Health Administration Procedures - Regional 2025

These flashcards cover key concepts and terms related to health administration procedures, focusing on topics necessary for the regional 2025 examination.

What is the purpose of maintaining inventory of equipment and supplies in a medical office?

To ensure adequate stock for patient needs.

What filing system follows ARMA rules for organizing patient records?

Alphabetical.

What is the primary responsibility of handling confidential information securely?

To protect patient privacy.

What is the purpose of medical coding and billing functions in a medical office?

To ensure accurate reimbursement.

What is the significance of maintaining patient account records and preparing billing statements?

To ensure proper billing and payment.

Which type of code is used to describe the reason for a patient's encounter with a healthcare provider?

ICD-10-CM code.

What does the abbreviation 'EHR' stand for in the context of healthcare?

Electronic Health Record.

Which organization oversees the administration of the Medicare program in the United States?

Centers for Medicare & Medicaid Services (CMS).

In medical billing, what does the term 'EOB' stand for?

Explanation of Benefits.

What is the primary purpose of the HIPAA Privacy Rule?

To regulate the use and disclosure of protected health information (PHI).

What are the primary functions of healthcare administration within the broader healthcare system?

Managing healthcare facilities and resources, ensuring efficient operations and quality patient care.

How does understanding healthcare systems and delivery contribute to effective healthcare administration?

By recognizing the complexities of healthcare delivery models and tailoring strategies to improve patient outcomes.

What role does a healthcare administrator play in working with insurance companies to process patient accounts?

They collaborate with insurance companies to verify patient coverage, submit claims, and resolve billing issues.

What does the acronym HIPAA stand for?

Health Insurance Portability and Accountability Act.

What abbreviation is commonly used to indicate a patient's medical history?

HPI.

Which of the following best defines 'hypertension'?

A condition characterized by abnormally high blood pressure.

Which of the following best defines 'gastroenterology'?

The branch of medicine concerned with the study and treatment of diseases of the digestive system.

What is the purpose of a CMS-1500 form in medical billing?

To submit claims for medical services.

What does ARMA stand for in the context of maintaining filing systems?

Association of Records Managers and Administrators.