MDA 125 Chapter 1

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MDA 125 Chapter 1
2010-01-07 17:34:05
Key Terms

Phlebotomy Essentials
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  1. Phlebotomy
    The process of bloodletting. Which involved cutting into a vein with a sharp instrument and releasing blood in an effort to ride the body of evil spirits.
  2. Exsanguinate
    to remove all Blood
  3. Polycythemia
    A disorder involving overproduction of red blood cells.
  4. Certification
    Is evidence that an individual has mastered fundamental competenceis in a particular technical area.
    Health Insurance Portability and Accountability Act
  6. Communication Barriers
    Biases or personlized filters
  7. Kinesics
    The study of nonverbal communication
  8. Kinesics Slip
    When verbal and nonverbal messages do not match
  9. Proxemics
    Study of an indivdual;s concept and use of space.
  10. Third Party Payer
    Can be an insurance company or government program that pays for healthcare services on behalf of a patient.
  11. PPS
    Prospective payment System:

    Standardize the Medicare/medicaid payments to hospitals
  12. DRGs
    Diagnosis-related groups:

    Hospitals are reimbursed a set amount for each patient procedure using established disease categories
  13. APC
    Ambulatory Patient classification:

    determining payment to hospitals for outpatient service.
  14. ICD-9-CM
    • International
    • Classification of Diseases, Ninth Revision, Clinical Modification:

    Coding of diagnoses, all major payers use this coding system that groups together similar diseases and operation for reimbursement in patients.
  15. AHCCCS
    Arizona Healthcare Cost Containment System : Private physician groups must bid annually for contracts to serve this population patients are able to choos their healthcare provider through annual open enrollment
  16. Primary Care
    Physician who assumes ongoing responsibility for maintaining patients health
  17. Secondary Care
    Level physician (Specialist) who performs routine surgery ER treatments therapeutic radiology and so on in sameday service centers
  18. Tertiary Care
    Highly complex services and therapy level practitioners. usually require that patients stay overnight or longer
  19. MCO:
    Manged Care Organization
    Contract with local providers to establish a complete network of services. Providers are reimbursed on the basis of the number of enrollees served not on the number of services delivered.
  20. HMO
    Health Maintenance Organizations
    Group practices reimbursed on a prepaid, negotiated and discounted basis of admission.
  21. PPO
    Preferred Provider Organizations
    Independent groups of physicians or hospitals that offer services to employers at discounted rates in exchange for a steady supply of patients.
  22. IDS
    Integrated Healthcare delivery systems
    Made up of a number of associated medical facilities that furnish coordinated healthcare services from prebirth to death.
  23. Gatekeeper
    Physician filling the roll as the patients advocate, this person has the responsibility to advise the patient on healthcare needs and coordinate responses to those needs.
  24. Reference Laboratories
    Independent Lab that receive specimens form many different facilities located in the same city, other cities in the same state, or even out of state. They provide routine and more specialized analysis of blood, urine, issue, and other patient spcimens.
  25. PHI
  26. CPT
    Current Procedural Terminology
    Code is used for Procedure codes are used for patients seen in the ambulatory setting and for professional services in the inpatient setting