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Flashcards in Admin Deck (34):
1

When are third party administrators used

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

2

What do physician hospital organizations involve

A major hospital or hospital chain and its physicians

3

Who mandates workers compensation

The State

4

What is the goal of workers compensation insurance carriers

Returning the injured worker to the workforce as soon as possible

5

What is third-party reimbursement

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

6

What do health maintenance organizations provide

Preventive measures and limits where individuals can receive care

7

How much do HMOs normally cover in medical costs

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

8

On what basis do preferred provider organizations pay

Fee for service

9

What do preferred provider organizations provide

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

10

What is the point of service plan made up of

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

11

Medicare services which population

Aged and disabled

12

Medicare services which population

Low incomes and limited resources

13

What is the billing code for ice?

97010

14

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

Ask, Acquire, Appraise, Apply, Assess

15

NOCSAE

National Operating Committee on Standards for Athletic

16

Malfeasance

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

17

Negligence

the failure to use ordinary or reasonable care

18

Nonfeasance

when an individual fails to perform a legal duty

19

ACSM

American College of Sports Medicine

20

5 domains of athletic training

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

21

NATA president

Jim Thorton

22

HIPAA

Health Insurance Portability and Accountability Act

23

FERPA

Family Educational Rights and Privacy Act

24

CPT

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