Allied Health Insurance Test

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41 Terms

1
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What is the focus of hollistic healthcare

treating the whole body, mind, and spirit

2
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What term is applied to the use of mainstream medical treatments and complementary/alternative therapies?

Integrative Healthcare

3
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Whats the name of therapies that replaced biomedical treatment methods?

Alternative

4
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What term means “ the state of living a healthy lifestyle “

Wellness

5
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What term describes a health insurance plan in which certain health care agencies provide certain types of care at reduced rates?

PPO

6
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the American Cancer Society is an example of what type of health agency?

Nonprofit

7
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the USDHHS an example of what type if government health agency?

National

8
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What types of services are provided in most medical offices?

Diagnosis, treatment, examination, and basic laboratory tests

9
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What factor increased growth in healthcare opportunities in assisted living facilities

More old ppl

10
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Whats another term for voluntary health care agencies?

Nonprofit

11
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What are reasons for increasing cost of healthcare (including againg population, healthcare related lawsuits)

technological advancments

12
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Earlier discharge of hospitalized patients has led to a growth of ____?

home health care

13
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Interest in holistic health has increased the use of ___ and ____ therapies

alternative and complementary

14
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___ and ___ described the structure of dna

Watson and Crick

15
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Patients who obtain healthcare services outside hospitals are classified as ___?

outpatients

16
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Components of wellness include physical, socialc mental, spiritual, and ____

emotional

17
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The health insurance plan that provides treatment for worker injured on the job is called ____

workers compensation

18
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The health insurance plan for military and their families is?

TRICARE

19
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Provide care for accidents or sudden illnesses

Emergency care facilities

20
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provide care to disabled or elderly in the patients own residence

Home health care

21
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include nursing homes, assisted living and extended health facilities

long term care facilities

22
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Perform various therapies, including physical and speech therapy

Rehabilitation facilities

23
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Perform specialized diagnostic tests

Laboratories

24
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provide general or specialized care related to patients teeth

Dental offices

25
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range from small community facilities to large regional centers

hospitals

26
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facilities that offer many services provided by a group of doctors

medical offices

27
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outpatient facilities that offer a wide range of services

clinics

28
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T or F: the centers for disease control is involved in research on disease?

False, NIH is

29
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T or F: Insurance plans vary in the amount of payment and types of services covered

True

30
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T or F: Deductibles are amounts of money deducted from a bill by health care agencies if an individual has insurance?

False, $ out of pocket before HI pays

31
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T or F: Medicare provides health care primarily for welfare recipients and physically disabled or blind individuals

False, medicaid/elderly

32
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T or F: CHAMPUS provides healthcare for all military personnel

False, TRICARE

33
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What are 3 national divisions of UDHHS and give their purpose

  1. NIH- Research

  2. CDC- Controls spread of disease

  3. FDA- Regulates sale of food and drugs, approves drugs + medical devices

34
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Who is eligable for medicare and medicaid? state the criteria

  1. Medicare: Over 65, certain disabilities

  2. Medicaid: Low income families/children, pregnant women, blind/certain disabilities

35
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List what is offered by the four types of medicare coverage?

  1. Hospital

  2. Medical

  3. Private (Medical Advantage Plan)

  4. Prescription

36
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What does patient protection and affordable care act aim to do? what 3 changes will happen as a result?

Aim: decrease # of uninsured + reduce cost of healthcare

  1. same rates for men + women

  2. children covered under parents till 26

  3. preventative care= no copay or deductible

37
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who is eligable for TRICARE and who provides the physicians?

Military personell and their families, physicians provided by military

38
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What are classifications of hospitals? Name examples and descriptions

  1. General: Wide range of services

  2. Specialty: Burn/trauma, childrens hos

  3. Gov’t: Military/State, psychiatric

  4. Uni/College: Hospital + education/research

39
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Give difference between allopathic, complementary, alternative and integtative medicine

  1. Allopathic: Biomedical (treat cause after evaluating symptoms)

  2. Alternative: in place of biomedical

  3. Complementary: in addition to biomedical

  4. Integrative: approach using biomedical AND complementary

40
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List 3 achievements in healthcare from 20 and 21 centuries

20: New machines, Healthcare plans, develop medicines (penecilin)

21: Human Genome Project, Embryonic stem cell research, recognition of threats (bioterrorism + viral mutations)

41
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Summarize main features of HMOs and PPOs as they relate to cost, network and flexibility

HMO: lower cost (lower premium, low/no deductible or copay) smaller network, cant go out of network, need PCP

PPO: higher cost( higher premium, copay + deductible, coninsurance ) bigger network, CAN go out of network