Health Care Systems and Settings
Roles of a Medical Assistant
work alongside of a provider in an outpatient or ambulatory setting, like a medical office.
performs administrative and clinical duties.
Types of Health Care delivery models
ACO's: Accountable care organizations
Capitation (partial or full)
Global budget
Health maintenance organization HMO
Patient-centered medical home
Pay for performance
Preferred provider organization PPO
ABGs
Arterial blood gases
off the market
no longer available for purchase or use
Schedule 2
includes substances that have a high potential for abuse and are considered dangerous. This schedule can lead to psychological and physical dependence.
Professionalism
consists of the skills, behavior, and appropriate judgement that represent the best qualities of a person in a specific profession.
Providers that Practice general medicine
General practitioner (GP's)
Family pracitioners
Internists
AMA
against medical advice
Brand name
assigned by the medication's manufacturer, identifies the medication as the property of the company, begs with a capital letter
Schedule 3
includes substances that have a moderate to low potential for physical and psychological dependence
Work Ethic
set of values based on the moral virtues of hard work diligence.
What does ABN stand for?
Advance beneficiary notice
form provided to the patient when the provider believes Medicare will probably not pay for the services received
BKA
below the knee amputation
albuterol
bronchodilator
Schedule 4
includes substances that have a low potential for abuse dependence.
Scope of Practice
describes the duties that can be delegated to medical assistants based on their education, training, and experience.
Should not perform duties that they have not been trained, certified to do.
Copayment
An amount of money that is paid at the time medical service
BMI
Body mass index
cap:
capsule
Schedule 5
includes substances that contain limited quantities of some narcotics usually for antidiarrheal, antitussive, and analgesic purposes.
Medicare/Tricare/Medicaid
Medicare: generally covers patients age 65 and older by Part A or Part B benefits.
Tricare: authorizes dependents of military personnel to receive treatment from civilian providers at the expense of the federal govt.
Medicaid: provides health insurance to the medically indigent population through a cost sharing program between federal and state governments for those who meet specific eligibility criteria.
CMS-1500 Form
health insurance clain form for claims submitted y a provider or supplier.
NPO
nothing by mouth
Schedule 1
includes substances that have a high potential for abused and no approved medical use in the U.S. They are illegal and providers may not prescribe them.
Rights of medication administration
right patient, right medication, right dose, right route, right time, right assessment, Right to refuse, right technique, right documentation, right reason, right to know, right evaluation.