Should you communicate with a patient regarding diagnosis?
No, only the DR.
Blood Borne pathogens fall under which regulatory agency:
OSHA- Occupational Safety and Health Administration
Who oversees immunizations?
CDC (Center for Disease Control)
Who is responsible for paying a minor's copay?
The minors guarantor
What does a hematologist study?
Blood, blood-forming organs and blood diseases
You would see a cardiologist for?
CHF- Cognitive Heart Failure
Collect the amount due at
the time of services
What is gravida-3
3rd pregnancy
RX is:
prescription
Rhinoplasty
surgical repair of the nose
Know the goals of the patients' Bill Of Rights
Guarantees pt. information, fair tx and autonomy over medical decisions
What actions should you take if you're writing a collection letter?
Individualize the letter
What do you do if you get a check returned from the bank for NSF ( non-sufficient funds)?
Info rm the check writer that the check has been returned.
Does HIPPA state that a pt. may be charged/have to pay for copies of their medical record.
Yes
Where/what type of office would you go to for a barium enema for an ulcer?
Radiology/out pt
BCBS an acronym for what health insurance plan?
Blue Cross Shield
SNE stands for which is a setting for med and nursing care.
Skilled nursing facility
What requires a MSDS?
A chemical solution
What information is on a MSDS?
Potential hazards and how to work safely with the chemical
Ante- means
Before
Dilate means it-
expands
endocrinologist treat what?
Type 1 Diabetes
Hyper-
high, a lot, excessive
If a pt. calls and states, they have a fever after surgery
send call to the clinic staff
Inflammation of the knee
bursitis
hepatectomy
surgical removal of the liver
The CPT and ICD-9 code is also referred to as
the diagnosis code
If a pt. leaves an office and is nervous or worried about test results, give them a sense of security
verify that you have the correct contact information on file and that you know the preferred communication method.
If you don't obtain consent to preform surgery what can the DR be charged with?
Battery
What is Polypharmacy?
The simultaneous use of multiple drugs to treat a single condition
Know the characteristics of a block style letter
All text is aligned to the left margin
If two people have the same name confirm the correct pt. by checking the
DOB (date of birth)
If a pt. was recently laid off, you could set up a...
Hardship payment plan
when confirming an appointment, it is essential you include the:
Facility's telephone number
Completed medical record requests should be kept in:
The patients chart
Who determines the fee schedule?
The provider
Medical term dys- (means)
bad or difficult/PAIN
Ilestomy-
surgical operation in which a piece of the ileum (intestine) is diverted to an artificial opening in the abdominal wall (belly)
What are examples of pt. demographics
Allergies, DOB, gender, contact info, Family Dr., insurance provider and medical Hx
If you make a change in a chart what should you do?
Date and initial it
Medicaid is secondary to
Medicare
Flexible spending account payments are posted as a:
credit
Who has the right to determine how and whom information is communicated when confidential information is being released?
pt.
If the dr. id going to be away, what should you do to his schedule for those days?
Block off
Per OSHA you must have a written emergency plan if you have how many employees?
>10
Assignment of benefits form sates that who will get the payment for services?
the medical facility
Who should answer questions if the pt. is concerned about the procedure?
The doctor
A professional courtesy from one Dr. to the next Dr. might be to have what?
Fees for service
A spreadsheet would be good to track and tally
Supplies needed in office
Inactive pt.'s are ones who have not been seen in
2 years
If you write a letter save it as a ____ on your computer
doc.
How long should authorization for an urgent referral take
Under 24 hours
If you're going to make an appointment for your pt. to see another Dr. make sure the other office takes their:
insurance
A schedule 11 (2) prescription refill must be authorized by:
Prescriber
Dr.'s must sign letters that are going to
colleagues
If a pt. misses an appointment because they are in the hospital be sure to alert the
DR.
The CPT would be used to determine the code for a
pt. consultation
When a pt. has an appointment in 45 days is it good to call them about a week before to
remind them of it
Pericardiocentesis is part of which body sysytem?
Circulatory
Urgent care would use which type of scheduling?
Tidalwave
What should be considered when updating a Medicare fee schedule?
Resource based relative value scale
If you're out of pocket max is $1500 you would be responsible to pay
that amount
To ensure security compliance in a electronic health records system
keep the system logged out when not in use
After a patient fills out all the forms you should
attach the forms to the patient record
The diagnosis code would be found on both the
patient encounter form and the CMS 1500 claim form
Government sponsored health programs that varies state to state
Medicaid
EMR stands for
Electronic Medical Records and can be accessed by multiple providers
ICD stands for
International classification of disease
The CPT or ICD-9/ ICD_10 is the code used for
DIagnostics
Goal of the pt. bill of rights
Develop a relationship between he provider and pt.
Hematuria
blood in the urine
Surgical puncture to aspirate/remove fluid:
#NAME?
How many diagnosis can be reported on the CMS-1500
Four
Which part of medicine covers prescriptions drug services
D
Military insurance
TRICARE
Medicare Part B
Pays for physician office vists
Hazardous waste containers are
RED
What's a deductible?
The amount of money that the insured must pay before an insurance company will play a claim
Per OSHA how often should you train on updated policies?
Every year
I'm worried about how much i will have to pay after my insurance processes the claim and pays their part so the MA should give me what form to explain my benefits to me:
Explanation of benefits form
If something was not originally documented in a chart you should:
Amend the chart
If your Medicare deductible has been met for the year what % in the pt.'s responsibility of future bills now?
0% the insurance policy would pay
Stream booking:
Each pt. is given an appointment time based on status and needs
What do firewalls do to protect PHI?
They block or prevent unauthorized access to a network
Clustering scheduling means you see:
grouped procedures on different days
Patient's Bill of RIghts': What do you have the right to?
Right to patient confidentiality, right yo informed consent, right to be treated with dignity.
What is found on the pt. encounter form and the CMS-1500 claim form?
CPT an ICD-9 codes. demographic and accounting info, professional services rendered
What information would you find on a history form:
Medications currently taking or recently stopped taking, allergies, previous injuries, recent illnesses, past hospitilizations and family history.
When/what do you use an encounter form for
To determine what procedures the DR. performed and the bill amount
Known an example of correspondence file organization method:Correspondence may consist of incoming and/or outgoing letters and memoranda ______________________ classically, correspondence has been filed in chronological order. Retrieval depended on rememb
SUCH AS A CALANDER
If a pt. calls for records
make a copy of everything and have them pick it up
Hazard boxes should be kept
in the treatment area