Comprehensive Medical Office and Healthcare System Overview MED intro to med asst
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116 Terms
What is palliative treatment?
Treatment that reduces the effects of a disease or condition but does not cure the disease.
What trend has emerged in the past 30 years regarding hospital admissions?
There has been a trend to avoid admitting patients to the hospital if possible.
Who provided the first health insurance plans in the United States?
The federal government did not provide the first health insurance plans.
What pressure has the managed care movement put on physicians?
It has pressured physicians to limit time spent with individual patients.
Is it optional for a physician to spend 2 to 5 years in postgraduate training after medical school?
No, it is not optional.
What is required if laboratory tests are done in the medical office?
There must be a specific room or area set aside for this.
Are most medical offices using electronic medical records?
Yes, most medical offices are using electronic medical records.
Who provides general medical care to adults?
An internist or a family practitioner.
What does a group practice often consist of?
Three or four physicians in the same specialty.
Do many patients receive complementary medicine in addition to standard medical treatment?
No, only a few patients do.
What must a patient's condition be for hospitalization?
The condition must be very unstable or require regulation of therapy.
Is managed care insurance the same as fee-for-service insurance?
No, they are not the same.
What does a nurse practitioner do?
Manages routine patient care and can write prescriptions in most states.
Are patients immediately taken to a treatment room upon entering the office?
No, they are not immediately taken to a treatment room.
What agency provides for health and safety in the workplace?
The government agency is not CLIA.
What is the patient-centered medical home (PCMH)?
A model of primary care emphasizing a personal relationship among a patient, physician, and care team.
What may a medical office have for treatments or procedures?
A special room just for treatments or procedures.
What is the legal status of an osteopathic physician (DO) compared to an MD?
An osteopathic physician has the same legal status as an MD.
What is a neurologist?
A physician who specializes in diseases of the nervous system.
Is complementary medicine another term for standard medical treatment?
No, it is not.
What is ambulatory care?
Medical care that is provided on an outpatient basis.
What is capitation in managed care?
A set payment provided per patient per month regardless of service amount.
What is curative treatment?
Treatment that cures disease.
What does empirical mean?
Learned from observation or experiment.
What is fee-for-service health care?
A means of payment where each service is reimbursed in full or in part.
What is a formulary?
A list of prescription drugs covered or preferred by a managed care insurance company.
What is health insurance?
Purchase of protection for covered services related to health care.
What does holistic mean in medicine?
Considering the entire person when providing health care.
What is managed care?
A system that manages health care delivery with the intention of controlling costs.
What is symptomatic treatment?
Therapy for symptoms of a disease or condition.
What is quality assurance in health care?
Measures to ensure that patients receive safe and appropriate services.
What is residency in medical training?
A program to provide training in a medical specialty after medical school.
What is utilization review?
Assessing medical services to determine appropriateness and quality.
What is the World Health Organization's definition of health?
A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
Who is considered the first to see illness as a result of physical and environmental factors?
Hippocrates, who lived approximately 460-370 BCE.
What three trends influence health care in ambulatory settings?
Reducing health care costs, promoting public prevention, and recognizing better recovery outside hospitalization.
What is the definition of fee-for-service health insurance?
A model where each specific health care service is billed and paid for separately.
What three government insurance plans were introduced in the 1960s?
Medicare, Medicaid, and TRICARE.
What is Medicare?
A federal health insurance program for eligible older adults and certain people with disabilities.
What is Medicaid?
A program providing health coverage for eligible low-income individuals and families.
What is TRICARE?
A health care program providing medical benefits for active-duty military personnel, retirees, and dependents.
What does capitation mean in managed care?
Providers receive a fixed monthly fee per enrolled subscriber for primary care services.
How do managed care plans reduce prescription medication costs?
By using a formulary that identifies approved, cost-effective medications.
What are the six steps of an ordinary patient visit to a medical office?
1. Patient arrives; 2. Checks in and pays; 3. Examined by physician; 4. Diagnostic tests; 5. Receives diagnosis and treatment plan; 6. Follow-up instructions.
Who assigns codes to office surgical procedures for billing?
Medical coder.
Who sets up a medical record filing system?
Medical records coordinator.
Where is a patient's paper medical record put after use?
File room.
Where does a physical examination by the provider take place?
Examination room.
Where is an appointment made for a patient who calls the office?
At the front desk.
Where is a patient weighed?
In the examination room.
Where are urine specimens tested?
Laboratory.
Where does a provider meet with a patient and family?
Provider's office.
Where are patient bills prepared for mailing?
Billing department.
Where is a laceration sutured?
Procedure room.
Where does a patient check in?
Reception desk.
Where are patient charges posted to the patient's account?
Billing department.
What specialist treats recurrent urinary tract infections?
Urologist.
What specialist treats a tumor of the colon?
Gastroenterologist.
What specialist treats acne?
Dermatologist.
What specialist treats a brain tumor?
Neurologist.
What specialist treats an ovarian cyst?
Gynecologist.
What specialist treats a cataract?
Ophthalmologist.
What specialist treats a hip fracture?
Orthopedic surgeon.
What specialist treats a growth on the vocal cords?
Otolaryngologist.
What specialist treats a stroke with paralysis?
Neurologist.
What specialist repairs a fractured cheekbone?
Maxillofacial surgeon.
Name at least six other health professionals who may work in a medical office.
Physician assistant, nurse practitioner, medical office manager, receptionist, medical biller/coder, phlebotomist.
How are physicians educated?
Complete an undergraduate degree, attend medical school for 4 years, then complete residency training, usually 3-7 years, with hands-on clinical training.
What examination does a physician take to obtain a state license to practice medicine?
MDs take the United States Medical Licensing Examination (USMLE); DOs take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX).
How does a physician become board certified?
By completing the required specialty training and passing the appropriate specialty board examination.
What is the education and training of a physician assistant (PA)?
A PA completes a master's-level program, usually about 24-27 months, modeled after medical school and including extensive clinical rotations.
What is the education and training of a nurse practitioner (NP)?
A nurse practitioner completes graduate-level education in nursing, commonly a master's or doctoral program.
What is teamwork?
Teamwork is a collaborative effort by a group of individuals to achieve a common goal.
What are components of effective teamwork?
Open communication, defined roles, mutual respect, and shared goals.
What are the major areas of a typical medical office?
Reception area, clinical area, administrative area, and laboratory.
What is the reception area used for?
Welcoming patients, handling check-ins, collecting copayments, and scheduling.
What is the clinical area used for?
Providers examine patients, take vital signs, and perform procedures.
What is the administrative area used for?
Managing billing, coding, scheduling, medical records, and other office functions.
What is the laboratory used for?
Collecting and analyzing specimens such as blood and urine.
What are four other areas that may be found in larger medical offices?
Waiting room, break room/staff lounge, physician private office, and storage/supply room.
What are three types of primary care physicians?
Family practitioner, internist/internal medicine physician, and pediatrician.
What is the emphasis of the patient-centered medical home (PCMH)?
Comprehensive, coordinated primary care with a personal relationship among the patient, physician, and the patient's care team.
What is osteopathy?
A branch of medicine that emphasizes the interdependent relationship of the body's systems.
Are osteopathic physicians (DOs) allowed to prescribe medications?
Yes. Osteopathic physicians are fully licensed physicians and may prescribe medications.
What is the difference between a solo practice and a group practice?
A solo practice is owned and operated by a single physician; a group practice includes two or more physicians who share expenses, staff, equipment, and on-site facilities.
What type of medical facility was traditionally called a clinic?
An ambulatory medical facility where patients receive low-cost care, often connected to a hospital or medical school.
What is acupuncture?
An ancient Chinese medical practice that involves inserting very thin needles into specific anatomical points on the body to balance energy flow, alleviate pain, and promote healing.
What is the role of complementary medicine in the United States today?
Complementary medicine is used alongside standard/conventional medicine to enhance overall patient well-being, manage symptoms, and support holistic health.
Who takes an x-ray of the lower leg?
Radiologic technologist.
Who creates a meal plan for a patient with a gastrointestinal disease?
Registered dietitian.
Who supervises laboratory operations?
Medical laboratory scientist.
Who passes instruments during surgery to repair a hernia?
Surgical technologist.
Who plans an exercise program for a patient after replacement of a hip?
Physical therapist.
Who helps a patient learn how to get dressed after a stroke?
Occupational therapist.
Who provides respiratory treatments to a patient with pneumonia?
Respiratory therapist.
Who performs an ultrasound of the gallbladder?
Diagnostic medical sonographer.
Is it true that telephones are switched to day message after opening?
True.
Is it true that medical records are pulled the evening before appointments?
True.
Is it true that the autoclave is run before closing so instruments dry overnight?
True.
Is it true that only one person should stand at the reception desk at a time?
True.