CHART FORMS/REPORTS
An Outpatient H&P needs to be completed within what length of time without an update note.
What is within 24 hours of admission?
A non-invasive test that is used to reflect underlying heart conditions by measuring the electrical activity of the heart.
What is Electrocardiogram?
HIPAA
What is Health Insurance Portability and Accountability Act?
A physician who supervises a patient's care during an inpatient stay.
What is the Attending Physician?
When prepping a chart, what form comes immediately after Physician Orders?
What are Discharge Instructions?
An x-ray of the breast in a device that compresses and flattens it.
What is a mammogram?
MOON
What is Medicare Outpatient Observation Notice?
Treatment received by a patient in a hospital or clinic. The patient does not require hospitalization.
What is Outpatient Care?
A signed Authorization from the patient to release information is not needed for what type of request.
What is a request for continuation of care from another medical facility?
A blood draw.
What is a venipuncture?
HFAP
What is Healthcare Facilities Accreditation Program?
Written authorization from a policyholder for their insurance company to pay benefits directly to the care provider.
What is an Assignment?
Partial or complete loss of consciousness.
What is syncope?
ABN
What is Advance Beneficiary Notice?
A physician who specializes in the diagnosis and treatment of cancer.
Who is an Oncologist?
A Discharge Summary is required on what type of patient class.
What is Inpatient?
High, excessive, beyond normal.
What is hyper?
EMTALA
What is Emergency Medical Treatment and Active Labor Act?
The Revenue Codes for ER and Observation services
What are 450 and 762?