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MOP Admin
Final Vocab
Question | Answer |
---|---|
Defendant | The one being sued or charges against |
Standard of Care | It establishes whether the plantiff can collect damages in the case of negligence |
TRICARE | established to aid the depnedents of active duty service personnel, retired personnel and the dependents, and services personnel who died on active duty |
Capitation | When a health care provider is paid a fixed amount per month for each pt. who is a member of a particular insurance whether or not services were provided |
Courteous | Polite, respectful, or considerate in manner |
Accurate | Correct in all detail; exact |
Felony | A serious crime, punishable to life or possible death |
Law | a systme or rules that a particular county or community recognizes the actions if its members |
Medical Coder | An individual who uses a set of published codes such as HCPCS AND ICD-9 for reporting services and products provided by a health care provider to an insurer of the recipient of the care |
Emergency Medical Technician (EMT) | is an entry-level patient care provider in the field of emergency medical services |
Dependable | Trustworthy and reliable |
Preponderance of evidence | the great weight of the evidence required in a civil lawsuit for the trier of fact to decide in favor of one side or the other |
Medical biller | Responsible for the timely submission of technical or professional medical claims to insurance companies including physician offices, hospitals, nursing homes, or other health care facility |
Misdemeanor | Punishable up to one year in a county or local pen |
Copayment | fixed amount of money paid toward the charge for professional sercies renderred at the time of service |
CHAMPVA | established for the spouses and dependent children of vets who have total, permanent service connected disability |
Honest | Refers to the moral character and brings positive and virtuous attributes such as integrity, truthfullness and straighforwardness |
Surgical Technologist | Allied health professionals, who are an intergal part of the team of medical practitioners providing surgical care to pt.'s in a veriety of settings |
Case law | the laws as established by the outcome of former cases |
Respiratory Therapist | Alled health field involved in the assessment and treatment of breathing disorders including chronic lung problems |
Pharmacy Technician | A pharmacy staff member who works undre the direct supervision of a licensed pharmacist and performs many pharmacy-related functions |
Supremacy Clause | A Supreme Court rulling to be binding on state courts if involving a constitutional issue |
Assignment of benefits | authorization by the pt. to allow the Dr. to get paid directly from the insurance company |
Group insurance | insurance offered to all employees by the employer |
Patience | The capacity to accept ot tolerate delay, trouble, or suffering without getting angry or upset |
Plantiff | initiantes a lawsuit |
Dietitan | an expert on diet and nutrition |
Respectful | Feeling or showing deference and respect |
Confidential | Intended to be kept secret |
Audiologist | are health care professionals who evaluate, diagnose, treat, and manage the measurement of hearing |
Beyond a reasonable doubt | Prosecution must prove that the defendant committed the act in a criminal/federal case |
Coordination of benefits | Procedures used by insurers to avoid duplication of payments on claims when a pt. has more than one insurance company |
Effictive date | date when the insurance policy goes into effect |
Sonographer | Diagnostic medical professionals who operate ultrasonic imaging devices to produce diagnostic images, scans, videos, or 3d volumes of anatomy |
Deductible | A predetermined amount that the insured must pay each year before the insurance company will pay for an accident or illness |
Health Maintenance Organization | a group insurance that entitles members to services provided by participation hospitals, clinics, and physicians |
Initiative | The ability to assess and initiate things independently |
Workers Compensation | government program that provides insurance coverage for thise who are injured on the job or who have developed work related disorders, disabilites or illnesses |
Medicare | Government funded insurance for the elderly and disabled and end of stage renal disease |
Physical Therapist | Therapist who treats injury or dysfunction with exercise and other physical treatments or the disorder |
Pre-Certification | Approval obtained before the pt. is admitted to the hospital or receives specified outpatient or in office procedures |
Medicaid | joint funding program by federal and stated government for the medical care of low income pt.'s on public assistance |