5 Components Of Hipaa
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workmen's comp?
a health insurance plan providing treatment for workers injured on the job
TRICARE
is a U.S government health insurance for all military personnel
(NIH) National Institute of Health
a division of USDHHS involved in research on diseases
(CDC) Center of Disease Control and Prevention
another division of USDHHS concerned with cause, spread, and control of diseasein the population
(USDHHS)U.S Department of Health and Human services
a national agency that deals with the health problems in the United States
(WHO) World Health Organization
an international agency sponsored by the United Nations; compiles statistics and information on disease, publishes health information, and investigates and addresses serious health promblems throughout the world
hospice
agencies provide care for terminally ill persons who usually have life expectancies of 6 months or less
long-term care
mainly provide assistance and care for elderly patients called residents
Medicaid
a medical assistance program for the low income people that is jointly funded by the federal government annd state government but operated by individual states
voluntary of nonprofit agencies
voluntary agencies also called non-profit agencies are supported by donations membership fees, fund-raiser, and federal or state grants.
clinic
health care facilities found in many types of health care also called satellite clinics
specialty hospital
care for certain conditions and age groups ex: oncology
deductible
is the amount that must be paid by patient for medical services before the policy begins to pay
co-insurance
requires that specific percentage of expenses are shared by the patient and insurance company ex 80/20
premium
a payment that the individual pays for insurance coverage that is made to the insurance company
co-payment
is a specific amount of money a patient pays for a particular service. ex $10.00 for each physician visit
HIPAA
Health Insurance Portability and Accountability Act
PPO's
Preferred provider organization- another type of managed care health insurance plan usually provided by large industries or companies to their employees "has a preferred list"
what services are offered by home health care agencies?
nursing care, personal care :such as bathing and dressing homemaking: such as food prep. and cleaning
what is the purpose of organizational charts?
ato have a line of authority or chain of command
Long-term care facilities
mainly provide assistance and care for elderly patients called residents
What does Part A of Medicare cover?
. Part A covers inpatient care in skilled nursing facilities, critical access hospitals, and hospitals. Hospice and home health care are also covered by Part A.
What does Part B of Medicare cover?
. Part B covers outpatient care, doctor's services, physical or occupational therapists, and additional home health care
What does Part C of Medicare cover?
allows private health insurance companies to provide Medicare benefits
What does Part D of Medicare cover?
prescription drug coverage insurance
Who qualifies for Medicare insurance?
over the age of 65, w/ disability w/ endstage of stage renal kidney disease
What is palliative care and who offers it?
hospice and care to make the patient feel comfortable
What is oncology?
Study and treatment of cancer
What are the the 5 components of HIPAA?
1. Health Care Access, Portability & Renew-ability 2. Preventing Health Care Fraud & Abuse; Administrative Simplification, & Medical Liability Reform 3. Tax-Related Health Provisions 4. Application & Enforcement of Group Health Plan Requirements 5. Revenue Offsets
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