MA Chapter 2

Question 1

Implied consent

Answer 1

Consent that is assumed based on a pt’s actions or the situation

Question 2

Informed consent

Answer 2

Requires the pt to receive a full explanation of the procedure and the MA must document the consent

Question 3

Advance medical directive

Answer 3

Signed legal docs that allow individuals to express their healthcare wishes in case they become unable to make decisions for themselves

Question 4

Durable POA

Answer 4

Designates a trusted person to act on the pt’s behalf if the become mentally/physically unable to make decisions

Question 5

Living will

Answer 5

Outlines a pt’s preferences regarding end of life care when recovery is unlikely.

Question 6

Invasion of privacy

Answer 6

Accessing or disclosing pt info without authorization or unnecessarily entering a pt’s personal space

Question 7

Fraud

Answer 7

Knowingly falsifying/altering documentation, billing for services not provided, or misrepresenting info for personal of financial gain

Question 8

Assault

Answer 8

Making verbal statements or behaviors that cause a pt to fear physical harm

Question 9

Battery

Answer 9

Performing a procedure or touching a pt w/o consent, even if no injury occurs

Question 10

Negligence

Answer 10

Failure to act with reasonable care, resulting in harm or risk of harm to the pt

Question 11

Triage

Answer 11

Prioritizing pt from critical to non critical

Question 12

Rooming

Answer 12

Taking a pt to exam room

Question 13

Clustering/Waived

Answer 13

Type of scheduling

Question 14

Otoscope

Answer 14

Scope of the ear

Question 15

Opthalmoscope

Answer 15

Scope of eye

Question 16

Stream

Answer 16

One pt is schedules at a fixed interval throughout the day

Question 17

Wave

Answer 17

3-4 pt’s booked every 1/2 hour, seen in the order they arrive

Question 18

Open

Answer 18

Pt’s arrive w/in a designated time from rather than a set appt time

Question 19

Clustering

Answer 19

Pt with similar needs are grouped together

Question 20

Office blocks

Answer 20

Certain times are blocked when the provider is unavailable

Question 21

Insurance

Answer 21

Third party payer system that helps cover cost of medical care

Question 22

Health Maintenance Org (HMO)

Answer 22

Required: PCP, Referral, In/out of network

Question 23

Preferred Provider Org (PPO)

Answer 23

Required: In/out of network

Question 24

Exclusive Provider Org (EPO)

Answer 24

Required: In network

Question 25

Medicare

Answer 25

Adults 65+, individuals with disabilies, or ESRD pts.

Question 26

Medicaid

Answer 26

Low-income individuals and families

Question 27

CHIP

Answer 27

Children whose families earn to much for medicare but need assistance

Question 28

Tricare

Answer 28

Active-duty, military, retirees, and dependents

Question 29

VA

Answer 29

Veterans who meet eligibility requirements

Question 30

Worker's Compensation

Answer 30

Coverage for injuries on the job

Question 31

ICD-10 Code

Answer 31

Identifies diagnosis or reason for pt visist

Question 32

CPT Code

Answer 32

Identifies the service or procedures performed

Question 33

CMS-1500

Answer 33

Standardized form used for billing

Question 34

Explanation of benefits (EOB)

Answer 34

Generated by insurance company

Question 35

Advance beneficiary notice (ABN)

Answer 35

When service is not covered by insurance

Question 36

Signs

Answer 36

Something you see

Question 37

Symptoms

Answer 37

Something you feel