Managing office procedures Flashcards
What is a patient registration form?
includes basic demographic info:
- legal name, address, phone #, DOB, medication insurance info, emergancy contacts, primary care physican
Medical history form includes…
illnesses, surgeries, allergies, current medications, family medical history, social, nutrition habits, exercise, tobacco, alcohol use
Physical examination form?
record of the paitents review systems and results of general exam
- questions asked are used to identitfy signs or sympotoms that lead to illness or conditions
- medical assistant will follow up with examination of vital signs
Laboratory results
Results of tests performed at physicans office or hospital- flow sheet
Diagnosis/ treatment plan
In patients medical record- treatment options, the treatment option selected, instrctutions to patient, medication prescribed
What is reported in operative records?
procedures and sugeries
notes by physican
How are phone calls added?
chronological order
What is included in hospital dischagre summaries?
Tests, procedures, operations, medications, outcome
What is inclosed in correspondence with or about patient form?
-must be kept in a medical record
- each document must be stamped with a recepit
- if the info is recieved by fax, the sender is responsible for sending the original document in the mail
What are the procedures to maintain a healthcare providers schedule?
- Prioritize appointments
- Confirm appointments with text/email
- Create a patient waiting list
- Use automated paitent recare and recall
State procedures to schedule patient appointments
- forge a timeline
- avoid double booking
- designate an appointment scheculer
-modified wave scheduling- More than one patient is scheduled at the beginning of each hour and the end of the hour is left open, allowing the physician to catch up
-Group similar patients
-Out of office planning
-Clinical collaboration
-Recognize patient needs
- More than one patient is scheduled at the beginning of each hour and the end of the hour is left open, allowing the physician to catch up
What are the procedures to register a patient?
-Collection of patient demographic information, including personal and contact information
- Patient referral or appointment scheduling
- Collection of patient health history
- Checking of health payer coverage
- Patient orientation
What is included in a patient chart?
Medical Summary
History
Prescriptions
Patient Information
Room number/location
Appointment details
Patient PCC
Immunization History
What is the breech notification rule?
Has access to the physician work station
PHI is stored → to prevent theft, tampering, access
List the 4 procedures to preapare treatment rooms and exam tables.
Change disposable paper covering the table
Place solid linens and pillowcases in biohazard bag labeled
Clean surfaces with 10% bleach solution( 1 part bleach 10 parts water)
Store testing kits properly
