, medication management, and minor acute needs.