FBLA health care administration test

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