Admin Flashcards

1
Q

When are third party administrators used

A

To administer services and to pay claims for self-insured group plans

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2
Q

What do physician hospital organizations involve

A

A major hospital or hospital chain and its physicians

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3
Q

Who mandates workers compensation

A

The State

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4
Q

What is the goal of workers compensation insurance carriers

A

Returning the injured worker to the workforce as soon as possible

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5
Q

What is third-party reimbursement

A

Reimbursement by the policyholder’s insurance company for services performed by health care professionals

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6
Q

What do health maintenance organizations provide

A

Preventive measures and limits where individuals can receive care

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7
Q

How much do HMOs normally cover in medical costs

A

Generally 100% as long as care is rendered at an HMO facility.

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8
Q

On what basis do preferred provider organizations pay

A

Fee for service

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9
Q

What do preferred provider organizations provide

A

Discounted health care but limits where a person can go for treatment

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10
Q

What is the point of service plan made up of

A

The structure of an HMO, yet allowing members to go outside the HMO to obtain services

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11
Q

Medicare services which population

A

Aged and disabled

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12
Q

Medicare services which population

A

Low incomes and limited resources

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13
Q

What is the billing code for ice?

A

97010

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14
Q

What is the 5 step approach to creating a clinical question?

A

Ask, Acquire, Appraise, Apply, Assess

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15
Q

NOCSAE

A

National Operating Committee on Standards for Athletic

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16
Q

Malfeasance

A

when an individual commits an act that is not legally his/hers to perform

17
Q

Negligence

A

the failure to use ordinary or reasonable care

18
Q

Nonfeasance

A

when an individual fails to perform a legal duty

19
Q

ACSM

A

American College of Sports Medicine

20
Q

5 domains of athletic training

A

prevention, clinical evaluation and diagnosis, immediate care, treatment rehab and reconditioning, organization and administration, professional responsibilities

21
Q

NATA president

A

Jim Thorton

22
Q

HIPAA

A

Health Insurance Portability and Accountability Act

23
Q

FERPA

A

Family Educational Rights and Privacy Act

24
Q

CPT

A

current procedure terminology

25
NPI
national provider identifier
26
OSHA
Occupations Safety and Health Administration
27
What are the seven steps of the budget cycle?
plan budget, gather feedback, build consensus, present final plan, approve, implement, evaluate
28
What is liability?
a quality or state of being legally obligated or accountable; legal responsibility to another or to society
29
What is negligence?
failure to provide the standard of care that a reasonably prudent person would have provided
30
What are the four key areas of a policy and procedure manual?
policy, purpose, procedures, documentation
31
When was NATA founded?
1950
32
What drove the early creation of organized athletic training?
The establishment of intercollegiate and interscholastic athletes of the USA
33
What are the 6 domains on athletic training?
Prevention. Clinical evaluation and diagnoses. immediate care, Treatment rehab and reconditioning. Organization and admin. Professional responsibiliteies
34
What is the most restrictive regulatory factor that varies by state?
Licensure