Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
110 Cards in this Set
- Front
- Back
the transparent sac that encloses the fetus in the utero is called the? |
amniotic sac |
|
A congenital condition of the newborn marked by mental retardation is called: |
Down Syndrome |
|
Surgical puncture of the amnion is called: |
amniocentesis |
|
The membrane by which the fetus receives nourishment is the : |
placenta |
|
surgical removal of the testicle is called: |
orchidectomy |
|
Excision of all or part of the prostate is called: |
prostatectomy |
|
Surgical rupture of the fetal membranes is called: |
amniotomy |
|
The study of diseases of the female reproductive organs is called |
gynecology |
|
which of the following abbreviations refers to a test for early diagnosis of cancer of the uterus ? a.pap b.PID C.TUR D.TURP |
Pap |
|
Surgical removal of the end of the foreskin of the penis is called: |
circumcision |
|
The period after childbirth is called: |
postpartum |
|
which of the following provides a picture of the developing fetus? a.amniocentesis b.colposcopy c.laparoscopy d.ultrasonography |
ultrasonography |
|
If the buttocks, knees, or feet of the fetus enters the mother's pelvis during labor, this is called: |
breech presentation |
|
reproductive organs are called: |
genitalia |
|
which of the following means within the uterus? |
intrauterine |
|
menopause is also called |
climacteric |
|
inflammation of the inner lining of the uterus is called: |
endometritis |
|
A surgical procedure that expands the cervical opening so that the uterine wall can be scraped is called: |
dilation and curettage |
|
the term vaginal is |
an adjective that refers to birth canal |
|
A sexually transmitted disease characterized by blisters on the genital organs is: |
herpes genitalis |
|
gestation |
pregnancy |
|
a condition in which tissue somewhat resembling endometrium occurs abnormally in the pelvic cavity is called: |
endometritis |
|
trying or binding of uterine tube for elective steriliaztion is a: |
tubal ligation |
|
A hormone that is necessary for the development and maintenance of female secual characteristics is |
estrogen |
|
menses is the same as |
menstruation |
|
what is true about gonads? |
they function in the production of sperm or ova |
|
At what time point is a developing human embryo referred to as a fetus? |
8 weeks after conception |
|
Abnormal implantation of a fertilized ovum outside the uterus called |
an eptomic pregnancy |
|
herniation of the bladder through the vaginal wall |
cytocele |
|
inner lining of the uterus |
endometrium |
|
newborn infant up to age 6 weeks |
neonate |
|
pertaining to a fetus |
fetal |
|
pertaining to a uterus |
uterine |
|
surgical removal of the uterus |
hysterectomy |
|
woman who has never given birth |
nullipara |
|
t or f? The federal government financially supports the minimum assistance level of the medically needy aged, and the states must wholly support any part of the program that goes beyond the federal minimum? |
True |
|
t or f?
The federal government designs the medicaid program for each state in the basis of the needs of the state |
False |
|
Medicaid is not so much an insurance program as an assistance program t or f? |
true |
|
medicaid is an established program of medical assistance in 46 states? t or f? |
FALSE |
|
Medicaid is administrated by federal funding only t or f? |
FALSE |
|
THE FEDERAL GOVERNMENT DETERMINES THE PAYMENT FOR MEDICAL SERVICES IN THE MEDICAID PROGRAM t or f? |
FALSE |
|
Emergency services and pregnancy services are exempt by law from co payment requirements? t or f? |
true |
|
the medicaid patient may be responsible for a copayment? t or f? |
true |
|
it is possible for a medicaid patient to be on medicaid 1 month and off medicaid the following month? t or f? |
true |
|
a physician may accept or refuse medicaid patients on the basis of the individual patient and his or her circumstances t or f? |
false |
|
the patients medical card must be checked each time the patient visits the physicians office to verify eligibility for month of service t or f? |
true |
|
in some cases the welfare office may grant retroactive eligibility to a patient t or f? |
true |
|
family planning is a medicaid basic benefit t or f? |
true |
|
home health care is never covered by medicaid t or f? |
false |
|
if a service is totally disallowed by medicaid, a physician is in legal right to bill the patient t or f? |
true |
|
All state medicaid programs operate with a fee-for-service reimbursement system t or f? |
false |
|
Medicaid patients in managed care plans must go to hospitals participating in their assigned plan t or f? |
true |
|
managed care medicaid programs usually save money in health care delivery t or f? |
true |
|
prior approval or authorization is never required in the medicaid program t or f? |
false |
|
all states processing medical claims must bill using the CMS 1500 claim form t or f? |
true |
|
When medicaid and a third party payer cover the patient, medicaid is always the payer of last resort t or f? |
true |
|
it is not possible for an immigrant to have medicaid coverage? t or f? |
false |
|
It is not possible for a person to be eligible for medical benefits and also have additional group health insurance coverage t or f? |
false |
|
The federal emergency relief administration made funds available for....? |
medical expenses of the needy unemployed |
|
The medicaid program was a direct result of.... |
a law passed by congress in 1950 |
|
on the medicaid program, congress authorized vendor payments for medical care, which are payments from the |
welfare agency directly to the physician |
|
DEFRA and CHAP were responsible for... |
expanding Medicaid eligibility requirements |
|
Medicaid is administered by the |
State government with partial federal funding |
|
The federal aspects of medicaid are the responsibility of the |
CMS |
|
The Omnibus Budget reconciliation act did what? |
provided assistance for the aged and disabled who are receiving medicare and whose incomes are below the poverty level. |
|
medicaid is available to needy and low-income people such as |
the blind, disabled, and those 65 and older |
|
if a physician accepts medicaid patients, the physician must accept |
the medicaid allowed amount |
|
medicaid eligilibilty must always be checked for the |
month of service and type of service |
|
to control escalating health care costs by curbing unnecessary emergency department visits and emphasizing preventative care. Medicaid reform has involved |
managed care programs |
|
medicaid managed care patient claims should be sent to the |
managed care organization and not the medicaid fiscal agent |
|
the group of medicaid recipients refereed to as ______ includes all cash recipients of the AID to families with dependent children, certain other AFDC related groups, most cash recipents of the supplemental security income program , and other SSI-related groups. |
Catergorically needy |
|
the two medicaid eligibility classifications are the _____ needs group and the _________ needy class |
categorically medically |
|
some medicaid recipients in the medically needy category must pay a coinsurance payment and/or deductible, also known as a/an____________within the eligibility month before state benefits may be received |
share of cost |
|
medicaid identification cards are usually issued every _______ |
month |
|
The ______ form, formally known as an explanation of benefits form, accompanies all medicaid payment checks. |
Remittance Advise |
|
A person retired from a career in the armed forces is eligible for TRICARE until 65 years of age t or f? |
true |
|
An NAS certification is required for all TRICARE standard, TRICARE Extra, and CHAMPVA beneficiaries who wish to receive treatment as inpatients at civilian hospital and who live within a catchment area surrounding a Uniformed Services medical treatment facility t or f? |
false |
|
The NAS is required for outpatient services that ate within the catchment area t or f? |
false |
|
All dependents 10 years of age or older are required to have a military identification card for TRICARE t or f? |
true |
|
A partnership programs permits TRICARE-eligible people to receive inpatient treatment from civilian providers of care in a military hospital t or f? |
true |
|
A certified nurse midwife is an authorized provider of health care for TRICARE beneficiaries t or f? |
TRUE |
|
Providers may choose to accept TRICARE assignment on a case by case basis t or f? |
true |
|
in the tricare extra plan, the individual enrolls yearly and pays an annual fee t or f? |
false |
|
enrollment in tricare prime is voluntary t or f? |
true |
|
active duty service members are eligible for TRICARE extra t or f? |
false |
|
All privacy act requests from patients must be made is writing t or f? |
false |
|
TRICARE is subject to state regulatory agencies that control insurance policies t or f? |
false |
|
TRICARE claims must be billed on a special claim form provided by the closest military facility within the area of treatment t or f? |
false |
|
For a CHAMPVA beneficiary, if the physician is nonparticipating and does not accept assignment, the patient completes the top portion of the CMS-1500 claim form, attaches an itemized statement from the physician, and submits the claim. t or f? |
true |
|
TRICARE/CHAMPVA is usually the second payer when a beneficiary is enrolled in other health insurance plans. t or f? |
true |
|
TRICARE is considered primary to medicare for people younger than age 65 who have Medicare part A as a result of a disability and who have enrolled in Medicare Part B t or f? |
false |
|
TRICARE, formerly known as CHAMPUS, is funded through... |
Congress |
|
The 3 choices of health care coverage for families of active duty military personnel, military retirees, and their dependents are.... |
TRICARE Standard, TRICARE Prime, and TRICARE extra |
|
The healthcare maintenance organization provided for dependents of active duty military personnel is called... |
TRICARE Prime |
|
People NOT entitled to benefits under TRICARE are |
CHAMPVA beneficiaries |
|
What is the system called that TRICARE claims processors use to verify beneficiary eligibility? |
DEERS |
|
a nas is a |
certification from a military hospital stating that it cannot provide the necessary care |
|
Health care professionals who may treat a tricare patient are |
doctors of medicine, doctors of osteopathy, psychologists |
|
A physician who chooses not to participate in TRICARE bills..... |
no more than 115% of the TRICARE allowable charge. |
|
Enrollment for tricare prime is for how long a time? |
1 year at a time |
|
The physician who is responsible for coordinating and managing all of the health care for the TRICARE PRIME patient is referred to as a/an |
PCM |
|
CHAMPVA is a/an |
service benefit program |
|
The wife of a veteran with a total permanent disability resulting from a service connected injury is eligible for champva benefits as long as... |
as long as shes not eligible for tricare standard and as long as shes not eligible for medicare part A |
|
The Privacy Act of 1974 establishes an individuals right to review his or her medical records maintained by a |
federal medical care facility, va hospital,U.S Public health service facility. |
|
The time limit within which a TRICARE outpatient claim must be filed is |
within 1 year from the date a service is provided |
|
TRICARE prime and TRICARE Extra claims are
|
Filed by a provider to a tricare subcontractor |
|
the actibve duty service member whose family members are covered under TRICARE is called the ___________ |
Sponser |
|
Indviduals who qualify for TRICARE are known as |
beneficiaries |
|
A certification from a military hospital stating that it cannot provide the care needed is called a |
Nonavailability Statement (NAS) |
|
all dependents _______ years of age or older are required to have a Uniformed Services (military) identification card |
10 |