FBLA health care administration test Questions and Answers(A+ Solution guide)

FUTA - Allows collection of taxes in order to fund state programs Adjudicate - Settles payment on insurance claims. Also refers to review of evidence in a trial Latent - Incubation period. Infections are persistent and go into relapse JCHAO - Reviews and accredits hospitals NCQA - Reviews and accredits health plans ASC - Ambulatory services center. Line by line billing allows for less costs Adverse selection - Attracting patients that are sicker than usual Admission Certification - Admitting patients that need more care Single Payer System - Government Run. Care Triad (Cost, quality, access) Evidence Based Medicine - Uses EMR of patient to determine the best treatment National Labor Relations Act - Allows hospital/heath care providers to use bargaining units Fair Labor Standards Act of 1938 - Establishes Minimum Wage, Ages, overtime pay for workers Equal Pay Act - Pay equality amongst gendersHEDIS - Compares health plan performance OASIS - Reimbursement for home health care plans UHDDS - Uniform health discharge data set. Needed for Medicare reporting OSHA - Establishes and regulates workplace safety Protected Health Information - Records of a patient's past and present health condition, how the care was provided and how the patient paid HIPPA - Health Information Privacy and Portability act Provisions of HIPPA - Cannot be denied coverage for group insurance, coverage wait cannot exceed 12-18 months, safeguards electronc information, privacy of health records Copay - Payment defined by policy that grants access to the treatment Premiums - Money paid to insurers to negate the risk of loss. Lower payments result in high treatment costs HMO - Health Maintenance Organization: Individuals pay a fixed amount and get access to facilities within the plan PPO - Typical insurance style. Individuals pay a fee for service along with copay and deductables through a network of providers