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

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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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