Module 1

Question 1

Certification

Answer 1

Verification by an outside agency that an employer is following established guidelines and standards of care and providing the highest quality of care for their patients

Question 2

Capitation

Answer 2

A managed care method of monthly payments to the provider based on the number of enrolled patients, regardless of how many encounters a patient may have during the month

Question 3

Health Maintenance Organization (HMO)

Answer 3

A medical insurance group that provides coverage of health care services for a period of time and a fixed annual fee

STRICT, LESS EXPENSIVE, NEED REFERRAL

Question 4

Patient-Centered Medical Home (PCMH)

Answer 4

A partnership between a patient and their care team in which total health is the focus and not just a single condition. A health care team consists of a provider (Physician, Nurse Practitioner, Physician Assistant), CMAA, CCMA, Nurses, and Pharmacist

Question 5

Preferred Provider Organization (PPO)

Answer 5

A network of physicians, other health care practitioners, and hospitals that have joined together to contract with insurance companies, employers, or other organizations to provide health care to subscribers for a discounted fee.

Question 6

Managed Care

Answer 6

System used by private and public insurance plans that controls health care cost and improves preventive care for its patients by having contracts with providers and medical organizations. The three types of managed care plans are health maintenance organization (HMO), Preferred provider organization (PPO), and point of Service (POS)

Question 7

Scope of Practice

Answer 7

A specific set of standards that a medical professional may perform within the limits of the medical license, registration, and/or certification

Question 8

Common Roles and Responsibilities of Medical Assistants

Answer 8

Clinical/Administrative Duties

Question 9

Health Care Licensure

Answer 9

Regulated by state statutes through the medical practice act.

Question 10

Pay for Performance

Answer 10

You pay employees based on how well they perform their duties.

Question 11

Global Budget

Answer 11

Allow policymakers to directly constrain total health care spending by paying providers a lump su8m for all services they deliver

Question 12

ACOS | Accountable Care Organizations

Answer 12

Groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to the Medicare patients they serve

Question 13

Allopathic

Answer 13

A system in which medical doctors and other healthcare professionals, treat symptoms and diseases using drugs, radiation, or surgery

Question 14

Ambulatory

Answer 14

People walking in to receive care

Question 15

CPOE | Computerized Physician Order Entry

Answer 15

Designed to replace a hospital’s paper-based ordering system

Question 16

Osteopathic

Answer 16

A “whole person” approach to medicine— Treating the entire person rather than just the symptoms

Question 17

Professionalism

Answer 17

How you uphold yourself

Question 18

Standard of Care

Answer 18

The degree of care a patient and reasonable person would exercise under the circumstances

Question 19

Work Ethic

Answer 19

Maintains on task, not cheating, completing all work

Question 20

Health Care System

Answer 20

An organization of people, institutions, and resources that delivers health care services to meet the health needs of target populations

Question 21

Affordable Care Act

Answer 21

Make affordable health insurance available to more people

Question 22

Alternative Therapy

Answer 22

Yoga, acupuncture, massage therapy, spinal manipulation,

Just not your typical therapy

Question 23

Acupuncture

Answer 23

A technique in which practitioners insert fine needles into the skin to treat health problems

Question 24

Biofeedback

Answer 24

Electronic monitoring of a normally automatic bodily function is used to train someone to acquire voluntary control of that function

Question 25

Chiropractic Care

Answer 25

Back

Question 26

Herbal Medicine

Answer 26

Using herbal remedies rather than your typical medication/drugs

Question 27

Tricare

Answer 27

Government-managed health insurance.
U.S. Military’s Health Care

Question 28

Medicare

Answer 28

For the elderly,

Question 29

Blue Cross Blue Shield

Answer 29

Oldest and largest independent health insurers in the US’

Question 30

Medicaid

Answer 30

Allow eligible low-income adults to receive health insurance

Question 31

Deductible

Answer 31

The amount you have to pay by yearly in order for insurance to cover fee service

Question 32

Allowable Amount

Answer 32

The maximum amount an insurance provider will cover

Question 33

Fee Schedule

Answer 33

A complete listing of fees used by Medicare to pay doctors or other providers

Question 34

Coinsurance

Answer 34

You and your insurance carrier each pay a share of eligible costs that add up to 100 percent.