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Medical Assisting > WEEK THIRTEEN > Flashcards

WEEK THIRTEEN Flashcards

1
Q

purchase requisitions

A

formal request from staff for supplies/equipement

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2
Q

purchase order

A

form that authorizes a purchase

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3
Q

most common scheduling

A

computerized scheduling

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3
Q

Applying the matrix

A
  • block off times unavailable
  • appointments can be group by provider, appt types, or resources(surgery room/lab)
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4
Q

stream scheduling (time specific scheduling)

A
  • patients scheduled for specific times
  • at regular intervals
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5
Q

wave scheduling

A
  • flexibility for people who are late and/or require more or less time
  • three patients are scheduled at the same time at the top of the hour
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6
Q

Modified Wave Scheduling

A

two patients scheduled at the top of the hour and a 3rd scheduled 30 mins later

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7
Q

Double booking scheduling

A
  • two patients scheduled at the same time
  • work in patients with acute illness
  • creates delays for patients and providers
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8
Q

cluster/categorized scheduling

A
  • grouping patients with similar exam types, conditions, or treatments, within a certain time block during the day (ultrasounds)
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9
Q

established patient

A

person who has received professional services from a physician within a previous 3 years

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10
Q

F/U duration

A
  • follow up appt: 20-30 mins
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10
Q

New patients will be required to fill out

A
  • notice of privacy
  • medical history
  • HIPPA release forms
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11
Q

NP duration

A

new patient: 45- 1hr

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12
Q

S/R duration

A

suture removal: 10 - 20 min

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13
Q

CPE duration

A

Complete physical exam 30-60 mins

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14
Q

CAN

A

cancellation: 0 mins

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15
Q

NS duration

A

No show: 0 mins

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16
Q

P & P

A

Pelvic exam and Pap Smear: 15-30 mins

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17
Q

Superbill or Encounter

A

Created when the medical assistant and physician see the patient in person (billing purposes)

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18
Q

comprehensive appt

A

new or established patient for a specified complaint at highest coding level, multiple complaints, injuries, or worsening chronic conditions

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19
Q

most common size of envelopes

A

no. 10

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20
Q

formal business stationary

A
  • name and address
  • associates
  • phone and fax numbers
  • website info and e-mail
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21
Q

most used outgoing mail

A

first class

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22
Q

most secure outgoing mail

A

registered

23
TDD
Telecommunication device for the deaf
24
5 C's of effective communication
- completeness - consideration - conciseness - concreteness - clarity
25
Five basic steps for filing
- conditioning - releasing - indexing & coding - sorting - filing
26
electronic medical record
digital charts to be used within a facility
27
electronic health record
includes EMR and other info used between facilities
28
Personal health record
- access controlled solely by patient
29
release of information form
- also known as HIPAA form - allows practice to share patient info
30
consent to treat form
- gives the physician permission to treat a child
31
meaningful use
guidelines imposed by the Health Information Technology for Economic and Clinical Health (HITECH) ACT in 2009 - improves quality, safety, efficiency, and reduce health disparities
32
deductible
patient must pay out of pocket before insurance begins paying
33
coinsurance
insurance company share the cost of service
34
copayment
amount paid at the time of service
35
assignments of benefits
form signed by the patient to allow the provider to be paid directly by the insurance company
36
participating provider
providers that agree to write off the difference between that amount charged and the allowed amount by the insurance company
37
allowed amount
the maximum amount the insurance company will pay for a service for product
38
advanced beneficiary notice
patient being responsible for payment because Medicare will not cover the service
39
explanation of benefit
statement from insurance company to patient outlining amounts billed
40
preauthorization
contacting the insurance plan to see if a procedure is a covered
41
medicare
cover patient 65 and older
42
medicare part A
hospitalization
43
medicare part B
routine medical office visits and outpatient services
44
medicare part C
optional additional coverage offered by private companies approved by Medicare
45
medicare part D
medications
46
medicaid
covers low income and mentally indigent
47
tricare
covers military personnel and dependants
48
CHAMPVA
covers spouse and dependent children of veterans who passed away
49
Workers Compensation
covers workers against lost wages due to accidents on the job
49
Children's Health Insurance Program (CHIP)
provides low-cost health coverage to children who's in a household that earn too much money
50
managed care health plans
plans that provide healthcare for payments
51
HMO
- contracts with providers and hospitals to provide preventative and acute care - requires referrals, PCP, preauthorization
52
PPO
- no referrals needed
53
fee- for-service
amount charged for services is controlled by the insurance carrier
54
pay-for-performance
compensates providers only if certain measures are met for quality and efficiency
55
capitation
- patients are assigned a per month payment based on age, race, sex, lifestyle, medical history
56
coordination of benefits
- prevents duplication of payment - primary insurance plan pays first - secondary plan pays the deductible and copayment after the processed their claim

Medical Assisting (11 decks)

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