Medical Terminology Quiz
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Questions and Answers

What does empathy mean?

Having an understanding and compassion for what the patient may be experiencing.

What is an established patient?

A patient who has been seen by the physician within 3 years.

What defines a new patient?

A patient who hasn't been to the physician in 3 years.

What does CMS stand for?

<p>Center for Medicare and Medicaid Services.</p> Signup and view all the answers

What is HIPAA Title I focused on?

<p>Healthcare Access, Portability and Renewability.</p> Signup and view all the answers

What does HIPAA Title II aim to prevent?

<p>Health Care Fraud and Abuse.</p> Signup and view all the answers

What are HIPAA Title III provisions related to?

<p>Tax-related health provisions.</p> Signup and view all the answers

What does HIPAA Title IV involve?

<p>Application and Enforcement of Group Health Plan Requirements.</p> Signup and view all the answers

What is the focus of HIPAA Title V?

<p>Revenue Offsets.</p> Signup and view all the answers

What is HIPAA?

<p>Health Insurance Portability and Accountability Act.</p> Signup and view all the answers

What is expressed consent?

<p>A patient acknowledges they have received proper direction regarding their medical treatment verbally or by signing a consent form.</p> Signup and view all the answers

What is implied consent?

<p>A patient uses body language to indicate that they agree to receive medical care.</p> Signup and view all the answers

What does respondeat superior mean?

<p>Let the master answer; physician is responsible for medical staff mistakes.</p> Signup and view all the answers

What does Coordination of Benefits refer to?

<p>Indicates how a policy will pay when more than one insurance plan is in effect.</p> Signup and view all the answers

What does HITECH stand for?

<p>Health Information Technology for Economic and Clinical Health Act.</p> Signup and view all the answers

What is ONCHIT?

<p>Office of National Coordination for Health Technology.</p> Signup and view all the answers

What are the core functions of EHR?

<p>Health information and data elements, results management, order management, decision support, electronic communications and connectivity, patient support, administrative processes, reporting and population management.</p> Signup and view all the answers

What are Electronic Medical Records (EMR)?

<p>Computerized records of one physician's encounters with a patient over time.</p> Signup and view all the answers

What are Electronic Health Records (EHR)?

<p>Records that reflect data from all sources that have treated the individual.</p> Signup and view all the answers

What is acute care?

<p>Most often refers to a hospital that treats patients with urgent problems that cannot be handled elsewhere.</p> Signup and view all the answers

What are Personal Health Records (PHR)?

<p>Records maintained and owned by the patient.</p> Signup and view all the answers

What does ambulatory care refer to?

<p>Treatment without admission to a hospital.</p> Signup and view all the answers

What are clinical templates?

<p>Tools that allow doctors to document patient encounters in a structured form in EHRs.</p> Signup and view all the answers

What is RADT?

<p>Registration, admissions, discharge, transfer.</p> Signup and view all the answers

What is a Unique Patient Identifier (UPI)?

<p>Links all clinical observations, tests, procedures, evaluations, and diagnoses to the patient.</p> Signup and view all the answers

What are clinical vocabularies used for?

<p>Set common definitions for medical terms to ease communication.</p> Signup and view all the answers

What does SNOMED-CT stand for?

<p>Clinical vocabulary designed to encompass all trends used in medicine.</p> Signup and view all the answers

What is LOINC?

<p>Trends and codes used for electronic exchange of lab results and clinical observations.</p> Signup and view all the answers

What is UMLS?

<p>Thesaurus database of medical terms.</p> Signup and view all the answers

What is fixed appointment scheduling?

<p>One patient is scheduled for a specific appointment time.</p> Signup and view all the answers

What is cluster scheduling?

<p>Scheduling a group of patients to come in for the same type of service around the same block of time.</p> Signup and view all the answers

What is double booking?

<p>Two patients are scheduled to see the same physician at once.</p> Signup and view all the answers

What is wave scheduling?

<p>Patients are scheduled for the first half of each hour and seen in the order they arrive.</p> Signup and view all the answers

What is narrative style charting?

<p>Physicians dictate notes about patient care, which are then transcribed and placed in the patient's chart.</p> Signup and view all the answers

What does SOAP stand for?

<p>Subjective, Objective, Assessment, Plan.</p> Signup and view all the answers

What is subjective information?

<p>Any information that the patient provides, including the chief complaint.</p> Signup and view all the answers

What is objective information?

<p>Information based on observations made by the physician or medical assistant.</p> Signup and view all the answers

What does assessment refer to in medical terms?

<p>A brief summary of the patient's symptoms, including a diagnosis.</p> Signup and view all the answers

What is the plan in a medical record?

<p>Details regarding the prescribed plan of action for a patient.</p> Signup and view all the answers

What is a Problem Oriented Medical Record (POMR)?

<p>Charting that tracks patients' problems during the time they are receiving medical care.</p> Signup and view all the answers

What are progress notes?

<p>Daily chart notes used to record information related to the various stages of a patient's condition.</p> Signup and view all the answers

What is a flow chart in healthcare?

<p>A visual aid used to keep track of information over a period of time.</p> Signup and view all the answers

What is an alphabetic filing system?

<p>Information is filed according to the patient's last name.</p> Signup and view all the answers

What is a numeric filing system?

<p>Information regarding each patient is stored using a number instead of the last name.</p> Signup and view all the answers

What does a medical record contain?

<p>Personal information, financial information, medical information, and social information.</p> Signup and view all the answers

What is included in personal/financial information?

<p>Insurance data, marital status, next of kin, and other items for personal identification.</p> Signup and view all the answers

What constitutes medical information?

<p>The chief complaint, family/patient medical history, exam results, and lab reports.</p> Signup and view all the answers

What is social information in a medical context?

<p>Items such as race, ethnicity, hobbies, and lifestyle choices.</p> Signup and view all the answers

What does it mean to self-insure?

<p>A method in which the employer pays directly for the employee's medical bills.</p> Signup and view all the answers

What is Medicare?

<p>Federal program for patients over the age of 65, disabled, or with end-stage renal disease.</p> Signup and view all the answers

What is Medicaid?

<p>Federal program, state administered, for individuals/families with very low income.</p> Signup and view all the answers

What is TRICARE?

<p>A benefit program for members of the armed forces and their families.</p> Signup and view all the answers

What does CHAMPVA stand for?

<p>A benefit program for veterans with service-related disabilities.</p> Signup and view all the answers

What is workers’ compensation?

<p>Coverage through employers for workers who suffer from job-related injuries.</p> Signup and view all the answers

What terms describe the person who owns an insurance policy?

<p>Member, subscriber, insured, policyholder.</p> Signup and view all the answers

Who are dependents in terms of insurance?

<p>Family members who are covered under the member's insurance policy.</p> Signup and view all the answers

What is a premium?

<p>Monthly payment to the insurance company to receive coverage.</p> Signup and view all the answers

What does allowed amount refer to?

<p>The amount charged for a service determined by the insurance company.</p> Signup and view all the answers

Who is considered a provider?

<p>Physician, specialist, or any person that provides medical care.</p> Signup and view all the answers

What is a participating provider?

<p>Physicians who agree to accept the allowed amount as payment in full.</p> Signup and view all the answers

What is a copayment?

<p>A fixed amount a patient may be required to pay at the time of their appointment.</p> Signup and view all the answers

What is coinsurance?

<p>A set percentage of charges that the patient pays according to their policy guidelines.</p> Signup and view all the answers

What does deductible mean?

<p>A set amount the patient may be required to pay before receiving services.</p> Signup and view all the answers

Who is a beneficiary?

<p>A patient covered by a federal program, such as Medicare or Medicaid.</p> Signup and view all the answers

What is a word root in medical terminology?

<p>Foundation of a medical term.</p> Signup and view all the answers

What is a suffix in medical terminology?

<p>Medical term ending.</p> Signup and view all the answers

What is a prefix in medical terminology?

<p>Medical term beginning.</p> Signup and view all the answers

What is a combining vowel?

<p>Links the root to the suffix or another root.</p> Signup and view all the answers

What is a combining form?

<p>Word root plus the appropriate combining vowel.</p> Signup and view all the answers

What does the root 'arthr/o' refer to?

<p>Joint.</p> Signup and view all the answers

What does the root 'bi/o' refer to?

<p>Life.</p> Signup and view all the answers

What does the root 'cardi/o' refer to?

<p>Heart.</p> Signup and view all the answers

What does the root 'carcin/o' refer to?

<p>Cancerous, cancer.</p> Signup and view all the answers

What does the root 'cephal/o' refer to?

<p>Head.</p> Signup and view all the answers

What does the root 'cerebr/o' refer to?

<p>Cerebrum.</p> Signup and view all the answers

What does the root 'cyt/o' refer to?

<p>Cell.</p> Signup and view all the answers

What does the root 'dent/l' refer to?

<p>Teeth.</p> Signup and view all the answers

What does the root 'derm/o' refer to?

<p>Skin.</p> Signup and view all the answers

What does the root 'electr/o' refer to?

<p>Electrical activity.</p> Signup and view all the answers

What does the root 'enter/o' refer to?

<p>Intestines.</p> Signup and view all the answers

What does the root 'fet/o' refer to?

<p>Fetus.</p> Signup and view all the answers

What does the root 'gastr/o' refer to?

<p>Stomach.</p> Signup and view all the answers

What does the root 'rhin/o' refer to?

<p>Nose.</p> Signup and view all the answers

What does the root 'sarc/o' refer to?

<p>Flesh.</p> Signup and view all the answers

What does the root 'thromb/o' refer to?

<p>Clotting.</p> Signup and view all the answers

What does the root 'ur/o' refer to?

<p>Urinary tract.</p> Signup and view all the answers

What does the suffix '-al' mean?

<p>Pertaining to.</p> Signup and view all the answers

What does the suffix '-algia' mean?

<p>Pain.</p> Signup and view all the answers

What does the suffix '-dynia' mean?

<p>Pain.</p> Signup and view all the answers

What does the suffix '-ectomy' mean?

<p>Excision, removal.</p> Signup and view all the answers

What does the suffix '-emia' mean?

<p>Blood condition.</p> Signup and view all the answers

What does the suffix '-genic' mean?

<p>Produced by, pertaining to producing.</p> Signup and view all the answers

What does the suffix '-globin' mean?

<p>Protein.</p> Signup and view all the answers

Study Notes

Key Terms and Definitions in Medical Terminology

  • Empathy: Understanding and compassion for a patient's experience.
  • Established Patient: A patient seen by a physician within the last 3 years.
  • New Patient: A patient who has not seen the physician in the last 3 years.
  • CMS: Center for Medicare and Medicaid Services, responsible for federal healthcare programs.

Health Insurance Portability and Accountability Act (HIPAA)

  • HIPAA Title I: Focuses on healthcare access, portability, and renewability.
  • HIPAA Title II: Addresses the prevention of healthcare fraud and abuse.
  • HIPAA Title III: Covers tax-related health provisions.
  • HIPAA Title IV: Concerns application and enforcement of group health plan requirements.
  • HIPAA Title V: Deals with revenue offsets.
  • HIPAA: Provides data privacy and security provisions for safeguarding medical information.
  • Expressed Consent: Patient verbally acknowledges understanding of their medical treatment.
  • Implied Consent: Patient's body language signifies agreement to receive medical care.

Responsibilities and Insurance Coordination

  • Respondeat Superior: Legal doctrine holding physicians accountable for staff errors.
  • Coordination of Benefits (C.O.B): Determines payment responsibilities when multiple insurance plans are involved.

Health Information Technology

  • HITECH: Promotes the adoption and meaningful use of health information technology (EHR).
  • ONCHIT: Office of National Coordinator for Health Information Technology.

Core Functions of Electronic Health Records (EHR)

  • Health Information and Data: Management of patient health data.
  • Results Management: Handling and tracking lab and test results.
  • Order Management: Managing orders for tests and treatments.
  • Decision Support: Tools for assisting healthcare providers in decision-making.
  • Electronic Communications: Facilitating communication between patients and providers.
  • Patient Support: Engaging patients in their care process.
  • Administrative Processes: Streamlining administrative tasks for efficiency.
  • Reporting and Population Management: Analyzing data for public health management.

Medical Records Types

  • Electronic Medical Records (EMR): Records of one physician’s encounters with a patient over time.
  • Electronic Health Records (EHR): Comprehensive data from all sources treating an individual.

Patient Care Types

  • Acute Care: Focuses on urgent situations often requiring hospitalization.
  • Ambulatory Care: Treatment provided without hospital admission.
  • Personal Health Records (PHR): Health records maintained by the patient themselves.

Scheduling and Documentation

  • Fixed Appointment Scheduling: Allocates specific times for individual patients.
  • Cluster Scheduling: Groups patients for similar services within a specified timeframe.
  • Double Booking: Scheduling two patients for one appointment slot.
  • Wave Scheduling: Patients arrive during the first part of the hour, seen in order of arrival.
  • SOAP: Documentation format representing Subjective, Objective, Assessment, and Plan.

Medical Record Components

  • POMR: Tracks patient problems throughout care.
  • Progress Notes: Daily notes reflecting patient condition stages.
  • Flow Chart: Visual tool for tracking healthcare information over time.

Filing Systems

  • Alphabetic Filing System: Organizes records by patient last name.
  • Numeric Filing System: Uses numbers for patient records instead of names.

Medical Data Insights

  • Medical Record Components: Includes personal, financial, medical, and social information.
  • Personal/Financial Information: Data used for personal identification and insurance coverage.
  • Medical Information: Encompasses patient history, exam results, and lab reports.
  • Social Information: Captures demographic details like race and lifestyle choices.

Insurance Overview

  • Medicare: Federal program for those over 65, disabled, or with end-stage renal disease.
  • Medicaid: State-administered program for low-income individuals and families.
  • TRICARE: Health care program for armed forces members and their families.
  • CHAMPVA: Benefits for veterans with service-related disabilities.
  • Workers' Compensation: Covers job-related injuries for employees.

Insurance Terminology

  • Premium: Monthly payment to an insurance provider.
  • Allowed Amount: Insurance-determined amount for services rendered.
  • Participating Provider: Physicians accepting the insurance company’s allowed amount.
  • Copayment: Fixed payment required at the time of service.
  • Coinsurance: A percentage of service costs the patient pays post-deductible.
  • Deductible: Amount a patient pays before getting covered services.
  • Beneficiary: An individual covered under federal programs like Medicare or Medicaid.

Medical Terminology Components

  • Word Root: The base of a medical term.
  • Suffix: End portion of a medical term indicating meaning.
  • Prefix: Beginning portion of a medical term modifying the root meaning.
  • Combining Vowel: Connects root to suffix or another root.
  • Combining Form: Root plus combining vowel.

Common Medical Roots

  • Arthr/o: Joint
  • Cardi/o: Heart
  • Cyt/o: Cell
  • Derm/o: Skin
  • Gastr/o: Stomach
  • Rhin/o: Nose

Medical Suffixes and Prefixes

  • -ectomy: Excision or removal.
  • -algia: Pain.
  • -dynia: Pain.
  • -emia: Blood condition.
  • -genic: Produced by.

Additional Medical Definitions

  • Globus: Refers to protein.

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Description

Test your knowledge of key terms and definitions in medical terminology, including concepts related to patient status and the Health Insurance Portability and Accountability Act (HIPAA). This quiz covers important regulations and the role of consent in healthcare. Challenge yourself and enhance your understanding in this critical field!

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