Chapters 1-3
You look a little green around the gills, today.
What is a cliche?
Three methods for organizing paper medical records
Source Oriented, Problem Oriented, Chronological/Reverse Chronological
An agreed upon amount between a facility and insurance plan that is typically less than the Provider's Fee
A discounted fee based on income
Sliding Scale
This code is typically used to bill for the visit and time with the provider.
CPT Evaluation and Management (E/M) code
An example of express consent.
The example should include consent that is either written or verbal.
The different between an acute, chronic and terminal diagnosis.
Acute - something that will resolve within a specified amount of time.
Chronic - a condition that will not go away or be "cured"
Terminal - a condition that will eventually cause the patient's death
Medicare Part C Coverage
Medicare Part C replaces Part A (inpatient coverage) and Part B (outpatient coverage), and sometimes Part D (drug coverage).
An example of a blank endorsement
A signature only (Molly Meyer)
This code would be used to bill an inpatient surgery or procedure.
ICD-10-PCS code
Three patient rights, according to the Patient Care Partnership
Quality of Care, Involvement in Decision-Making, Privacy, Advanced Directives, Assistance with Billing, Identify of Healthcare Workers
A 9 year old child has their appendix removed in 2019. The child continues to have complications and recurrent infections following the surgery. In January 2020 it is discovered by X-ray that a sponge was left in the child's abdomen during surgery. In what years could a Malpractice Lawsuit be filed?
January 2020 - January 2022 - Lawsuit on behalf of the parents
2028 - 2030 - Lawsuit on behalf of the now adult patient
Federal law that expanded Medicaid coverage, required no-cost preventative care and an out-of-pocket maximum.
What is the Affordable Care Act
Healthcare balances that have been turned over to _________ and are over $_______ can impact credit scores
Collections, $500
A coding system used for outpatient procedures that use new technology
List three requirements for terminating the patient provider relationship:
Give 30 day's notice
Given written notice
Mail via certified mail
The crisis that an infant would face, according to Erik Erikson. Also known as stages of development.
Trust vs Mistrust
A type of private insurance that pays the patient based on their utilization of healthcare. Fee-for-Service type plan.
What is an indemnity plan?
A medical office uses 100 syringes each day. It takes three days to receive orders once placed. The office likes to keep a 20-day supply on hand. What is the reorder point?
Safety Stock = 20 day supply = 100 X 20 = 2,000 syringes
(100 syringes X 3) + 2,000 syringes =
300 syringes + 2,000 syringes = 2,300 syringes is the Reorder Point
List three rules for identifying ICD-10-CM codes
Starts with a letter
3-7 digits
Uses X as a placeholder
Do not touch the patient without introducing yourself and tell the patient when you leave the room.
Communications techniques for visually impaired patients.
F- Face
A - Arms
S- Speech
T - Time
This type of managed care plan offers the most flexibility in choosing providers, and doesn't require referrals.
Preferred Provider Organization (PPO)
Sue owes the medical office $1,000 but cannot make the payment. A payment play is agreed upon, with a $30 minimum payment and 10% annual interest.
4/1 - Sue makes a minimum payment of $30.
What will Sue's added interest be on her May 1st statement?
Original Balance = $1,000
4/1 - Payment of $30. New Balance = $970.
$970 x 0.10 = 97 / 12 = $8.08
$8.08 will be added to Sue's balance in interest
This is how the Tabular Index for ICD-10-CM codes is organized.
By body system