billing and coding Flashcards

billing

1
Q

cc

A

chief complaint

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2
Q

EHR

A

Electronic Health Record

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3
Q

Demographics

A

Patients name, date of birth, contact ,info ,ssn ,employer ,number, insurance information.

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4
Q

PMH

A

past medical history

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5
Q

Reasons to have accurate records

A

*proof needed for a legal defense
*money
*higher quality of care
track vital statics

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6
Q

continuity of care ( allowing the pt to receive the most benefit..)

A

the smooth continuation of care from one provider to another allowing the pt to receive the most benefit with no intimation or duplication of care.

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7
Q

who owns the medical record

A

the place where the chart was created

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8
Q

anaphylaxis

A

a rapidly progressing, life threating allergic reaction.

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9
Q

what is SOAP

A

subjective data
objective data
assement
plan ( includes provides suggested treatments)

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10
Q

what is HITECH

A

hipaa on steroids

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11
Q

HPI

A

history of present illness

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12
Q

HITECH

A

Health information technology for economic and clinical health

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13
Q

what is HPI

A

concise account of problem more detail than cc

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14
Q

FH

A

family history

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15
Q

ROS

A

range of system

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16
Q

what is the advantage of EHR

A

Reducing the incidence of medical error by improving the accuracy and clarity of medical records.

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17
Q

what is jargon?

A

the vocabulary of particular profession as opposed to common everyday form.

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18
Q

pitch ( depth of a tone..)

A

the depth of a tone or sound a distinctive quality of sound.

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19
Q

triage

A

classify the injury

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20
Q

how do you create a positive impression over the phone

A

you smile:)

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21
Q

test results?

A

the ma needs good communication skills to really test results w/o crossing the line of practicing medicine w.o license
follow the facilities policy on identifying the pt.

22
Q

types of incoming calls

A

billing questions
appointments

23
Q

how do you end a call?

A

restate reason for calling
respectful closing statement
questions.

24
Q

how do you answer service?

A

a commercial service that answers
telephone calls for its clients

25
HOW LONG DO YOU PUT A PATIENT IN A HOLD?
NO LONGER THAN 60 SECONDS
26
HOW DO YOU ANSWER THE PHONE?
IDENTIFY THE FACILITY STATE THEIR NAME FOLLOW UP W/ AN OFFER TO HELP
27
what is cell forwarding
allows the user of one phone to automatically send calls to another #
28
urgent but not emergency
minor burns cuts influenza mild to moderate breathing difficulties urinary tract infection symptoms
29
WHAT DOES EP AND NP MEAN?
EP= existing patient NP= new patient
30
what do you do and NOT do when you get lab results from the hospital?
you don't give the results on the phone name of the facility and call back
31
what info you need to schedule an appointment?
patient full name, telephone number and purpose of the visit.
32
how long do you wanna let the phone ring
3 rings
33
pt arrives into the office what is the first thing you would you do?
greet them and the pt needs to know what to do and where to go
34
infection control supplies
masks,tissues,hand sanitizer
34
what is wave scheduling?
A method of scheduling appointments in which several patients are given the same appointment time and seen in the order in which they arrive.
34
When a patient needs to reschedule, what are the two things we should do?
remove Apponiment, set tne new appointment
34
Answering service is? ( AFTER OFFICE HOURS)
After office hours in case of a emergancy situation
35
What types of out-patient procedures can we possible schedule for a patient
MRI’s
36
An open book is considered?
Urgent but not an emergency
37
Articulation of sounds is known as
enunciation
38
Describe what being an "active listening" is
Listening caretully and restAting. making good contact asking questions being involved
39
Is used the most when a follow up with the patient is needed
Ticker files
40
are for patients that have passed away, moved away or terminated their relationship with a physician.
Closed files🫶
41
Process of moving an active file to inactive is called
Purging
42
precertification.
.process of contacting an insurance carrier or primary care provider to obtain preapproval for a service
43
preauthorization
process of contacting an insurance carrier or primary care provider to obtain. preapproval for a service;
44
A symptom is also called
a subjective complaint
45
a sigh is also called
objective data
46
Redundancy -
files are copied onto many servers in various locations.
47
example of redundancy
ICLOUD
48
EMR VS EHR
EMR : SINGLE HEALTH ORGANZATION EHR: Multiple healthcare organizations
49