fbla healthcare administration

electronic health record

EHR

EHR vs EMR

EHR is a more comprehensive patient history collected from all medical providers that the patient has visited and EMR is standard medical and clinical data gathered in one provider’s office

electronic medical record

EMR

date of birth

DOB

do not rescucitate

DNR

preferred provider organization

PPO

what is a PPO

patients can go to any provider, but using nonparticipating providers results in a higher cost to the patient

safety data sheets

SDS

what are SDS

crucial documents detailing chemical hazards, safe handling, storage, and emergency procedure

explanation of benefits

EOB

federal unemployment tax act

FUTA

what is FUTA

collection of taxes to fund state programs

joint commission accreditation healthcare organizations

JCHAO

national committee for quality assurance

NCQA

what is NCQA

reviews and accredits health plans

ambulatory services center

ASC

what is ASC

health care facilities focused on providing same-day surgical care

health insurance portability and accountability act (1996)

HIPAA

what is HIPAA

protects the privacy and security of patients’ PHI and also allows people to maintain health insurance coverage when changing jobs

health and human services

HHS

what is HHS

protects the health of all Americans and provides essential human services

health maintenance organization

HMO

what is a HMO

provides patients with care from a network of designated providers; the patients are required to choose a primary care physician from that network

point of service plan

POS

what is a POS

a health care plan that combines elements of HMOs and PPOs; it offers more flexibility than an HMO, as you can choose to go outside the network

complete blood count

CBC

as needed

PRN

treatment, payment, and healthcare operations

TPO

fair labor standards act (1938)

FLSA

what is FLSA

protects minimum wage and overtime pay requirements

exclusive provider organization

EPO

consolidated omnibus budget reconciliation act

COBRA

national practitioner data bank

NPDB

drug enforcement administration

DEA

what is the DEA

issues narcotics licenses to physicians

high efficiency particulate air filter

HEPA filter

employee retirement income security act

ERISA

outcomes and assessment information set

OASIS

patient oriented medical record

POMR

healthcare common procedure coding system

HCPCS

what is HCPCS

classifies outpatient services and supplies

what is a POMR

method of charting that organizes patient information to center around the patient’s needs and health concerns

ICD-11 code system

helps with medical billing and insurance claims

superbill/encounter form

document that records specific services, procedures, and diagnoses from a patient visit; translates a clinical encounter into medical billing codes for insurance reimbursement

centesis

surgical puncture to remove fluid

hyper

above or excessive

single payer system

healthcare system financed by taxes that cover the costs of essential healthcare for all residents, with costs covered by a single public system

national labor relations act(NLRA)

protects the rights of employees and employers; encourages collective bargaining

minimally invasive surgery

surgery where only small cuts are made into the body; has a shorter recovery time

infra

below or beneath

inter

between

intra

within, inside

intro

into or within

ac, ic, al, ous, tic

relating to

aden

relating to glands

anter

front

brachi

relating to the arm

cyt

relating to cells

dors

back or posterior

encephal

relating to the brain

gastr

relating to the stomach

hemat

relating to blood

hist/histi

relating to tissue

myo

relating to the muscles

ocul

relating to the eyes

ventr

front of body

proximal

nearer to the center of the body

distal

away from the center of the body or from the point of attachment

Title VII

prohibits employment discrimination in healthcare

myocardial infarction

heart attack

tachy

fast

outpatient care

providing treatments that don’t require overnight stays and is designed for convenience and accessibility; can include telehealth consultations, same-day surgeries, and chronic disease management

LEAN principles

primary focus is putting the patient first, promoting efficiency, and eliminating waste

Nursing Relief for Disadvantaged Areas Act

allows for the temporary employment of foreign registered nurses in underserved areas or areas that experience a shortage of healthcare professionals

billing service

manages the financial aspects of a medical practice; this includes preparing and sending monthly statements to patients, handling insurance claims, and making collection calls as necessary

clearinghouse

acts as an intermediary that processes claims between healthcare providers and insurance payers

credentialing

verifies qualifications, training, and experience of healthcare providers, ensuring they meet the necessary standards to deliver safe and effective care

aggregate data

data collected from large populations of individuals

Equal Pay Act (1963)

prohibits discrepancies in pay between men and women

Theory X

theory that the average employee is inherently disinclined to work and avoids responsibility whenever possible

Theory Y

suggests that employees are self-motivated and thrive on responsibility and seek to contribute meaningfully

Theory Z

emphasizes teamwork and worker involvement in decision making processes

accounts receivable

the amounts that patients or third party payers owe for services rendered but have not yet paid

compensatory damages

financial compensation awarded in civil law to reimburse an individual for losses or injuries they have sustained due to another party’s actions

ICD-9 codes

classify medical diagnoses and procedures for payment

body temperature, blood pressure, pulse(heart rate), breathing rate(respiration rate), and pain

five vital signs

co-payment

a fixed fee paid upfront; predetermined amount set by your insurance plan

equal employment opportunity commission

EEOC

what is the EEOC

agency of the federal government to interpret and enforce laws prohibiting discrimination

open booking

patients are given a wide array of time in which there is a first come, first serve basis

double booking

two patients are scheduled into the same time slot

wave scheduling

scheduling multiple people in a half hour and then having a first come, first serve basis

time specific(stream) scheduling

scheduling appointments at a specific time

bradycardia

abnormally slow heart rate

tachypnea

abnormally fast respiration rate

systematic infection

an infection in the blood stream

healthcare power of attorney

a document in which you designate someone else to cover your medical needs when you can’t

explanation of benefits form

a form from an insurance company that explains what services were paid for

endo

in, within, inside

affordable care act

ACA