...Grading Criteria Health Care Terms As you start your journey into the world of health care it is essential that you begin developing a vocabulary of the health care industry. To start, based from your readings, define the following terms in your own words. (Faculty can add or alter terms to suit their student base.) a. Medicare – Is health insurance for people 65 or older, people under 65 with certain disabilities, or people of any age with end-stage renal disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant) b. Medicaid – is for certain individuals and families with low income and few resources. Primary oversight of the program is handled at the federal level, but each state: establishes its own eligibility standards. Determines the type, amount, duration, and scope of services, sets the rate of payment for services, and administers its own Medicaid program. c. Certification (physicians)- a process whereby a peer group judges the entry level qualifications on an individual. This is not necessary equivalent with competency. Physicians are certified in nuclear medicine by the American Board of Nuclear Medicine (ABNM) and the American Board of Radiology (ABR) d. Public health- is the science of protecting and improving the health of communities through education, promotion of healthy lifestyles, and research for disease and injury prevention. Public health professionals analyze the effect on health of genetics, personal choice...
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...Health Care Terms 1. Demographic Statistical data that relates to the population such as age, sex, race and particular groups. 2. Culture Characteristics and practices of an organization or group that share the same values, goals or attitudes. 3. Epidemiology The distribution of diseases in populations and of factors that influence the occurrence of diseases. 4. Managed Care Health Plans that work with health insurance and providers to help make health care costs lower. 5. Public Health Improves the health and well-being of people in local communities through education, healthy lifestyles and research for diseases and preventions. 6. Health Maintenance Organization (HMO) An Insurance plan that works as a contract for doctors, which has limited coverage for the patient to be taken care of with this plan. If there is an emergency it will cover, but if it’s out of network they generally won’t. In order to be eligible for an HMO you may have to work or live in that area where the HMO is recieved. (Take Care in your own hands, 2011). 7. Medicare This medical plan is for the people age 65 and over. Not all expenses are paid with this type of insurance, this program helps reduce the cost. 8. Medicaid This program helps with low income families and children to have health insurance coverage. 9. Health Insurance Portability and Accountability Act This protects the privacy of patients health information which...
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...A health care provider is a prestigious and good paying profession in the United States; however, a very demanding, and the training is so intense. Upon completion of medical school and residency program, they will proceed to specialty boards’ certification for additional education and skills in certain area of medicine, eventually higher earnings in the future. Physician and other related health care provider must understand the business part of the health care services. Medicare is a nationwide federal government control medical insurance primarily designed for aging Americans ages 65 and above and younger people with disabilities as well as people with end stage renal disease. This is a most important benefit offered by federal government to all of working Americans. Over the years, there are some changes to improve the coverage that includes the prescription medications and qualified medical equipment. Medicare is an excellent supplemental to a poor or low income senior citizens and other people with private medical insurance to extend their coverageservices, such as the medical insurance available for all health care beneficiaries. Medicaid is a joint funded by the federal government and the state, designed for people and families with low income and resources. It is managed by the states and an excellent supplement to Medicare. Additionally, it is only available to all United States citizens or legal permanent residents with certain type of disability. Medicaid is...
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...Economic Terms in the Health Care Industry Nicole Hunter HCS/440 Economics: The Financing of Health Care August 27, 2012 Kristin McFarland, MSA, AASPR Economic Terms in the Health Care Industry In this paper the history of economics will be discussed and how economics pertains to today’s health care world. Understanding terms that are used in economics can help with better understanding this subject. We will discuss terms such as economics, supply and demand, macroeconomics, microeconomics, elasticity, inelasticity, and GDP. Supply and demand will also be researched further and the different issues that it can apply to in the health care industry. Economics Economics is a science that focuses on distribution, production, and consumption of services and goods. Resources that can be used include talent and time available, buildings, land, knowledge, and equipment. Knowledge of how to use all of these resources to create a successful products and services is also useful in economics. Some choices that are made in economics are, just how much time to dedicate, how much money to save, how much money to save, combining of resource, and the role of the government. Supply and Demand The price of a commodity is the relationship between supply and demand. Supply and demand is essentially the backbone of the economy. Demand refers to the quantity of products and services that buyers wants and are willing to buy within a certain price range. Supply is how much can be offered...
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...Material Week 1 Health Care Terms Worksheet Understanding health care terms is a prerequisite for both academic and professional success. This assignment is intended to ensure you understand some of the basic terms used in this course. Complete the worksheet according to the following guidelines: In the space provided, write each term’s definition. You must define the term in your own words. In the space provided after each term’s definition, use the term in a sentence as it applies to the health care industry. You may wish to consider the following: o How has it influenced heath care? o What role has the term played as health care developed over the years? Save the completed worksheet as a Microsoft® Word document with your name in the file name. Submit the file to your facilitator. Submitted by: Brittany Wiggins |Term |Definition |Use the term in a sentence as it applies to the health care | | | |industry. | |Example: Electronic |Electronic health records are digital forms of |My doctor entered the diagnosis into his laptop and told me that | |health records |entering and storing patient information. |the information would go into my electronic health record. | |HIPAA |Health Insurance Portability...
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...Health Care Terms HCS 235 13 June 2011 HealthCare Terms Doing research and independent reading on health care terms is not an easy task. With a vast amount of information on health care terms and defining these terms in short is not an easy assignment. Researching the term Medicare opened up an immeasurable amount of data on the subject, and I have chosen to write about the different parts of it. Medicare is a federally funded program, which has 4 different parts that include Part A, which is coverage for inpatient care in hospitals and skilled nursing facilities, hospice, and some home health care. Part B, which is coverage for medical insurance to include doctor’s visits, some home care services, and preventive care. Part D, which is coverage for prescription drugs, and Part C which is called Medicare Advantage Plan is available for an extra fee and would include Parts A, B, and D. Medicare is the nation’s top insurer of the elderly 65 years and older and is eligible for social security as well as permanently disabled but younger than age 65. Medicare also covers those with permanent kidney damage or failure and need to do dialysis on a daily basis until a transplant can be done. Although there are many kinds of conditions to be eligible for Medicare, it is also available to be purchased as with any other insurance carrier but can hardly be afforded by the aging population. Healthcare reform could seriously affect the premiums of coverage to the elderly population...
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...Week Four Health Care Financial Terms Worksheet Understanding health care financial terms is a prerequisite for both academic and professional success. This assignment is intended to ensure you understand some of the basic terms used in this course. Complete the worksheet below according to the following guidelines: In the space provided, write each term’s definition as used in health care management. You must define the term in your own words. In the space provided after each term’s definition, summarize a health care management scenario that illustrates the importance of the skill, concept, procedure, or tool that the term refers to in 125 to 150 words. In the scenario, you may wish to consider the following: o Why is the skill, concept, procedure, or tool necessary for accurate record keeping, operational efficiency, excellent patient services, employee management, regulatory compliance, reducing costs, forecasting, and so forth? o What successes are enabled by an adequate understanding or appropriate application of the skill, concept, procedure, or tool? o What risks or failures are associated with an inadequate understanding or inappropriate application of the skill, concept, procedure, or tool? Save the completed worksheet as a Microsoft® Word® document with your name in the file name. Submit the file to your instructor. Worksheet Submitted By: [Kenneth HynesType your name here.] |Term ...
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...questions are in relation to healthcare economics. The meaning of health economics is the science that deals with the production, distribution, and consumption of good and services, or material welfare in healthcare. Because healthcare is always evolving there are some factors that have to do with the change, and those are types of medical care and technological developments in the industry. An example in the change in medical care is the quality. Now a day, people can be treated for any type of disease and as long as their insurance covers the specific service then they have a higher chance of being cured. In addition machines we have in clinics and hospitals also increase also affect health economics because most organizations always want to have the latest technology so their quality of healthcare maintains at a high level, however having this also increases their expenses. This paper will further on discuss evaluating the history of healthcare economics and its evolution along with how cash flows within the economic system Health care insurance is something that healthcare economics is based off of. Before when health care was as big issue and an actual business, people would use their own personal money to pay for treatments, services and other healthcare operations. Now a day, insurances pick up the bulk of the services and the consumer pays a copay or co-insurance, this is why cash flow in health care evolves around insurance. The flow of funds is a way of following...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines. Term Definition How It Is Used in Health Care Health Insurance Portability and Accountability Act This is a Federal Law that is out into play to protect patient’s personal information. HIPPA is critical to the healthcare arrangement and the associations that administer susceptible patient details. Without HIPPA’s stern principles, patient details could be exposed without difficulty. Electronic medical record Health Information that is recorded electronically, it is created by various staff members in a health care organization. Electronic health check reports would be relevant to a small or large healthcare association that wishes to reduce the mistakes and increase the efficiency of patient details recovery. Electronic health record Somewhat like the EMR, but this can be accessed by multiple associations. Electronic medical reports would concern a larger healthcare association that has the necessity to intermingle and swap details. Personal health record Patients create their...
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...2011 Economic Terms and Health Care History Health care economics has gone through many changes over the years. With all of the changes health care organizations have had to adjust their financial strategies as well as their organizational strategies. The economy has had a lot to do with all of these changes. Healthcare organizations have so many demands put on them. Some of the changes that have occurred are due to the advances in medicine such as diagnostic, procedures and pharmaceutical. Insurance Payments over the years have changed. It used to be that you had health insurance and your bills would get paid over the years the payment system has changed and more and more is coming from the patient’s pocket. In this paper the focus will be these key terms supply and demand, microeconomics, microeconomics and elasticity. The issue is not how to fill or reuse empty beds. In this changing environment, hospitals and health systems must focus on streamlining and simplifying operational processes, facilitating case management, promoting the least costly setting for care delivery, and optimizing resource sharing among departments. When hospitals have addressed these issues, then solutions to the “bed problem” will be obvious.Cynthia Hayward, 1996(Marcinko, 2007). Division of economics focused on evaluating scarcity in health care systems in different economies. ("Health Economics", 2012). The currents state of our economy is a prime example. Health economics seeks to identify...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you have defined each term in your own words, describe in 40 to 60 words the health care setting in which each term would be applied. Utilize a minimum of two research sources to support your claims—one from the University Library and the other from the textbook. Be sure to cite your sources in the References section consistent with APA guidelines. |Term |Definition |How Used in Healthcare | |Health Insurance Portability and | | According to "U.s Department Of Health And| |Accountability Act (HIPAA) |According to "What Does Hippa Stand For" |Human Services" (n.d.), the Office for | | |(2012), HIPPA stands for the Health |Civil Rights enforces the HIPAA Privacy | | |Insurance Portability and Accountability |Rule, which protects the privacy of | | |Act, enacted by the US Congress in in 1996.|individually identifiable health | | | |information; the HIPAA Security Rule, which| | ...
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...Economic Terms and Health Care History HCS 440 December 19, 2011 Lori Geddes Economic Terms and Health Care History This summary will show the history and evolution of health care economics. The readers will also get a timeline of health care funding. Once you have read everything the summary shows you then you will have an insight to economical terms can help to understand the history and the timeline the terms are going to be: Economics, supply and demand, microeconomics, macroeconomics, elasticity, inelasticity, and gross domestic product. With these words this will show you about economics in the health care history. Once the American Medical Association (AMA) was founded healthcare was just getting off the ground with hospitals and doctors (American Medical Association, 2011). During this time doctors would see patients on a bartering system. The doctors at this time would make house calls and for the services they gave to the patients the patient at this time would give the doctor goods. The supply and demand at that time would be food, and anything that the people would not have. During this time they would pay with cooked meals, animals, things that they made, and their time such as working for the doctor however he wanted them to. During the time frame of 1901 to 1940’s healthcare and medicine took made great improvement. Medicine and hospitals became very important at this time. President Truman proposed a national health care plan, but it was shot out of...
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...Economic Terms and Health Care History HCS/440 March 03, 2013 Michele Burka Economic Terms and Health Care History Over the years healthcare economics have changed tremendously. These changes have everything to do with the evolutionary changes that have occurred in the United States which have influenced this dramatic change in the economics medical technology. The main key that moves all things or drives that are through health care economics is the money and money helps keeps an organization established and is the key to success. The cash flow system is something that the organization uses to help run the business and make decisions for the future and learning the health care economics are important. “Economics is the science that deals with the production, distribution, and consumption of goods and services or the material welfare of human kind.” We can’t use the ways of approach to health care services as we have done before with the depression or World Wars. The United States technology had to change because of the supply and demand and a new system have to be continuously be made to help United States population. A long time ago the person that needed services paid for their services that was needed with private funds, now today we have insurance companies assisting us with the cost, also third parties that cover the majority of payments, then if need be we pay a small portion with the private money. Who do you think is paying for this upcoming change that continues...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines. |Term |Definition |How Used in Healthcare | |Health Insurance Portability and |Sets of establish guidelines and |It is used in health care organizations to | |Accountability Act (HIPAA) |limitations to prevent personal and health |assist on the safe guarding of patient | | |information from being openly disclosed to |information and assuring confidentiality by| | |unauthorized individuals. It was |implementing rules and regulations in how | | |established in 1996 to accommodate and |to properly handle patient’s medical and | | |regulate the unprecedented growth in the |personal records. | | |use...
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...Health Care Information Systems Terms LinetA HCS483 November 2, 2015 George DeRosa Health Care Information Systems Terms Health Insurance Portability and Accountability Act According to Wager, K. A., Lee, F. W., & Glaser, J. P. (2013), this federal legislation includes provisions to define, specify, and protect patient health information. This legislation formulates the processes for the use and de-identification of the data and authorization of that data's use in research and analytics. Healthcare "covered entities" are bound by the constraints of HIPAA to protect private health information. HIPAA training and enforcement is utilized throughout the health care industry, to include providers, payors, patients and a host of ancillary entities. These ancillary organizations can include the insurance industry, schools, employers, public health agencies, and various research organizations. Individuals, organizations, and agencies must comply with the regulations and rules to protect the “privacy and security of health information” (U.S. Department of Health & Human Services., n.d. pp.1). Electronic Medical Record An Electronic Medical Record (EMR) is the documentation, and utilization of a consumer’s health care encounter, created and managed by the providers and staff within one health care organization (Wager, K. A., Lee, F. W., & Glaser, J. P. 2013). The majority of health care records are currently in the format of EMRs. Basic office formatted...
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