Healthcare And Business Terminology - Massage and Bodywork Licensing Examination Mblex
- What does the abbreviation ROM mean in musculoskeletal documentation?
- Range of motion. Describes the degree of joint mobility assessed during physical examinations or therapy.
- What does the abbreviation HIPAA stand for in United States healthcare privacy law?
- Health Insurance Portability and Accountability Act. Enacted in 1996, this law protects patient privacy and facilitates insurance portability across jobs.
- What is the definition of coinsurance in health insurance terminology?
- Patient's percentage share of covered costs after deductible. Distributes cost-sharing as a proportion of expenses once the deductible is satisfied.
- What does the abbreviation SOAP stand for in clinical documentation?
- Subjective, Objective, Assessment, Plan. Structures patient notes to organize symptoms, observations, diagnosis, and treatment strategy.
- What is informed consent in a healthcare setting?
- Permission after disclosure of risks, benefits, and alternatives. Ensures patients make voluntary decisions based on full understanding of potential outcomes.
- What is the legal term for an intentional unauthorized touching of a patient?
- Battery. Constitutes a civil tort when medical treatment occurs without patient consent, leading to potential liability.
- What is the definition of contraindication in clinical terminology?
- A condition that makes a treatment inadvisable or unsafe. Identifies factors that increase risk, guiding providers to avoid certain interventions.
- What does the abbreviation BID mean in scheduling or dosing terminology?
- Twice daily. Derived from Latin 'bis in die,' used for regimens requiring two administrations per day.
- What does the abbreviation PRN mean on a treatment plan or order?
- As needed. Indicates treatments or medications administered only when required by the patient's condition.
- What does the term negligence mean in healthcare law?
- Failure to use reasonable care, resulting in harm. Occurs when a provider deviates from the standard duty of care, causing injury to the patient.
- What does the abbreviation CPT stand for in procedural coding?
- Current Procedural Terminology. Provides uniform codes for medical procedures to facilitate insurance claims and reimbursements.
- Which HIPAA safeguard category includes policies, training, and access procedures?
- Administrative safeguards. Encompasses managerial measures to protect electronic PHI through policies and workforce training.
- What is implied consent in routine care or low-risk procedures?
- Consent inferred from the patient's actions or circumstances. Applies when a patient's behavior indicates agreement without explicit verbal or written approval.
- What is the legal term for creating fear of unwanted touching without contact?
- Assault. Involves intentional threats that cause apprehension of harmful contact, distinct from actual physical harm.
- What does the abbreviation ICD stand for in medical diagnosis coding?
- International Classification of Diseases. Standardizes diagnostic coding globally for tracking diseases and billing purposes.
- What is PHI in HIPAA terminology?
- Protected health information. Refers to individually identifiable health data that must be safeguarded under privacy regulations.
- Which HIPAA safeguard category includes locks, facility security, and device control?
- Physical safeguards. Involves physical measures to secure facilities and equipment against unauthorized access.
- What is the definition of copayment in health insurance terminology?
- Fixed fee paid by the patient for a covered service. Serves as a predetermined payment made by the patient at the time of service receipt.
- What does the abbreviation ADL stand for in healthcare documentation?
- Activities of daily living. Encompasses routine self-care tasks evaluated to determine a patient's functional independence.
- What is malpractice in a healthcare context?
- Professional negligence that breaches the standard of care. Refers to substandard professional conduct that results in patient harm and legal claims.
- What is the definition of deductible in health insurance terminology?
- Amount paid out-of-pocket before insurance begins paying. Represents the initial financial responsibility borne by the insured before coverage activates.
- What is the minimum necessary standard under HIPAA?
- Use or disclose only the least PHI needed for the purpose. Requires covered entities to limit PHI access to only what is essential for the task at hand.
- What is the definition of indication in clinical terminology?
- A reason or condition for which a treatment is appropriate. Specifies clinical scenarios where a procedure or medication is recommended for optimal outcomes.
- What does the abbreviation QID mean in scheduling or dosing terminology?
- Four times daily. From Latin 'quater in die,' specifies interventions or doses occurring four times within 24 hours.
- Which HIPAA safeguard category includes passwords, encryption, and audit controls?
- Technical safeguards. Focuses on technology-based protections for electronic PHI, ensuring data integrity and confidentiality.