Health Records & SOAP Notes
What does “S” in SOAP notes stand for?
Subjective
What is active listening?
Listening, interpreting, restating
What is a copayment?
Fixed amount per visit
ICD codes are used to track what?
Disease/mortality
Money owed to the practice but not yet received?
Accounts Receivable
Which part of SOAP notes includes vital signs and physical exam?
Objective
A patient calls for STAT lab results. What should the MA do?
Document & notify provider
What is the amount patient pays before insurance starts paying?
Deductible
Where do you start when performing diagnostic coding?
Alphabetic Index
Money the business owes?
Accounts Payable
How should you correct an error in a paper health record?
Single line through the error, add date, signature, and title
How should a caller who refuses to give their name be handled?
Cannot connect; take message
When both parents have coverage, how is primary policy determined?
Birthday rule
What is an eponym in medical terminology?
Diagnosis or procedure named after the discoverer
What is double-entry bookkeeping?
Each transaction has debit & credit entries
What is a document sent by insurance explaining allowed charges and patient responsibility?
Explanation of Benefits (EOB)
Which patient gets priority at reception?
Patient with urgent condition (e.g., bleeding)
What is a mature minor?
A minor legally allowed to consent for certain services and may be responsible for the bill
HCPCS Level B codes are for what?
Medical and surgical supplies
Small cash for office minor expenses?
Petty Cash
Name one key difference between paper and electronic health records.
Examples: accessibility, security, real-time updates
Name 2 proper virtual visit practices.
Camera at eye level, mute when not speaking, no food visible
Medicaid paying part of a bill: what is done with the remaining balance?
Consider Medicaid payment as payment in full
Category II CPT codes are used for what?
Performance measurement
What 9-digit number identifies a bank on a check?
Routing Transit Number