MDA 125 Chapter 1

The process of bloodletting. Which involved cutting into a vein with a sharp instrument and releasing blood in an effort to ride the body of evil spirits.

to remove all Blood

A disorder involving overproduction of red blood cells.

Is evidence that an individual has mastered fundamental competenceis in a particular technical area.

Health Insurance Portability and Accountability Act

Biases or personlized filters

The study of nonverbal communication

When verbal and nonverbal messages do not match

Study of an indivdual;s concept and use of space.

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

Prospective payment System:

Standardize the Medicare/medicaid payments to hospitals

Diagnosis-related groups:

Hospitals are reimbursed a set amount for each patient procedure using established disease categories

Ambulatory Patient classification:

determining payment to hospitals for outpatient service.

• International
• Classification of Diseases, Ninth Revision, Clinical Modification:

Coding of diagnoses, all major payers use this coding system that groups together similar diseases and operation for reimbursement in patients.

Arizona Healthcare Cost Containment System : Private physician groups must bid annually for contracts to serve this population patients are able to choos their healthcare provider through annual open enrollment

Physician who assumes ongoing responsibility for maintaining patients health

Level physician (Specialist) who performs routine surgery ER treatments therapeutic radiology and so on in sameday service centers

Highly complex services and therapy level practitioners. usually require that patients stay overnight or longer

Contract with local providers to establish a complete network of services. Providers are reimbursed on the basis of the number of enrollees served not on the number of services delivered.

Group practices reimbursed on a prepaid, negotiated and discounted basis of admission.

Independent groups of physicians or hospitals that offer services to employers at discounted rates in exchange for a steady supply of patients.

Made up of a number of associated medical facilities that furnish coordinated healthcare services from prebirth to death.

Physician filling the roll as the patients advocate, this person has the responsibility to advise the patient on healthcare needs and coordinate responses to those needs.

Independent Lab that receive specimens form many different facilities located in the same city, other cities in the same state, or even out of state. They provide routine and more specialized analysis of blood, urine, issue, and other patient spcimens.

Code is used for Procedure codes are used for patients seen in the ambulatory setting and for professional services in the inpatient setting