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Medical Doctor (MD)
allopathic provider, diagnoses illnesses, provide treatments, perform procedures, surgical interventions, write prescriptions
Osteopathic providers (DOs)
Complete requirements that are similar to this of MDs to graduate and practice medicine. They: diagnose,provide treatments,perform procedures and write prescriptions along with using osteopathic manipulative therapy in treating patients
Nurse practitioners
diagnose and prescribe medications for common illness, focus on preventative care and disease prevention
physician assistant
practice medicine under direction of a MD or DO. make clinical decisions and be responsible for a variety of services
Medical Laboratory Technician
Perform diagnostic testing on blood, bodily fluids, and other specimens under the supervision of a medical technologist.
medical receptionist
check patients in and out, answer phones, and perform filing, faxing, and other tasks.
occupational therapist
assists pts who have developed conditions that disable them mentally, physically,emotionally, developmentally
Pharmacy Technician
assists licensed pharmacists by performing duties that do not require the expertise of a pharmacist
physical therapist
assist pts with mobility, improving strength, regain ROM
Radiology Technician
use various types of imaging equipment to assist the provider in diagnosing and treating certain diseases.
Professionalism
consists of skills, behavior, and appropriate judgement that represents the best qualities of a person in a specific profession
work ethic
A set of values based on the moral virtues of hard work and diligence.
Accountability
Being responsible and accepting consequences for what you do and say.
Flexibility
being able to acclimate to a wide variety of situations
punctuality
arriving to work in a timely manner
intrinsic motivation
originates within an individual and focuses on lifelong goals
extrinsic motivation
physical in nature and driven by an outside force
integrity
the quality of being honest and having strong moral principles
open mindedness
a willingness to try new things or to hear and consider new ideas
standard of care
The degree of care or competence expected in a particular circumstance or role
global budget
Fixed dollar amount paid annually for all care
pay for performance
reimbursement model compensates providers only if they meet certain measures for quality and efficacy
Accountable Care Organization (ACO)
groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients
Capitation (partial or full)
Patients are assigned a per-member, per-month payment based on their age, race, sex, lifestyle, medical history, and benefit design.
Health Maintenance Organization (HMO)
contracts with a medical center or group of providers to provide preventative and acute care for the insured person
patient centered medical home (PCMH)
pcp coordinates treatment to make sure pts receive the required care when/where they need it and in a way they will understand
Preferred Provider Organization (PPO)
insured person needs no pcp for referrals and can go directly to a specialist without referral
general practitioner (GP)
medical doctors who treat acute and chronic illnesses and provide preventative care and health education to patients
family practitioner
Offer care to the whole family, from newborns to older adults.
internist
Provides comprehensive care, practices preventive care, and treats long-term and chronic conditions in adults
allergist
immune system
anesthesiologist
administration of agents to prevent pain and unpleasant awareness during surgical and other procedures
cardiologist
heart specialist
dermatologist
a doctor who specializes in skin problems
gynecologist
A doctor who specializes in the female reproductive system
hemotologist
Doctor who treats blood diseases
hepatologist
a specialist in the study of the liver
neonatologist
newborn specialist
urologist
physician who studies and treats diseases of the urinary tract
radiologist
Medical specialist in the use of x-rays and other imaging techniques
endocrinologist
a physician who specializes in diagnosing and treating diseases and malfunctions of the endocrine glands (hormones, thyroid, diabetes)
gastroenterologist
physician who studies and treats diseases of the stomach and intestines
obstetrician
A doctor who specializes in pregnancy, labor, and delivery
oncologist
a physician who studies and treats tumors/cancer
ophthalmologist
physician who studies and treats diseases of the eye
orthopedist
medical doctor who specializes in bone, joint, and muscle conditions
pathologist
specialist in the study of disease using microscopic examination of tissues and cells and autopsy examination
otolaryngologist
specialist in ear, nose, and throat disorders
neurologist
a physician who treats physical disorders of the nervous system
pediatrician
a doctor who specializes in treating children
psychiatrist
medical doctor who has specialized in treating psychological disorders
urgent cares
cost less than ER; walk ins welcome
laboratory services
Perform diagnostic testing on blood, body fluids, and other types of specimens
diagnostic imaging
imaging of body parts to further diagnose a condition
occupational therapy
Assists patients who have conditions that disable them mentally, physically, emotionally, and developmentally
physical theapy
assist pts to regain mobility, ROM, improving strength
acupuncture
pricking the skin or tissues with needles to relieve pain
chiropractic
diagnoses and treats mechanical disorders of musculoskeletal system
energy therapy
The calm method of clearing cellular memory through the human energy field promoting health, balance and relaxation.
dietary supplements
contains one or more of the following: vitamins, minerals, plant-derived substances, amino acids, or concentrates or extracts
allowed amount
The maximum amount a third-party payer will pay for a particular procedure or service
copayment
The amount of money the patient has to pay out of his or her own pocket at the time of service
deductible
A specific dollar amount that must be paid by the insured before a medical insurance plan or government program begins covering health care costs.
Advance Beneficiary Notice (ABN)
A form provided to the patient when the provider believes Medicare will probably not pay for services received
explantion of benefits
a statement from insurance carrier detailing what was paid, denied, or reduced in payment
participating provider (PAR)
provider who agrees to write off the difference between the amount charged by provider and approved fee established by insurer
Medicare
pts 65+ Part A-hospitalization Part B-office visits
Tricare
U.S. government health insurance plan for all military personnel
Medicaid
a medical assistance program for low-income people
CHAMPVA
surviving spouses/children of veterans who died in service related to disabilities
managed care plans
plans that provide healthcare in return for preset scheduled payments
Workers Compensation
Protects employees in the event of injuries caused by work related activities
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