Scheduling
Who will choose which scheduling system best suits the practice?
The provider
What does Part a,b,c,d cover in medicare?
A) Hospital benefit (inpatient)
B) Covers a portion (usually 80%) of out patients
C) Managed Care Option
D) Prescription Drug Plan
What is the deductible?
The amount you pay each year before your insurance starts covering costs
True or False? HMO requires a referral while PPO does not.
True
What do these 3 stand for: EMR EHR PHR
Electronic Medical Record, Electronic Health Record, Personal Health Record
What is a legal record?
the appointment book
What 4 things can a all-in-one machine do?
print, scan, copy, fax
What is the birthday rule?
The birthday whose parents occur first in the calendar year holds the primary insurance for the child. The other parent is secondary.
What are standardized codes that represent specific medical procedures & services?
Procedure Codes
What does SOMR and POMR stand for?
Source-Orientated Medical Record
Problem-Orientated Medical Record
There are 8 types of Schedule...what are they?
Open-Hour Scheduling, Time-specified scheduling, wave scheduling, modified wave scheduling, double booking, cluster scheduling, advance scheduling, combination scheduling
What are 2 of the 4 ways you can remind a pt about their appointment?
Appointment Cards, Encounter Forms/super bills, reminder mailings, confirmation call/text
How much you pay a month
According to the HCPCS what are the two levels of codes?
1) CPT Codes used for physician services
2) Codes that cover non-physician services
C.H.E.D.D.A.R
Chief Complaint-History-Examination-Details of Problem-Drugs & Dosage-Assessment-Return Visit/Referral
What is an example of special scheduling situations?
Fasting patients, diabetic patients, late arrivals/walk ins, cancellations, missed/wrong day appointment, emergencies take priority, referrals
Name 2 of the 6 things you can shred
Patient records, Prescription information, lab reports, billing and insurance information, appointment schedules, administrative documentation
Who is the guarantor?
The parent/caregiver responsible for paying the healthcare bill
Internal Classification of Disease
ICD
Name all 6 C's of charting
Clients Words-Clarity-Completeness-Conciseness-Chronological Order-Confidentiality
When is okay to double book without permission from the provider?
Never
What skill is most essential for career choices?
Computer Skills
Name 1 of the 6 ways you can get private health insurance
Through an employer, direct purchase, health insurance marketplace, insurance agent, membership organizations, short-term plans
Name 1 of the 5 components of the Global Period
Pre-operative visits, post-operative visits, complications not requiring a return to operating room, post-surgical pain management, surgical procedures
HCFA
Healthcare Financing Administration