Show:
Insurance
HIPAA
Communication
Pt Interviewing
Acronyms
100

Define Premium? 

The amount you pay each month

100

What does HIPAA stand for? 

Health Insurance Portability and Accountability Act 

100

List 3 nonverbal examples

  • Facial expression
  • Eye contact
  • Posture
    • Open posture - facing the other person, arms at your side or in your lap, leaning forward towards the patient.
    • Closed posture - rigid arms (arms crossed), leaning away from the patient, not facing the patient.
  • Touch
  • Personal space
100

Define open-ended questions

Questions phrased in such a way that it cannot be answered with a "yes" or a "no"

100

CMS

Center for Medicare/Medicaid services 

200

Define Deductible 

a specified amount of money that the insured must pay before an insurance company will pay a claim.

200

How many PHI indicators are there? 

18

200

List 3 examples of external noise

  • Loud noise in the hallway
  • Announcements over the loud speaker
  • Children screaming
  • Siren
  • Dogs barking
  • Construction noise
200

What is Mirroring?

Rephrasing or restating what the patient has already said in a way that allows the patient to elaborate more.

200

EOB

Explanation of Benefits

300

Define Copay

a payment made by a beneficiary (especially for health services) in addition to that made by an insurer. Due at time of visit.


300

Name 5 PHI indicators 

  • Name
  • Address, including city, county and zip code
  • Dates, including birth date, admission date, discharge date and date of death
  • Telephone numbers
  • Fax numbers
  • Email addresses
  • Social security numbers
  • Medical record numbers
  • Health plan beneficiary number
  • Account number
  • Certificate/license number
  • Vehicle or other device serial number
  • Device identifiers or serial numbers
  • Web URL
  • Internet Protocol address
  • Finger or voice prints- Photographic images
  • Any other unique identifying number, characteristic or code
300

List 3 examples of internal noise

  • Physical discomfort
    • pain
    • not feeling well 
    • too hot/ too cold - room temperature
  • Emotional discomfort
    • anxiety
    • fear
    • sadness / grief
    • stress
  • Internal thoughts
300

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

300

HHS

Health and Human Services 

400

Who is eligible for Tricare?

Uniformed service members, retirees, and their families

400

What are the four components of the HIPAA Simplification Rule?

1.Transactions, code sets, and unique identifiers

2.Privacy

3. Security

4. Enforcement  

400

How would you show active listening?

Give full attention

Make eye contact

Ask clarifying questions

400

List 5 components of a Health History Form

  • Personal data (name, DOB, address, etc.)
  • Chief Complaint
  • History of Present Illness
  • Past Medical History (major illnesses, dx's, surgeries, etc.)
  • Family History (current ages, medical conditions, if deceased their age at death and cause)
  • Social & Occupational History (marital status, use of chemical substances, occupation)
  • Review of Systems (a review of each body system)


400

HMO

Healthcare Maintenance Organization

500

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

500

Who owns the medical record? 

The Medical Record is OWNED by the physician or facility that created the record

500

What are the 5 pillars of Maslow's Hierarchy of Needs

Physiological 

Safety

Belongingness and love

Esteem

Self Actualization 

500

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?" 

500

NPP

Notice of Privacy Practices