A patient index that can be shared across all the service components is called what?
Enterprise master patient/person index (EMPI)
What information is needed to query a patient index to determine if a patient has been seen at the practice in the past?
Name
Which of the following may result from a MPI search that results in a close match?
Same name but a different date of birth
Slight differences in spelling of a name
Same name and birth data but a different address
All of the above
What document(s) provide Medicare patients with notice that Medicare's financial responsibilities might be limited?
Notice of Exclusions from Medicare Benefits
Advance Beneficiary Notice (ABN)
B and C
Which of the following procedures would require a signed consent?
Removing a mole from the patient's back
In which of the following scenarios would an authorization for release (disclosure) of information need to be signed?
Patient wants their records sent to a family member.
Which of the following individuals is mainly responsible for overseeing patient management functions?
Medical assistant
Where does the patient management workflow process begin?
When the patient contacts the health care provider
Which of the following statements about a general consent for treatment is correct?
individual office policy determines the use of a general consent for treatment.
Which of the following applications facilitates the creation of a longitudinal patient record?
MPI
A new patient contacts a health care practice for an appointment. At what point is it necessary to query the master patient index about this patient?
It is important to query the MPI in case prior treatment information exists.
Which of the following describes a "new" patient within the patient management process?
A patient with no prior existing treatment records
Which of the following criteria for patient demographic information includes details on the patient's height and weight?
The Joint Commission
A un-emancipated minor is required to supply all of the following demographic information except:
Name of third-party payer
In most cases, the patient's ______ is the starting point for an MPI search.
record number
A medical assistant searched the MPI and cannot find an exact match for an existing patient. The next step would be to:
look for a close match
Which of the following permits a third-party payer to send payment directly to the health care provider?
Assignment of Benefits form
The scheduling software includes information about which of the following?
A physician's vacation dates, Time allotments for follow-up visits, Office hours for practitioners,
All of the above
Janice is a new patient who has scheduled a physical examination. Approximately how long will Janice's office visit take?
45-60 minutes
The EHR system does not need to document which of the following?
Patient appointments
Patient no-shows
Cancellations
None of the above
A physician who treats a patient without that person's consent may be accused of ______.
battery
A Notice of Privacy Practices should include which of the following information:
Information on how patient information is disclosed by a practice
Details on the patients' rights and responsibilities related to their records
Contact information for the health care practice
All of the above
At minimum, the EHR must contain which of the following to comply with HIPAA?
A signed signature section of the Notice of Privacy Practices
A document that describes a person's wishes related to their medical care during a life threatening situation is known as a _________.
living will
Which of the following statements about an advance directive is not correct?
Advance directive documents must be included as part of a patient's record.
Wich of the following gives another person the right to make health care decisions for an individual patient?
Durable power of attorney for health care
When would a patient need to receive an Advance Beneficiary Notice (ABN)?
When it is known that Medicare may consider a procedure unnecessary
Type of advance directive giving another person the right to make health care decisions for the patient
Durable power of attourney
The key to locating a patient record in a health care organization with many component facilities, this listing includes patient identifying information and the assigned record number for all individuals ever receiving care by the entire organization
Enterprise master patient/person index (EMPI)
The key to locating a patient record; this listing includes patient identifying information and the assigned record number for all individuals ever receiving care by an organization
Master patient/person index (MPI)
Document completed and signed by the patient or the patient's representative to permit sharing of confidential patient information to others for any purpose other than treatment, health care payment, or health care operations
Authorization for release (disclosure) of information
Information required by HIPAA to be provided to patients about the use and disclosure of information by the practice, patient rights and responsibilities in relation to the record, and contact information if questions arise
Notice of Privacy Practices
One longitudinal record for each individual no matter how many times they have been seen by an organization or organizations
Unit Record
System that supports the financial and administrative functions of a practice, usually including patient demographics, appointment scheduling, charge capture and billing, and report generation
Practice Management System
Type of advance directive that outlines the wishes of the patient in relation to medical care in life-threatening situations; it may also name a representative.
Living will
Document that provides guidance to practitioners about the wishes of a patient should he or she become incapacitated or no longer able to make decisions due to medical or psychiatric impairment.
Advance Directive
Document provided to Medicare patient if the provider knows that a particular service will not be covered by Medicare, allowing the provider to bill the patient for the service.
Notice of Exclusions from Medicare Benefits
Documentation signed by the patient giving approval to provide routine care.
Consent for Treatment
Touching an individual without consent
Battery
Authorization by the patient for a third-party payer to directly reimburse the practice for services provided instead of the patient.
Assignment of Benefits
Document given to Medicare patients prior to treatment if it is believed that a treatment or a portion of a treatment will be considered unnecessary by Medicare and consequently not be reimbursed.
Advance Beneficiary Notice (ABN)
The following are examples of general workflow that are part of patient visit management. Rearrange the list of activities so they are in sequential order from first steps through to later steps.
Verifying presence of advance directive
Collecting co-pay
E
1. Identifying and scheduling an appointment
2. Contact payer if necessary to obtain information on benefits/receive prior approval
3. Collection of co-pay
4. Verifying presence of advance directive
5. Examination by the practitioner
6. Coding, billing, a
Name ten items that can be described as demographic information.
1. Full name
2. Address
3. Telephone numbers
4. Date of Birth
5. Age
6. Record number
7. Marital status
8. Gender
9. Race/Ethnicity
10.Place of birth
Name three EHR certification criteria related to managing patient advance directives.
1. Patients need to make sure that care providers are aware of the existence of their advance directive or any changes made to an existing directive
2. Practices must make a notation in the patient EHR that an advance directive exists
3. Discussions with
Describe at least five components of an authorization for release of information as provided by the Federal Register in 2000.
1. I, name, voluntarily authorize the disclosure of information from my health record.
2. The information is to be disclosed by:
1) And is to be provided to
3. The purpose or need for this disclosure:
4. The information to be disclosed from my health reco