CCMA NHA Module 1
Medical Doctors (MDs) - ANSallopathic vendors , most extensively diagnosed form of health
practitioner, they diagnose infection, offer remedies, carry out tactics which include surgical
interventions, and write prescriptions
Osteopathic Providers (DOs) - ANSthey complete requirements just like those of MDs to
graduate and practice medicine, in addition to the use of current medication and surgical
methods, DOs use osteopathic manipulative remedy (OMT) in treating their sufferers
Nurse Practitioners - ANSprovide basic patient care offerings, including diagnosing and
prescribing medicinal drugs for not unusual ailments, NPs have sizeable quantity of scientific
enjoy, usually NPs cognizance on preventative care and sickness prevention
Physicians Assistants - ANSpractice medicinal drug underneath direct supervision of licensed
MD or DO, Pas are able to make clinical choices and be answerable for a variety of offerings
Medical Laboratory Technicians - ANSperform diagnostic checking out on blood, frame fluids,
and different specimens below the supervision of a scientific technologist
Occupational Therapist - ANSassist sufferers who have developed conditions that disable them
developmentally, emotionally, mentally, or physically
Allopathic - ANShomeopathic remedy, categorised by an effort to counteract the symptoms of
disorder by way of administration of treatments that produce the consequences contrary to the
symptoms
Osteopathic - ANStype of drugs primarily based on the idea that disturbances within the
musculoskeletal system affect different physical elements, causing many issues that may be
progressed via diverse manipulative techniques in combination with conventional clinical,
surgical, pharmacologic, and different therapeutic approaches
Work Ethic - ANSa set of values primarily based on the moral virtues of difficult paintings and
diligence
Standard of Care - ANSthe degree of care competence anticipated in a specific circumstance or
function
Accountable Care Organizations (ACOs) - ANSthese organizations of physicians, hospitals, and
other fitness care vendors come collectively voluntarily to offer coordinated superb care to their
Medicare patients, when an ACO succeeds in handing over awesome care and spending health
care greenbacks wisely, it's going to proportion the savings it achieves for the Medicare program
, Capitation (partial of complete) - ANSin this price model patients are assigned a in keeping
with-member, per-month fee primarily based on their age, race, intercourse, lifestyle, medical
history, and gain design, payment rates are tied to expected utilization regardless of how often
the affected person visits, like bundled payment models carriers have an incentive to assist
sufferers keep away from high-value technique and exams to maximize their repayment,
beneath partial or blended capitation models best unique kinds or classes of offerings are paid
on a basis of capitation
Global Budget - ANSthis is a set overall dollar amount paid yearly for all care, however
collaborating companies can determine how money is spent, global budgets limit the level and
the charge of boom of fitness care price, they normally encompass a satisfactory issue as nicely
Health Maintenance Organizations(HMOs) - ANSthis plan contracts with a medical center or
group of carriers to provide preventative and acute take care of the insured character, HMOs
generally require referrals to experts in addition to pre certifications and preauthorization for
hospital admissions, outpatient techniques, and treatments
Patient Centered Medical Home (PCMH) - ANSin this care shipping model, a primary care
issuer (PCP) coordinates remedy to ensure patient gets the specified care whilst and where
they need it, and in a manner they could understand
Pay For Performance - ANSthis compensation version compensates companies most effective if
they meet certain measures for high-quality and performance, generating pleasant benchmark
measures connects provider repayment immediately to the quality of the care they offer
Preferred Provider Organization (PPO) - ANSthese plans have greater flexibility than HMO
plans, an insured man or woman doesn't want a PCP, but can cross directly to a expert with out
referrals, although sufferers can see providers in or our in their network an in community
provider commonly cost less
General Practitioners (GPs) - ANSmedical docs who treat acute and chronic illnesses and
provide preventative care and fitness education to patients, takes into component the organic,
mental, and social factors applicable to the care of each patient's illness
Family Practitioners - ANSoften care for the entire own family from newborn to older adults,
they're familiar with a number of disorders and illnesses, preventative care is their primary
difficulty
Internists - ANSprovide comprehensive care of adults, frequently diagnosing and treating
continual long term situations, provide remedy for commonplace illnesses and preventative
care, have a extensive knowledge of the frame and it's illnesses in an effort to diagnose
conditions and provide treatment