Chapter 1

Question 1

AHCCS

Answer 1

Arizona 
Healthcare 
Cost 
Containment 
System 
- A unique form of Arizona welfare, used instead of Medicaid

Question 2

APC

Answer 2

Ambulatory
Patient
Classification
- System implemented in 2000, determines payment to hospitals for outpatient services

Question 3

CLI88

Answer 3

Clinical 
Laboratory 
Improvements 
of 
88 
- mandates that all labs use the the same standards regardless of type, location, or size

Question 4

CEU’s

Answer 4

Continuing
Education
Units
- Credits for some form of continuing education to continually upgrade skills and knowledge

Question 5

CPT

Answer 5

Current
Procedural
Terminology
- Coding system for billing at physician’s offices

Question 6

DRG’s

Answer 6

Diagnosis
Related
Groups
- Hospitals are reimbursed at a set amount for each patient procedure using established disease categories

Question 7

HIPPA

Answer 7

Health
Insurance
Portability
Accountability
Act
- Enacted in order to secure patient information and regulate patient privacy

Question 8

HMO

Answer 8

Health
Maintenance
Organization
- Group practices are reimbursed on a prepaid, negotiated, discounted basis

Question 9

ICD-9-CM

Answer 9

International
Classification
of
Disease
Ninth
Revision
Clinical
Modifications
- Coding system that groups together familiar disease and operations for reimbursement

Question 10

MCOs

Answer 10

Managed
Care
Organizations
- Groups that contract with local providers to establish a complete network of healthcare services

Question 11

PHS

Answer 11

Public
Health
Service
- Federal agency offering monitoring, screening, and education of the public

Question 12

PPO

Answer 12

Preferred
Provider
Organization
- Independent group of physicians or hospitals that offer services to employers at discounted rates in exchange for a steady supply of patients

Question 13

PPS

Answer 13

Prospective
Payment
System
-Limits the standardized Medicare/Medicaid payments made to hospitals, started in 1983

Question 14

TAT

Answer 14

Turn
Around
Time
- time it takes for the laboratory test request to be completed and charted

Question 15

Patients Bill of Rights

Answer 15

An accepted statement of principles that guides healthcare workers in their dealing with patients while in a hospital or other healthcare facility

Question 16

Barriers

Answer 16

Anything interfering with communication, such as personal bias or cultural diversity

Question 17

Certification

Answer 17

A process indicating completion of a defined academic and training requirements and a satisfactory score on a national examination

Question 18

Entitlement Programs

Answer 18

Right, such as Social Security, earned through employment

Question 19

Exsanguinate

Answer 19

Blood loss to the point of being life-threatening (Hint: Poor George Washington)

Question 20

Gatekeeper

Answer 20

Primary care physicians in a managed care plan who coordinates the patient’s healthcare needs

Question 21

Kinesic Slip

Answer 21

When nonverbal messages do not match verbal messages

Question 22

Kinesics

Answer 22

Study of body motion and language, such as facial expressions, gestures, and eye contact

Question 23

Medicaid

Answer 23

Program funded by state and federal government for providing medical care to the poor

Question 24

Medicare

Answer 24

Federally funded program enacted in 1965 that provides healthcare to persons older than age 65 and the disabled, regardless of financial status

Question 25

Phlebotomy

Answer 25

Procedure for withdrawing blood from the body

Question 26

Primary Care

Answer 26

Service in which the family physician offers an initial consult and related treatment

Question 27

Proxemics

Answer 27

Study of an individual's concept and use of space

Question 28

Reference Laboratory

Answer 28

Large, independent organization that performs all types of laboratory testing for many different facilities and physicians

Question 29

Secondary Care

Answer 29

Healthcare beyond primary care, which until recently was considered inpatient service

Question 30

Tertiary Care

Answer 30

Highly complex services and therapy performed as inpatient, requiring a patient to stay overnight or longer

Question 31

Third-Party Payer

Answer 31

Fiscal Intermediary that pools individual contributions for a common group objective, protection from financial disaster

Question 32

Another name for Blood Bank?

Answer 32

Immunohematology

Question 33

The hospital department the laboratory coordinate therapeutic drug monitoring with is the ___________

Answer 33

Pharmacy

Question 34

Another term for outpatient care is __________ .

Answer 34

Ambulatory Care

Question 35

_______________________ is part of the phlebotomists' role because they represent the laboratory, promote good public relations with visitors, staff, and patients', and the patient often equates blood-drawing experiences with the quality of overall care received.

Answer 35

Promoting good public relations

Question 36

Outpatient phlebotomy areas such as in a physicians office or patient care service center will assign a _______, a national coding system, for reimbursement.

Answer 36

CPT code

Question 37

The ______________ is responsible for administering oxygen therapy.

Answer 37

Respiratory Therapy Department

Question 38

The term _____________ describes a sophisticated and highly complex medical care.

Answer 38

Tertiary Care

Question 39

The term "____________" is derived from the Greek word that literally means Cut a Vein.

Answer 39

phlebotomy

Question 40

It is NOT a phlebotomist's duty to start __________.

Answer 40

Intravenous (IV) lines

Question 41

The credentials for an ASCP certified phlebotomist are __________.

Answer 41

PBT

Question 42

_____________ are proof of participation in workshops to upgrade skills required by agencies to renew certifications

Answer 42

Continuing education units (CEU's)

Question 43

A Medical Technologist is also referred to as a ____________ .

Answer 43

Clinical Laboratory Scientist

Question 44

When a patient doesn't speak English, is a child, or is upset emotionally it is considered a _________ to effect communication.

Answer 44

barrier

Question 45

A way to confirm a response to a patient is to say: "_____________" .

Answer 45

I understand how you must be feeling

Question 46

A frowning face is an example of __________

Answer 46

negative kinesis

Question 47

Wearing __________ is not part of communicating a professional appearance.

Answer 47

strong cologne

Question 48

Hanging up on an angry caller is not part of ____________

Answer 48

proper telephone protocol

Question 49

__________ is not performed by local public health agencies.

Answer 49

Licensure of Healthcare Personnel

Question 50

If you were hiring a phlebotomist, what credentials, professional qualities, and work ethics would you want a person to have?

Answer 50

Good customer service/people skills, certification ASPT, professional attitude/attire, work well under pressure

Question 51

Phlebotomist calls neighbors to let them know a friend is in the hospital. Is this proper? Why, or why not?

Answer 51

No, HIPPA describes such an act as breaching a patients right to privacy.

Question 52

How is it possible to tell if you're getting a message through to a patient who is hard of hearing/spanish?

Answer 52

Look for an interprator, like a coworker or family member of a patient. Be certain the patient seems attentive and not just nodding along vacantly to questions.

Question 53

What to do with a cranky patient?

Answer 53

Laugh it off inside, do your best to be comforting while addressing and assuaging the patients concerns, being empathetic and explaining the importance of having their blood drawn

Question 54

Patient calls at the same time as a supervisor?

Answer 54

Answer the phone professionally with a greeting and an introduction of the department and your name, ask what you can do to help, transfer if they have the wrong department.

Question 55

What are the two part of a clinical lab?

Answer 55

Clinical and Anatomical

Question 56

What are the 9 branches of a Clinical lab?

Answer 56

Hemotology, Coagulation, Chemistry, Urinalysis, Serology/Immunology, Blood Bank/Immunohemotology, Microbiology, Cytogenetics, Specimen Processing

Question 57

What are the 2 branches of the anatomical lab branch?

Answer 57

Histology, Cytology