Medical records
Who determines the amount of time a medical record must be retained?
the state
The designed time frame for appointments based on the method of appointment durations.
schedule matrix
What are some reasons that organizations and/or providers have shifted to electronic records versus paper charting?
Accuracy
Efficiency
requirements/incentives from the Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS)
a digital version of a patient’s medical and health care information within a specific health care organization
a digital version of a patient’s medical and health care information within a specific health care organization
A series of administrative functions that are required to capture and collect payment for services provided by a healthcare organization.
revenue cycle
Where are the following records currently stored?
Paper medical records - Onsite
Archived records - Offsite (convenient location)
what schedule method is specific time gives each patient an individual time for their appointment.
Specific Time method
What is the Centers for Medicare & Medicaid Services (CMS)?
A federal agency that oversees the Medicare program and assists states with Medicaid programs.
What kinds of patient activities can a PMS help with?
patient medical records
Scheduling
Registration
billing
What type of appointment is New or established patient for a specified complaint at highest coding level, multiple complaints, injuries, or worsening chronic conditions
Comprehensive appointment
What are some reasons that archived records may need to be retrieved?
medical history
general patient care
the event of a legal matter, such as a subpoena
Scheduling two or three patients during a designated hourly time period (last 30 min of the hour, patients seen in order of arrival).
Wave Scheduling method
how are paper charts assembled?
reverse chronological order, with the most recent medical services on the top
Software used to electronically manage administrative functions, such as scheduling appointments, integrating patient documentation from electronic health records, coding, billing, and revenue cycle tasks such as running aging reports and managing the accounts receivable.
Practice Management System (PMS)
An order from a provider for a patient to see a specialist or to obtain specific medical services.
referral
How are electronic health records typically stored?
Cloud storage
A type of scheduling in which two or more patients are scheduled within the same time slot.
What is the most common filing method of paper charting?
alphabetical by last name of patient
What makes an EHR a little more efficient than an EMR
more accuracy and efficiency and a greater continuity of care for the patient. This integration allows for lab and diagnostic test orders to be entered and viewed by the patient and their providers in real time
What type of appointment is "Thorough review of body systems including preventive care and screenings"
(complete physical exam, annual wellness exam, chronic care management)
Preventive Care appointment
A tool that allows for a submission of the coded visit to the insurance company by participating providers for reimbursement decisions by third-party payers while the patient is present.
“real-time adjudication”?
Scheduling patients in groups with common medical needs.
Clustering scheduling method
What are some drawbacks of paper charting?
Cumbersome
allows access of one user at a time
no real-time adjudication (RTA) interoperability among health care providers
searching for and locating charts can be time consuming
a record of patient medical and health care information accessible to providers and other staff members with log-in credentials regardless of location, which contributes to more efficient patient workflow
electronic health record (EHR
What type of appointment is "pt has not received services from the provider or same group (and same specialty) within 3 years—includes known complaint/condition
New Patient appointment