Chapters 2&3
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| The payer had an agreement with the physician to pay the usual and customary fee, less than 10% .. this is an example of? | discounted fee for service
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| The payment rate established by an insurance company , based on its knowledge of the regional charges for service is called? | usual & customary charges
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| An organization that insures covered lives as well as owns(exerts employer control over) the health care provider is a? | HMO- insurer and provider
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| an HMO contracted with a group of physicians to provide healthcare services to its members, this is a characteristic of a ? | group practice model HMO
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| Major differences between a PPO and an HMO is? | PPO- combo of HMO and indemnity features, providers are independent contractors, HMO- must be medically necesssary-covered services
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| Contractor who manages health care claims for Medicare is a? | Fiscal inermediary
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| Clinical pathways are based on what factors? | experience, successful outcomes, research
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| The ability of a pt to see a physician without an app is called? | open access
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| clinical data is? | compromises all of the data that has been recorded about the pts health including dx and procedures
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| another term for demographic data is | indicative data
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| the study of health trends or patterns is called? | epidemiology
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| a pt has unsual lesions on the skin, a fever, dehydration, of the different types of data, which would be most helpful in developing a list of potential dx? | socioecomonic
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| person or organization that is responsible for paying a hospital bill is called | guarantor
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| pt complains of dizziness and shortness of breath... this is an example of which SOAP | subjective
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| pupils equal,round and reactive to light and accomodation... this is an example of which SOAP | objective
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| rule out congestive heart failure vs. cerebrovascular accident... this is an example of SOAP | Assessment
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| chest x-ray to rule out CHF....which SOAP | Plan
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| benefits of a problem list | improves communication amoung caregivers, facilitates management of pt care,becomes pt history
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| in creating a data collection device, what are the most important considerations? | purpose of the form
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| in creating an electronic data collection screen, what are the most important considerations? | sequence & purpose of the data that is being collected
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| what consideration is more important when creating an electronic data collection screen than it is in a paper form? | sequence of data that is being collected
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| components of a problem list | data- description,problem date of initial dx, current treatment-comments,procedures
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| SOAP notes are examples of what type of data? | clinical
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Created by:
KimNorton
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