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26 Cards in this Set

  • Front
  • Back
APN (Advanced Practice Nurse)
Nurses who have education and clinical experience beyond that required of an RN
Allied Health
are those clinical healthcare professions distinct from the medical profession and nursing profession. As the name implies, they are all allies in the healthcare team, working together to make the healthcare system function.
physicians who study general medicine
LPN (Licensed Practical Nurse)
Overseen by RNs
NPP (Nonphysican Practitioner)
Clinical professionals who practice in many of the areas in which physicians practice but who do not have an MD or a DO degree.
nurse pracitioner
Primarly work in primary care settings
osteopathic medicine
Emphasize the musculoskeletal system of the body such as correction of joints or tissues
PA (Physician's Assistant)
NPP part of the healthcare team who work in a dependent relationship with a supervising physician to provide comprehensive care
RN (Registered Nurse)
Registered Nurse
Physicians who specialise in certain areas of medicine
administrative information system
Designed to assist in carrying out financial and administrative support activites such as payroll, patient accounting, staff scheduling, materials management, budgeting and cost control, and office automation
clinical information system
involve the organized processing, storage, and retrieval of information to support pateint care delivery
medical practice guidelines
systematically develpoed protocols to assist practitioners in delivering appopriate health care for specific clinical circumstances
technology assessment
refers to the evaltion of medical technology to determine its safety, effectiveness, feasibility and indication for use and cost effectiveness
eliminated the requirement for in-person, face-to-face contact between the examining physician and the patient
insured is also referred to as ...
the provider is paid a fixed monthly sum per enrollee, often called a per member, per month
80:20 ratio of cost sharing between the insurance plan and the insured is referred to as
the amount that the insured has to pay out of pocket each time health services are received after the deductable amount hasw been paid
the amount the insured must first pay before any benefits by the plan are payable
cost sharing
reduces the misuse of insurance benfits
means test program
program jointly financed by the federal and state governments
per diem
prospective reimbursment
uses certain preestablished criteria to determine in advance the amount of reimbursement
retrospect reimbursement
based on costs that are directly related to length of stay services rendered and the cost of providng
third-party payers
insurance companies, mcos, blue cross/blue shield, and the government