FBLA Healthcare Administration Study Guide (COMPLETE)

FUTA

a law that requires employers to pay federal taxes for unemployment compensation.

Adjudicate

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

Latent

A condition that is present but not yet apparent or active.

JCHAO

The Joint Commission on Accreditation of Healthcare Organizations; it evaluates healthcare organizations to ensure they meet certain performance standards.

NCQA

The National Committee for Quality Assurance; it oversees the accreditation of healthcare organizations, focusing on improving healthcare quality.

ASC

(Ambulatory Services Center) modern health care facilities focused on providing same-day surgical care, including diagnostic and preventive procedures. Have been shown to cost 50% than an inpatient hospital because they use line by line billing.

Adverse Selection

when individuals with a higher risk of needing insurance are more likely to purchase it than those with a lower risk. This can lead to higher costs for the insurer because they end up with a disproportionate number of high-risk clients.

Admission Certification

the insurer’s review and approval of a hospital admission to determine coverage and payment.

Single Payer System

A healthcare system financed by taxes that covers the costs of essential healthcare for all residents, with costs covered

Evidence Based Medicine

Using information gathered from EMR (Electronic Medical Record, EHR (Electronic Health Record) to find the best course of treatment for a patient

EMR

(Electronic Medical Record) An EMR contains the standard medical and clinical data gathered in one provider's office

EHR

goes beyond the data collected in the provider's office and includes a more comprehensive patient history collected from all medical providers that the patient has visited.

HIPPA

United States legislation that provides data privacy and security provisions for safeguarding medical information.

National Labor Relations Act

a law that protects workers’ rights to unionize and engage in collective bargaining, and prevents employers from committing unfair labor practices.

HHS

Also known as the Health Department, is a cabinet-level department of the U.S. federal government with the goal of protecting the health of all Americans and providing essential human services.

NACHRI

A national organization composed of children's hospitals and related institutions whose programs are clinical, as opposed to social or custodial.

A-,an-

without, not, lack of

Ante-

before, in front of, or forward

Anti-

against, opposing

Bi-

twice, two, double, both

co-, con-, com-

together or with

De-

Down or from

Minimally invasive surgery

A surgery where only small cuts are made into the body. Usually fiber optics, guide images, microwaves and other technologies are used to see into the body rather than opening up the body to see in. Minimally invasive surgery is becoming used more often because it has been shown to have a shorter recovery time than traditional surgery.

Di-

two or twice

Extra-, extro-

outside of, outward, beyond

Hemi-, semi-

half, half of

Hyper-

above, excessive

Hyp-, hypo-

below, beneath, deficient

Infra-

below or beneath

Inter-

between