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32 Cards in this Set

  • Front
  • Back

ACA

Affordable Care Act


This law is to provide the consumer with insurance options and an increased accessibility to affordable health care.


ACO

Accountable Care Organization


A network of hospitals, physicians, and other healthcare providers who voluntarily offer to coordinate care for their Medicare patients.

AHCCCS

Arizona Health Care Cost Containment System



It differs in that the provider (private physician groups) must bid annually for contracts to serve this population and patients are able to choose their healthcare provider through annual open enrollment.

APC

Ambulatory Patient Classification


A classification system implemented in 2000 for determining payment to healthcare facilities for Medicare and Medicaid patients only.

Case Manager

As the patients advocate, this person has the responsibility to advise the the patient on healthcare needs and coordinate responses to those needs.

Certification

Evidence that an individual has mastered fundamental competencies in a particular technical area.

CLIA ‘88

Clinical Laboratory Improvement Amendments of 1988.

CMS

Center for Medicare and Medicaid Services.

Communication Barriers

Biases or personalized filters that are major obstructions to verbal communication.

CPT

Current Procedural Terminology

Exsanguinate

To remove all blood.

HIPAA

Health Insurance Portability and Accountability Act


Patients information/Test results are to be kept confidential.

HMOs

Health Maintenance Organizations

ICD -10-PCS

International Classification of Diseases, Tenth Revision, Procedural Coding System.

IDNs

A healthcare provider that includes a number of associated medical facilities that can furnish coordinated healthcare services from prebirth and death.

Kinesic slip

When the verbal and nonverbal messages do not match.

Kinesics

The study of nonverbal communication.

MCOs

Manage Care Organizations


MCOs contract with local providers to establish a complete network of services.

Medicaid

A federal and state program that provides medical assistance for low-income Americans.

Medicare

Federally funded programs that provides health care to people over the age of 65 and to the disabled.

MLS

Medical Laboratory Scientist


Generally has a bachelor’s degree plus additional studies and experience in clinical laboratory settings.

PCP

Primary Care Physician

PHI

Protected Health Information


Patient privacy

PHS

Public Health Service

Phlebotomy

Incision into the vein for the purpose of drawing blood.

Polycythemia

A disorder involving overproduction of red blood cells.

Primary Care

Care by general physician who assumes ongoing responsibility for maintaining his or her patients’ health.

Proxemics

The study of an individual’s concept and use of space.

Reference Laboratories

Large independent laboratories that receive and test specimens from many different facilities.

Secondary Care

Care by a physician (Specialist) who can perform out-of-the-ordinary procedures in outpatient facilities.

Tertiary Care

High complex care and therapy services from practitioners in an hospital or overnight facility.

Third-Party Payer

An insurance company or government program that pays for healthcare services on behalf of a patient.