Intro To Hit Ch 5 Medical Business Operations

Front 1

imaging

Back 1

The use of technologies that provide a visual representation of internal body structures to help diagnose and treat medical disorders.

Front 2

computed tomography (CT) or computerized axial tomography (CAT)

Back 2

An x-ray system wherein the tomography is digitized and processed by a computer using special computer software algorithms that convert the data into radiographic image slices of the body.

Front 3

primary care physician (PCP)

Back 3

A doctor who diagnoses and treats patients in one of three specialties: family or general practice (GP), internal medicine, or pediatrics.

Front 4

acuity

Back 4

A measure of the degree of patient disease or injury.

Front 5

Code Blue

Back 5

An emergency code, generally announced over a public address (PA) system in a hospital, that means a patient is in respiratory or cardiac distress and needs immediate help

Front 6

ambulatory surgery

Back 6

Surgicalprocedures that can be accomplished without the patient needing an overnightstay.

Front 7

behavioral health

Back 7

An area of psychiatry that studies the relationship between behavior and the patient's overall well-being.

Front 8

cardiac care unit (CCU)

Back 8

Hospital unit commonly reserved for patients who require specialized cardiac monitoring; the patient's electrocardiogram (EKG) is usually monitored on a central console at the bedside.

Front 9

Cardiovascular department

Back 9

A hospital department that addresses advanced cardiac specialties like electrophysiology, heart failure, and heart transplantation.

Front 10

ears, nose, and throat (ENT)

Back 10

The area of medical study that addresses facial plastic surgery, the head and neck, laryngology (voice), neuro-otology (middle/inner ear, base of skull), otology (ear), and rhinology (sinuses).

Front 11

laboratory

Back 11

Departmentprovides various chemical, microbial, microscopic, and other studies for the purpose of diagnosing and treating disease or injury

Front 12

Medical/Surgical (Med/Surg) department

Back 12

A hospital department that primarily cares for adult patients before and after surgery.

Front 13

nuclear medicine

Back 13

Medical imaging technology that uses the radioactive decay of radiopharmaceuticals in the diagnosis and treatment of disease.

Front 14

gynecology

Back 14

The study of the female reproductive system.

Front 15

obstetrics

Back 15

Area of medicine concerned with pregnancy, childbirth, and post-birth issues.

Front 16

family birth center (FBC)/Stork unit

Back 16

A department within a hospital or a stand-alone organization that strives to provide a family-oriented approach to childbirth.

Front 17

occupational therapy (OT)

Back 17

An organizational department that helps people complete tasks of daily living.

Front 18

oncology (ONC)

Back 18

The ONC department addresses the specific needs of cancer patients on both an inpatient and outpatient basis.

Front 19

operating room (OR)

Back 19

The department where surgical operations are conducted.

Front 20

ophthalmology department

Back 20

Department with staff and equipment necessary to diagnose and treat various eye conditions, including cataracts, glaucoma, and retinal disorders.

Front 21

Post-Anesthesia Care Unit

Back 21

Department for patients recovering from the use of any type of anesthesia due to the potential for post-anesthesia events such as respiratory arrest. PACUs are sometimes called recovery rooms.

Front 22

Radiology

Back 22

A radiology (x-ray) department provides imaging equipment that may use x-rays, ultrasound, or nuclear isotopes as a method to detect and diagnose disease or injury.

Front 23

respiratory therapy (RT)

Back 23

RT treats many respiratory conditions using resources such as bronchodilators, pulmonary rehabilitation, and mechanical ventilation.

Front 24

Transitional Care Unit (TCU)

Back 24

Used for transition of CCU and ICU patients who are making progress and may not need the full resources of the CCU or ICU (also called Progressive Care Unit [PCU]).

Front 25

clinical software

Back 25

Used to manage and manipulate data and information in the clinical environment. This can be in a hospital, a doctor's office, or a clinic.

Front 26

patient tracking software

Back 26

Used to help better manage patients and the practice by providing the ability to track services provided; by helping better manage patient demographics; by managing patient visit history, including services performed, time, and diagnosis; and by tracking patient-specific illnesses like allergies

Front 27

scheduling software

Back 27

Software that helps manage the patient-scheduling process.

Front 28

computerized physician order entry (CPOE)

Back 28

The use of electronic systems to store and transmit physician-generated orders to other healthcare professionals in departments such as pharmacy, laboratory, or radiology.

Front 29

billing software

Back 29

Software that helps manage the billing process using technology like insurance claim validation.

Front 30

coding software

Back 30

Used to help clinical staff, professional coders, and others generate complete and accurate coding using ICD and other codes before claim submission

Front 31

audit software

Back 31

Software that uses computer algorithms to automatically check that the correct Current Procedural Terminology (CPT) is used.

Front 32

Current Procedural Terminology (CPT)

Back 32

A coding scheme that describes various medical, surgical, and diagnostic services to facilitate uniform information communication regarding medical services.

Front 33

practice management software (PMS)

Back 33

Integrates medical software functionalities for day-to-day operations of a medical practice into one integrated system.

Front 34

registration

Back 34

A workflow step in which the patient's demographic data (contact information, billing information, next of kin, current medications, and other information pertinent to the patient's general condition ) is collected

Front 35

consultation

Back 35

Questions asked of a patient as part of the clinical process. May include information such as pain levels, location, and intensity. May also include a brief history of activity so as to determine if behavior or certain actions contributed to the illness (also known as medical history).

Front 36

Vital signs measurements

Back 36

•Body temperature (degrees Fahrenheit or Celsius)•Blood pressure (millimeters of mercury)•Pulse rate (heart rate, beats per minute)•Respiratory rate (breaths per minute)

Front 37

examination

Back 37

Part of the clinical process, a physical examination to determine if there are any macroscopic (seen by the eye) irregularities like swelling, rashes, or other external expressions of illness, disease, or trauma

Front 38

physician order entry

Back 38

The process of storing and transmitting diagnostic or treatment orders to other healthcare professionals in departments such as pharmacy, laboratory, or radiology.

Front 39

digital signatures

Back 39

Encrypted messages that are analogous to handwritten signatures, but allow for electronic transmission and storage

Front 40

dictation

Back 40

When a physician uses a centralized voice-recording system to give verbal orders. The recording system may be shared by various other physicians.

Front 41

transcription

Back 41

The conversion of verbal physician orders to an electronic, paper, or film format.

Front 42

referral

Back 42

Sending a patient to other healthcare professionals for further diagnosis or treatment.

Front 43

consult

Back 43

When a physician communicates with other physicians or specialists for additional information or ideas about a patient's diagnosis or treatment

Front 44

medical devices

Back 44

Used to diagnose and treat patients by the use of physical and chemical means.

Front 45

electroencephalograph (EEG)

Back 45

A two-dimensional representation of electrical brain function used to determine disorders such as coma, epilepsy, and brain death.

Front 46

glucose monitor

Back 46

A two-dimensional representation of electrical brain function used to determine disorders such as coma, epilepsy, and brain death.

Front 47

Magnetic Resonance Imaging (MRI)

Back 47

An imaging technology that uses very strong magnetic fields to visualize internal body structures.

Front 48

portable x-ray machine

Back 48

A smaller version of an x-ray machine that can be moved to the patient.

Front 49

positron emission tomography (PET)

Back 49

A device in which the gamma rays emitted by positron-emitting radiopharmaceuticals (tracers) can be reconstructed into a three-dimensional image of tracer concentration, thereby providing highly detailed imaging of internal body structures.

Front 50

ultrasound

Back 50

Machines that use high-frequency sound waves to image soft-tissue structures like various organs

Front 51

vitals cuff

Back 51

A device that measures two or more vital signs at one time for continuous monitoring without staff intervention.

Front 52

interface

Back 52

A common language or dialect that supports system communication and interaction with other systems.

Front 53

Health Level Seven (HL7)

Back 53

A not-for-profit standards organization that develops frameworks and associated standards that support the exchange of electronic health information

Front 54

Continuity of Care Document (CCD)

Back 54

An extension of the HL7 Clinical Document Architecture (CDA) based on XML markup standards for encoding patient summary clinical documents for exchange between systems

Front 55

Continuity of Care Record (CCR)

Back 55

A standard based on XML that defines a patient health summary.

Front 56

Systematized Nomenclature of Medicine (Snomed)

Back 56

A taxonomy that provides for the classification of disease. Its nomenclature includes 11 axes (or properties) of disease

Front 57

National Drug Code ID (NDCID)

Back 57

A 10-digit, 3-segment unique numeric code that identifies each medication listed in Section 510 of the U.S. Federal Food, Drug, and Cosmetic Act.

Front 58

picture archiving and communication system (PACS)

Back 58

A system for providing storage and access to medical images from multiple source types thereby eliminating manual storage requirements.

Front 59

Evaluation and Management Coding (E/M coding)

Back 59

A coding system for billing based on CPT codes that physicians must use with private insurance, Medicare, and Medicaid programs