SCHEDULING
patients schedule only in the first half of each hour allowing for walk-ins and emergencies
what is modified wave
concise description of patient's encounter at the clinic
what is clinical notes, progress note
POMR stands for
what is problem oriented medical record
the Middle initial?
what is the 3rd index unit
scheduling patients by similar appointment types or for same provider.
what is clustering
scheduling for a period of time, first come first served
what is open hours
report that has two sections, the patient's complaint and history and the review of systems
what is the H&P
SOMR stands for
what is source oriented medical record
What is the index unit of the first name?
what is the 2nd index unit
chronicles the surgical procedure, pre-op and post op diagnosis, counts, inventories and condition of patient
what is operative report.
scheduling where patients are given a specific time
what is stream or specific time
report of a specialist to the PCP including an H&P, lab data, diagnosis and treatment course
what is a consultation
Most common type of filing used in ambulatory offices
what is alphabetical
seniority and professional titles
what is the last index unit
the file used as a reminder system for tasks that are to be completed in the future
what is a tickler file.
Schedule multiple patients in the same time period are are seen in order of arrival
What is wave
documents patient's history of hospital admission
what is the discharge summary
Most common type used in large inpatient facilities
what is numeric
What is filed first? Del Rios or Delaney?
What is Delaney
what is it called when work is done outside of the ambulatory office by a designated group such as billing or human resources?
what is outsourcing
what is double booking
report that describes the gross and microscopic examinations and findings on lesions, tissue samples and body fluid
what is pathology report
The first unit, also known as the Key unit identifies what?
what is the last name
Who is filed first? Will Smith Jr or Will Smith Sr?
who is Will Smith Jr
What are the steps for filing medical documentation?
what is inspect, index, code, sort and file.