FBLA Healthcare Administration (Test Specific Terminology)

FUTA

Allows collection of taxes in order to fund state programs

Adjudicate

Settles payment on insurance claims. Also refers to review of evidence in a trial

Latent

Incubation period. Infections are persistent and go into relapse

JCHAO

Reviews and accredits hospitals

NCQA

Reviews and accredits health plans

ASC

Ambulatory services center. Line by line billing allows for less costs

Adverse selection

Attracting patients that are sicker than usual

Admission Certification

Admitting patients that need more care

Single Payer System

Government Run. Care Triad (Cost, quality, access)

Evidence Based Medicine

Uses EMR of patient to determine the best treatment

National Labor Relations Act

Allows hospital/heath care providers to use bargaining units

Fair Labor Standards Act of 1938

Establishes Minimum Wage, Ages, overtime pay for workers

Equal Pay Act

Pay equality amongst genders

HEDIS

Compares health plan performance

OASIS

Reimbursement for home health care plans

UHDDS

Uniform health discharge data set. Needed for Medicare reporting

OSHA

Establishes and regulates workplace safety

Protected Health Information

Records of a patient's past and present health condition, how the care was provided and how the patient paid

HIPPA

Health Information Privacy and Portability act

Provisions of HIPPA

Cannot be denied coverage for group insurance, coverage wait cannot exceed 12-18 months, safeguards electronc information, privacy of health records

Copay

Payment defined by policy that grants access to the treatment

Premiums

Money paid to insurers to negate the risk of loss. Lower payments result in high treatment costs

HMO

Health Maintenance Organization: Individuals pay a fixed amount and get access to facilities within the plan

PPO

Typical insurance style. Individuals pay a fee for service along with copay and deductables through a network of providers

POS

Similar to a HMO, but with extentions through payment similar to a PPO plan

HDHP

Insurance plan for high risk individuals. Low premium but has high deductables

Medicare

Health care plan entitled to people 65 and older

Medicaid

Health care plan granted by states to low income individuals

ERISA

Act that allows employers to set up insurance plans. Also allows funding for Medicaid

Medicare Part A

Inpatient coverage, home health, hospice. Also defines limits of Medicare usage

Medicare Part B

Outpatient care. Extends Medicare to supplemental treatments, and physicians

Medicare Part C

Allows people with Medicare to enroll in supplemental indemity plans

Medicare Part D

Medicare drug coverage

TRICARE

Military health insurance progra

Managerial Accounting

Financial data for internal users: Board, executives and managers

Financial Accounting

Financial data for external users: Stockholders, lenders, insurers, government

HCPCS

Healthcare Common Procedure Coding System: Codes used for outpaint services and supplies

EMR

Electronic record for individual patients

EHR

Electronic record for a population

Triage

Determining which patients to admit first

Systemic

Disease affects multiple organs

NPDB

Records of practitioner credentials

DNR

Do not recessetate order

Stark Law

Prohibits physicians from making referrals to Medicare

Affadavit

Sworn statement of facts in an incident

In Loco Parentis

Court makes decesions in place of the parents

Credits

Positive account changes. Right (middle) side of ledger

Debits

Negative account changes. Left side of ledger

Accounts Receivable

Payers who still need to send funds. Assets are still accessable, but not tangible (liquid)

ICD-9 Codes

International Disease Classification codes

ICD-9 Codes 0-739

Codes for diseases or disorders

ICD-9 Codes 740-999

Codes for injuries

Current Liabilities

Expenses to be paid

SCHIP

Program that helps needy families with children get insurance

3 ft Radius

Droplet isolation zone

Preliminary Screening

Interview of patient to obtain signs and symptoms

Antiseptic

Inhibits microbrial growth on surfaces and tissues

Disinfectants

Destroy microbes on non living matter

PPACA

"Obamacare"

POMR

Helps track treatments in medical records

Infection Timeline

Incubation, Itching/chills phase, peak stage with vomiting/aches/chills, recovery stage

Jurisprudent

Knowledgable on the law

CPT-4

Codes for treatments

NPI

8-20 digit number for Medicare providers

Patient Bill of Rights

Access to closest ER, choice of doctor, pediatrician, etc