Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

AHS 110 > Test 2 > Flashcards

Test 2 Flashcards

(68 cards)

Start Studying
1
Q

What is considered long term health care?

A

Care that lasts for more than 90 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Basic activities such as mobility, eating, toileting, dressing and bathing

A

ADL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Activities like managing money, telephoning, grocery shopping, personal shopping, using transportation, and housekeeping and managing medication

A

Instrumental activities of daily living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Authorizes federal grants for construction of public or nonprofit community mental health centers

A

Community mental health act of 1963

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Requires group health plans and health insurance issuers to ensure that financial requirements and treatment limitations applicable to mental health or substance use disorder

A

Parity Act of 2008

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hospitals and primary physicians would transform their practices financially, technologically, and clinically to drive better health outcomes, lower costs, and improve their methods of distribution and accessibility.

A

Affordable care act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ability to cope with a change, a positive outlook on life, ability to interact in close relationships in a loving and supportive manner, and the general feeling of well-being that can be assessed in the individual

A

Mental Health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Provides a product or service to customers for a profit

A

Business

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Profit is the primary reason for the business to exist

A

For-profit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Something other than profit is the main objective; profits are invested back into the business, often to help the less fortunate

A

Non-profit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

One person owns the business and makes all the decisions, and collects all of the profits

A

Sole Proprietorship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

At least two individuals own the business and makes shared decision making, risk, and profits

A

Partnership

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Each partner’s liability is limited to their contribution

A

Limited liability partnership

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Separates ownership and management, shareholders own the business, but delegate management, risks&profits are limited to the shareholder’s investment

A

Corporation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Process of planning, organizing, directing, and controlling business’s resources to achieve the objectives

A

Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Exchange process between a business and its customers

A

Marketing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Accounts receivable vs. accounts payable

A

Accounting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Process of physically creating the product or service

A

Production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Use of technology to manage information

A

Information technology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Use of electronic health records, recently laid off employees are eligible for a 9 month federal subsidy that covers 65% of premiums

A

American Recovery and Reinvestment act (ARRA) of 2009

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Regulates portability, access, and mandated benefits, fraud, abuse, and reform of medical liability

A

HIPAA act of 1996

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Based on supply/ demand, competition is key

A

Market economy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What two things make up profitability?

A

Revenue maximization and cost minimization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Evaluates and accredits health care organizations, focus on improvement of quality and safety of health care services, regulates competition through antitrust laws

A

Joint Commission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Created medicare and medicaid
1965 Social security act
26
Prohibits businesses from taking actions that lessens competition and prohibits mergers, monopolies, and price fixing/discrimination
Antitrust Laws
27
Prohibits restraint of trade and monopolization
Sherman Antitrust Act
28
Restrict practices such as price discrimination, exclusive dealing, and tying contracts
Clayton Act
29
Establishes federal trade commission to investigate business practices that are unfair
Federal trade commission act
30
Prohibits price discrimination, selling at unreasonably low prices to eliminate competition
Robison Patman act
31
Establishes food and drug administration; prohibits misbranding of food and drugs
Pure food and drug act
32
FDA given authority to regulate cosmetics and therapeutic products
Federal food, drug, and cosmetic act
33
Protects rights for people with disabilities
Americans with disabilities act
34
Process of combining all of those insured into one group so the group's overall risk of loss is reduced
Risk pooling
35
Patient can only access certain services from primary care providers
Gatekeeping role
36
System of paying health care providers as well as delivering health care services
Managed Care
37
Managed care is regulated by....
State statute
38
Physicians are employees of the HMA and paid a salary
Staff model HMO
39
Physicians are employees of an independent group that contracts with the health plan to provide services
Prepaid group practice HMO
40
HMO contracts with at least two group practices to provide services
Netowork HMO
41
Physicians contract independently with the IPA to treat members of the HMO
Independent practice association HMO
42
Patient chooses his/her physician and hospital
PPO
43
Patient must select his/her care providers from those in network
EPO
44
What are the eligibility rules for medicare?
Over 65 years of age, permanently disabled, end-stage renal disease
45
Inpatient hospital services, critical access hospitals, skilled nursing facilities, limited and medically necessary home health care services and hospice
Part A medicare
46
Optional requiring monthly premiums, deductible and copayments
Part B
47
Offers a variety of manage care-type options to provide services under parts A and B
Part C
48
Replaced medicare+ choice with medicare advantage, coverage for prescriptions and preventative care
Part D
49
Reimbursement amount is determined prior to patient receiving services and is based on the patient's classification into a diagnose related group
Prospective payment system
50
What is the eligibility for Medicaid?
Medically needed and poverty related
51
Eligible if receiving supplemental security incomes or temporary assistance for needy families
Poverty related
52
Applies to elderly pregnant women, children and persons with disabilities
Medically needy
53
State's spending is matched by the federal government using the federal medical assistance percentage rate
Transfer program
54
What is covered in medicaid?
Hospital and physician services, pharmaceutical, dental care, eye care
55
Low income children whose parents do not qualify for medicaid but are unable to afford private health insurance
Stat children's health insurance program
56
Covers federal employees, families, retirees and survivors
Federal employees health benefits program
57
Covers military personnel
TRICARE
58
Benefits are predetermined based on the type of injury and the amount of time the employee will be unable to work
Worker's compensation
59
Plans work by assigning a fixed payment rate to specific treatments
Prospective payment system
60
Healthcare providers based on their actual charges.
Retrospective payment system
61
Accepted health care services and supplies provided by health care entities, appropriate to the evaluation and treatment of a disease, condition, illness or injury and consistent with the applicable standard of care.
Medical Necessity
62
Containing an additional 87,000 codes for use ONLY in United States inpatient, hospital settings
ICD-10-PCS
63
Codes were developed by the Centers for Disease Control and Prevention in conjunction with the National Center for Health Statistics (NCHS), for outpatient medical coding and reporting in the United States
ICD-10-CM
64
Used to determine how much Medicare pays the hospital
DRG
65
United States government's method of paying for facility outpatient services for the Medicare
APC
66
Mutually exclusive categories that reflect levels of resource need in long-term care settings, primarily to facilitate Medicare and Medicaid payment
RUG
67
What you get after you pay premiums
Benefits
68
How much you pay each month
Premiums

AHS 110 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions