NHA CCMA Ch. 1 - Health Care Systems and Settings Questions and Answers

NHA CCMA Ch. 1 - Health Care Systems
and Settings Questions and Answers
Medicaladoctorsa(mds)A-ACORRECTAANSWERSA-
consideredaallopathicaprovidersaandaareatheamostawidelyarecognizedatypeaofadoctor.atheya
diagnoseaillnesses,aprovideatreatments,aperformaproceduresasuchaasasurgicala
interventions,aandawriteaprescriptions
Osteopathicaprovidersa(dos)A-ACORRECTAANSWERSA-
completearequirementsathataareasimilaratoathoseaofamdsatoagraduateaandapracticeamedicine
.ainaadditionatoausingamodernamedicineaandasurgicalaprocedures,adosauseaosteopathicaman
ipulativeatherapya(OMT)ainatreatingatheirapatients.
Nurseapractitionersa-ACORRECTAANSWERSA-
provideabasicapatientacareaservices,aincludingadiagnosingaandaprescribingamedicationsafora
commonaillnesses.arequireaadvancedaacademicatrainingabeyondathearegisteredanursea(RN
)adegreeaandahaveaanaextensiveaamountaofaclinicalaexperience.agenerallyafocusaonaprevent
iveacareaandadiseaseaprevention
Physicianaassistantsa-ACORRECTAANSWERSA-
practiceamedicineaunderatheadirectionaandasupervisionaofaaalicensedamdaorado.Aadditionally
,atheyaareaableatoamakeaclinicaladecisions
Medicalalaboratoryatechniciansa-ACORRECTAANSWERSA-
performadiagnosticatestingaonablood,abodilyafluids,aandaotheraspecimensaunderatheasupervi
sionaofaaamedicalatechnologist
Medicalareceptionista-ACORRECTAANSWERSA-
checkapatientsainaandaout,aansweraphones,aandaperformafiling,Afaxing,aandaotheratasks
Occupationalatherapista-ACORRECTAANSWERSA-
assistapatientsawhoahaveadevelopedaconditionsathatadisableathemadevelopmentally,Aemoti
onally,amentallyaandaphysically.
Pharmacyatechniciansa-ACORRECTAANSWERSA-
assistapharmacistsawithadutiesathatadoanotarequireatheaexpertiseaorajudgementaofaaalicensed
apharmacist

Physicalatherapista-ACORRECTAANSWERSA-
assistapatientsainaregainingatheiramobilityaandaimprovingatheirastrengthaandarangeaofamotion
Radiologyatechniciansa-ACORRECTAANSWERSA-
useavariousatypesaofaimagingaequipmentatoaassistatheaproviderainadiagnosingaandatreatingac
ertainadiseases
Allopathica-ACORRECTAANSWERSA-
homeopathicamedicine;acategorizedabyaanaeffortatoacounteractatheasymptomsaofaaadiseasea
byaadministrationaofatreatmentsathataproduceaeffectsaoppositeatoatheasymptoms.
Osteopathica-ACORRECTAANSWERSA-
aatypeaofamedicineabasedaonatheaconceptathatadisturbancesainatheamusculoskeletalasystem
aaffectaotherabodilyaparts,acausingamanyadisordersathatacanabeaimprovedabyavariousamanip

ulativeamethodsainacombinationawithaconventionalamedical,Asurgical,Apharmacological,aan
daotheratherapeuticaprocedures.

, CPTA-ACORRECTAANSWERSA-certifiedaphlebotomyatechnician
CETA-ACORRECTAANSWERSA-certifiedaekgatechnician
CBCSA-ACORRECTAANSWERSA-certifiedabillingaandacodingaspecialist
CEHRSA-ACORRECTAANSWERSA-certifiedaelectronicaheatharecordsaspecialist
Certifiedahealthacoachaorapatientanavigatora-ACORRECTAANSWERSA-
directsapatientsathroughatheahealthacareasystemabyaorganizingapatientacare,aconnectapatien
tsatoaadditionalaresources,aandahelpapatientsaunderstandingatheahealthacareasystem.amanya
haveaaachronicadiseaseafocusaarea,asuchaasacancer,aheartadisease,aoradiabetes/
Computerizedaphysicianaorderaentrya(CPOE)A-ACORRECTAANSWERSA-
aaprocessaofaelectronicadataaentryaofaproviderainstructionsaforatreatment
Healthacareadeliverya(akaahealthacareasystems)A-ACORRECTAANSWERSA-
theaorganizationaofaindividuals,Aestablishments,aandaresourcesatoadeliverahealthacareaservi
cesaandameetatheahealthaneedsaofaspecificapopulations.
Typesaofahealthacareadeliveryamodelsa-ACORRECTAANSWERSA--
accountableacareaorganizationsa(acos)
-capitationa(partialaorafull)
-globalabudget
-healthamaintenanceaorganziationa(HMO)
-Patient-centeredamedicalahomea(PCMH)
-payaforaperformance
-preferredaprovideraorganizations
Accountableacareaorganizationsa(acos)A-ACORRECTAANSWERSA-
theseagroupsaofaphysicians,Ahospitals,aandaotherahealthacareaprovidersacomeatogetheravol
untarilyatoaprovideacoordinatedahigh-
qualityacareatoatheiramedicareapatients.awhenaitasucceedsainadeliveringahigh-
qualityacareaandaspendingahealthacareadollarsawisely,aitawillashareainatheasavingsaitaachieve
saforatheamedicareaprogram
Capitationa(partialaorafull)A-ACORRECTAANSWERSA-patientsaareaassignedaaaper-
member,Aper-
monthapaymentabasedaonatheiraage,Arace,Asex,Alifestyle,amedicalahistory,aandabenefitadesig
n.apaymentaratesaareatiedatoaexpectedausagearegardlessaofahowaoftenatheapatientavisits.alike
abundledapaymentamodels,aprovidersahaveaanaincentiveatoahelpapatientsaavoidahigh-

costaproceduresaandatestsatoamaximizeatheiracompensation.aunderapartial-aorablended-
acapitationamodels,aonlyaspecificatypesaoracategoriesaofaservicesaareapaidaonaaabasisaofacap

itation
Globalabudgeta-ACORRECTAANSWERSA-
thisaisaaafixedatotaladollaraamountapaidaannuallyaforaallacare.ahowever,aparticipatingaprovider
sacanadetermineahowamoneyaisaspent.atheyalimitathealevelaandathearateaofaincreaseaofahealth
acareacost.atheyatypicallyaincludeaaaqualityacomponentaasawell.

Healthamaintenanceaorganziationa(HMO)A-ACORRECTAANSWERSA-
thisaplanacontractsawithaaamedicalacenteraoragroupaofaprovidersatoaprovideapreventiveaandaa
cuteacareaforatheainsuredaperson.atheyagenerallyarequireareferralsatoaspecialists,aasawellaasa
precertificationaandapreauthorizationaforahospitalaadmissions,aoutpatientaprocedures,aandat
reatments.
Patient-centeredamedicalahomea(PCMH)A-ACORRECTAANSWERSA-
inathisacareadeliveryamodel,aaaprimaryacareaprovidera(PCP)acoordinatesatreatmentatoamakea