Vocab
Electronic Medical Record
what do you put on a new patients chart
NP
what should be the first thing done in an appointment
verify name and birthday
where is the year on the chart
under the first two letters on the last time
How do you determine the type of appointment that needs to be made
Chief Complaint
Stat.
immediately
How long should a paper record be kept
3 years
What is clustering
Putting all the same appointments at the same time and day
IN what order should charts be kept
Alphabetical
What is needed to create an appointment
Name, Date of birth, CC, Provider, Date/time, and Insurance
CVA
Cardiovascular accident
Where are old charts stored
Off site location
Cross it out with a single line initial and date it
Why is it important to have a detailed chart
In case you get sued
Disadvantages for wave scheduling
because they all come at the same time someone might be waiting for too long
R/O
Rule out
What is the main benefit of EMRs
Real time updates on charts
when calling patients back what should you not do
Use last name or any other personal information.
When gaining a New Patient what information should you acquire
Insurance, demographic information, and Health history
how should patients be scheduled
By need
RTA
Real-Time Adjudication
How should medical records move offices
faxed with patient consent
How long should a new patient screening
60 minutes
Why is it important to occupation
because you might be exposed to harmful substances or circumstances
Blocking off times providers are unavailable