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PAYMENT SYSTEMS
INSURANCE
TYPES OF HEALTHCARE DELIVERY
MISCELLANEOUS
DOCUMENTATION
100

Everything a provider "does" for a patient leads to a bill generated and a fee paid.

What is a fee-for-service? (Taylors pg.247)

100
Everything a provider "does" for a patient leads to a bill generated and a fee paid.

What is FEE FOR SERVICE?

100

Provide medical and nonmedical care for people with chronic illnesses or disabilities.

What are extended-care services? (Taylors, pg. 253)

100

This type of care evolved from hospice but is not restricted to the end of life.

What is Palliative Care? (Taylors, pg. 256)

100

The protection and support of another's rights.

What is advocacy? (Taylors, pg. 268)

200

Allows a third-party payer to contract with a group of health care providers to provide services at a lower fee in return for prompt pay.

What is A PPO (PREFERRED PROVIDER ORGANIZATION) Taylors pg. 248

200

The largest federally funded healthcare programs. (There are 2)

What is Medicare and Medicaid? (Taylors, pg. 250)

200
Type of care provided for caregivers of homebound ill, disabled, or older adults.

What is Respite care. (Taylors, pg. 256)

200

An internal organization for recovering alcoholics- a type of voluntary facility or program.

What is Alcoholics Anonymous? (Taylors pg. 257)

200

This type of documentation allows doctors, nurses, pharmacists, other health care providers, and patient to appropriately access and securely share a patient's vital medical information electronically.

What is health information exchange? HIE (Taylors, pg. 467)

300
This is made up of several types of organizations that deliver care: hospitals, primary care settings and specialty care practices. They come together to deliver higher quality and more efficient care.

What is an ACO? (accountable care organization) pg.248

300

A person who enters a hospital and stays overnight for an undetermined time. (from days to months)

What is an Inpatient? (Taylors pg. 252)

300

MAIN FOCUS IS TO PREVENT DISEASE COMPLICATIONS AND RESTORE THE PATIENT BACK TO HEALTH

What is SECONDARY CARE

300

Someone who uses a commodity or service in health care.

What is a health care consumer? (Taylors, pg. 259)

300
A paper format of documentation that allows each health care group to chart data on its own separate form.

What is a source-oriented record? (Taylors, pg. 467)

400

The deliberate organization of patient care activities between two or more participants.

Care Coordination (Taylors, pg.249)

400

REFERS TO THOSE WHO HAVE NO HEALTH INSURANCE OR COVERAGE

What is UNINSURED?

400

EMERGENCY DEPTS, PHYSICIANS OFFICES AND AMBULATORY CARE FACILITIES ARE EXAMPLES OF WHAT TYPE OF CARE

What is PRIMARY CARE

400

What happens when multiple health workers from different professional backgrounds work together with patients, families, care givers and communities to deliver the highest quality of care.

What is collaborative practice? (Taylors, pg.270)

400
This type of documentation addresses routine care, normal finding and patient problems identified in the care plan.

What is a narrative note? (Taylors, pg. 468)

500

HEALTHCARE PROVIDER IS PAID A SET RATE FOR EACH TYPE OF DIAGNOSIS NO MATTER WHAT THE COST OF CARE

What is DRG (DIAGNOSED RELATED GROUP) Taylors pg. 251

500

Those who are not hospitalized overnight but who require diagnosis or treatment.

What is an outpatient? (Taylors pg.252)
500

TRAUMA CENTERS, HOSPICE CARE AND REHABILITATION CENTERS ARE EXAMPLES OF THIS TYPE OF CARE

What is TERTIARY CARE

500

A continuous process in which a patient's care shifts from being provided in one setting of care to another.

What is care transition? (Taylors, pg. 273)

500
This type of charting is organized around a patient's problems rather than around sources of information.

What is a problem-oriented medical record. (Taylor's pg. 468)