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cma ch. 1-7
roles, history, laws and ethics
| Term | Definition |
|---|---|
| tort law | covers acts that result in harm to another/ Wrongful act, resulting I harm, committed by one person against another person or property |
| contract law | enforceable promises and agreements between two or more people to do or not do particular action |
| civil law | concerns relationship between individuals or between individuals and the government |
| assault | threat of bodily harm to another; actual touching (battery) or injury don’t have to occur for assault to take place |
| battery | actual bodily harm to another person without permission; also referred to as unlawful touching or touching without consent |
| criminal law | made to protect the public from harmful acts of others |
| Felony | carries a punishment of impressment in state and federal prison, and death sentence |
| misdemeanor | less serious offense and carries a punishment of fines or imprisonment in jail to up to a year |
| False imprisonment | violation of the personal liberty of another person through unlawful restraint. |
| Defamation of character | damaged caused to a person's reputation through spoken or written words |
| Fraud | deceitful practice |
| invasion of privacy | unauthorized publicizing of info about patient |
| slander | spoken statement defaming another person |
| libel | written statement defaming another person |
| unintentional torts | negligence in health care professional not ordinary care |
| Galen | - Greek of physician who practiced in Rome - Stressed the importance of anatomy and founded experimental physiology - Still considered the Prince of Physicians |
| William Harvey | - English physician - Made significant contributions to study of anatomy and physiology and first theorized about the circulation of blood in the human body |
| john hunter | surgeon, invented feeding tube |
| Edward Jenner | is a physician, Performed the first vaccination using the cowpox vaccine to combat smallpox |
| Florence Nightengale | founder of modern nursing Referred to as “The lady with the lamp |
| Edward Morten | anesthesia |
| louis Pasteur | science of bacterium |
| joseph lister | introducing antiseptic |
| Alexander Flemming | Discovery of antibiotics |
| DO | osteopathic |
| group practice | three or more physicians share same facility |
| associate practice | physician share facility with staff |
| Hippocrates | father of western medicine, pioneering the scientific study of the causes of disease. |
| joint commission | private non-profit organization high standard of medical care |
| intentional tort | example battery, assault, defamation of character, slander |
| negligence | failure to do or perform or to take reasonable care in performing a specific action, which results in injury to another person |
| malfeasance | performing a wrongful or illegal act |
| misfeasance | performing lawful act but not in proper way |
| express consent | consent for care that is given by a patient verbally or in writing |
| implied consent | consent for care that is not explicitly given but is inferred from the patient's actions, such as coming to a physician's office for examination |
| nonfeasance | being negligence or ignoring performance of necessary lawful act |
| four D's of negligence | duty, dereliction or neglect of duty, direct cause, damages |
| tort law | wrongful act resulting in harm |
| partnership | established between 2 or more physicians is a legal agreement to share in the business operation of a medical practice |
| Daniel hale William | first to perform what is considered the first "successful" heart surgery |
| first doctors "medicine men" | were shamans, witch doctors, or sorcerers |
| contract law | concerned breach or neglect of an understanding between two parties |
| doctrine of informed consent | permission or approval given by a patient who is informed by a patient who is informed by the physician about the possible consequences of both having and not having certain procedures and treatment |
| passive listening | listening to someone without having to reply or actively respond, such as when listening as a member of audience |
| closed-ended questions | questions that can be answered yes or no |
| open-ended questions | questions that required a broader response than just yes or no |
| exploratory questions | questions used to ask for further information or to ask for further information or to more fully discuss the subject at hand |
| 5 stages of grief | Denial, Anger, Bargaining, depression, Acceptance |
| rapport | environment of understanding or cooperation |
| proofreading | your document by rereading it to check for errors in content and keying |
| Quality insurance | process of gathering and evaluating information and comparing this information |
| safety sheet data | potentially harmful substance at the workplace containing printed information about that substance. must be available for all employees |
| method of compliance | exposure control plan specific measures reduce the risk of exposure |
| patient navigator | Helps patients by facilitating their healthcare and coaching self-management skills |
| Maxine William | the founder of American medical association (AMA) |
| A MA must always maintain____ compliance when making telephone calls | HIPAA |
| SMCR communication process | S- sender, M-message, C-channel, R-receiver |
| holistic | focuses on the whole patient |
| coping mechanism | conscious or non- conscious behavior used to respond to a challenging behavior/ can be adaptive or non-adaptive |
| malpractice | the lack of skill that results in injury, loss, or damage to a patient |
| Morals | a person believes or the right way to live |
| The Blanchard and Peale Ethical Model | the model that helps the medical assistant distinguish and recognize legal and ethical laws |
| AAMA | American Association of Medical Assistants |
| AMT awards credential to who? | Registered Medical Assistant credential |
| Code of Hammurabi | code had laws relating to the practice of medicine, which included severe penalties for errors. |
| Jonas Silk & Albert Sabin | developed vaccines that eradicated the crippling disease polio |
| Clara Barton | nursed soldiers during civil war. she established the American Red Cross. also established Federal Bureau of Records to help track injured and dead soldiers |
| Safety data sheet | Printed info about substances to ensure safety and health of user at all stages of manufacture, storage, use and disposal |
| EMR | electronic medical record- all providers, medical and healthcare login credentials |
| established patients | have been a patient for 3 + years |
| REVENUE CYCLE | (cost has associated with it, whether you pay or insurance)- it always starts w/ registration payment, guarantor account, Aetna, claim, payment, guarantor, statement bill. |
| Guarantor | – person or entity legal finically responsible for the changes, (out of pocket) which insurance does not pay like a copay for example |
| Subscriber | person or entity in who’s in health insurance policy is issued not always the guarantor or the patient, don’t receive a bill |
| member | – person who uses insurance but don’t pay for it – child, spouse, employee |
| payor | - insurance company - Aetna, BCBS, united health care, humana |
| Medicare | age 65+, disability (64 and younger), ESRD- end stage renal disease |
| blocks | Time reserved for specific patient types |
| wave | a system in which all the patients are told to come in at the beginning of the hour in which they are to be seen |
| Crawford long & William Morton | demonstrate the use of general anesthetic Both together discovered anesthesia William was a dentist |
| Ethics | branch of philosophy related to morals and moral principles |
| double booking | scheduling two patients to be seen during the same time slot without allowing for any additional time in the schedule |
| scheduling system | tool, used to keep track of appointments |
| Tickler files | an automated or manual system that notifies the office of certain tasks to be performed |
| office visit | Appointment for new problems, chronic issues, or medication management |
| same day appointment | schedule the same day, often urgent needs |
| holds | Time that may or may not be available |
| accounts receivable AR | Money owed to the practice |
| Accounts Payables AP | Expenses the practice must pay |
| in network | Providers contracted with insurance at discounted rates |
| out of network | Providers not contracted with insurance |
| Premium | Regular payment to keep insurance active |
| Deductible | Amount patient pays before insurance pays |
| copay | Flat fee paid at time of service |
| coinsurance | Percentage of cost shared with insurance |
| Out-of-pocket maximum | Maximum amount patient pays before insurance covers all costs |
| PPO | Plan with higher cost, more flexibility, no referrals required |
| HCPCS codes | Codes for supplies and additional services |
| ICD-10 Codes | Codes for diagnoses and conditions |
| claim | Request sent to insurance for payment |
| clearing house | Organization that checks and submits claims |
| adjudication | Process of insurance reviewing and deciding payment |
| write-off | Amount not collected by provider |
Created by:
DiannaZA