Pt Edu
Define Factual Teaching
Knowledge base teaching (cognitive learning)
What are the two types of posture when communicating? (Hint one is seen as agreeable one is seen as defensive)
Open and Closed
Who manages the provider's clinic schedule?
The MA. This is one of our most important tasks.
What is the difference between accounts receivable and accounts payable?
Accounts receivable: Bills the patient pays to the practice
Accounts payable: Bills the practice has to pay
Define Copay
a payment made by a beneficiary especially for health services
Define Sensory Teaching
Privacy, transactions & identifies, security, enforcement are the four categories of what rule?
HIPAA Simplification Rule
What is a schedule matrix?
It is the basic outline of times when the provider is and is not available for appointments.
If you submit a claim with the wrong diagnosis code what will happen?
Your claim will be denied and the patient will receive a bill for the full amount.
Define Premium
The amount you have to pay each month for insurance
Define Participatory Teaching
What is the primary role of the Office of Civil Rights?
Enforces federal civil rights laws, conscience and religious freedom laws, the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Breach Notification Rules, and the Patient Safety Act and Rule, which together protect your fundamental rights of nondiscrimination, conscience, religious freedom, and health information privacy
What are 3 different types of schedule methods?
Wave, Cluster, Time Specific, Double Book, Open Hours
What is a fee schedule?
Fee schedule determines the amount that should be billed for services.
Define Deductible
The amount you pay for covered health care services before your insurance plan starts to pay
Name 3 different educational materials
flyers, brochures, booklets, DVD's, approved videos, podcasts or audio files, approved websites ( .gov, .org or .edu websites)
Define SOAP and give an example of each section
Subjective-What the pt tells you
Objective-What you can see or measure
Assessment-Diagnosis (Completed by provider)
Plan- Meds, imaging, needs for other testing or referrals (Completed by provider)
Who should be notified about delays?
Front desk and patients in the waiting area.
Define Preauthorization
The request that is made prior to a procedure to seek approval of payment
What is the birthday rule?
This is a method used to determine when a plan is primary or secondary for a dependent child when covered by both parents' benefit plan. The parent whose birthday (month and day only) falls first in a calendar year is the parent with the primary coverage for the dependent.
What are the 5 steps in a patient education process
1. Assess
2. Plan
3. Implement
4. Evaluate
5. Document
What is an ROS and where is it commonly found?
A review of systems (all body functions) is on the health history form or completed via examination (by the practitioner)
What patients should be scheduled early in the day?
Patients who were instructed to fast prior to appointment.
How much does the provider bill for Medicare patients?
Medicare has a set fee schedule so there is no additional charge the provider can apply.
Who is covered by MediCare?
Persons 65 years and older.
Dependent widows aged 50 to 65 years old
The disabled
The blind
Chronic kidney disease requiring dialysis or end-stage renal disease (ESRD) requiring transplant