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MOAA Chap 9&10
Question | Answer |
---|---|
Buffer Time | An appointment scheduling method of leaving certain times of day open to accomodate situations such as patients who call for same-day appointments of physicians who need to catch up on charting. |
cluster scheduling | scheduling method that groups patients with similar appointments around the same time of day. |
double booking | scheduling more than one patient for the same appointment time. |
established patient | patient whom the medical office has seen previously |
fixed-appointment scheduling | scheduling system that assigns every patient a specific appointment time. |
matrix | process of blocking out times in the appointment schedule when the provider is unavailable or out of the office. |
modified wave scheduling | a scheduling systeme where two or three patients are scheduling at the beginning of each hour, followed by single patient appointments every 10 to 20 minutes for the rest of that hour. |
new patient | patient whom no provider of the same speciatly in the office has seen for 3 or more years. |
new patient checklist | list of info new patients must provide when calling to schedule appointments. |
office brochure | pamphlet outlining an office's staff and services. |
open hours | scheduling method that allows patients to seek treatment without appointment times. |
preapprovals | the process of calling a ptient's insurance carrier prior to a service in order to obtain preapproval or authorization for the serice to be performed. |
slack time | an appointment scheduling method of leaving certain times of day open to accommodate situations such as when patients call for same-day appointments of physicians who need to catch up on charting. |
triage notebook | notebook kept near the administrative medical assistant answering incoming telephone calls that outlines questions and steps to follow in the event callers have potentially life-threatening conditions. |
wave scheduling | a scheduling system where patients are scheduled only during the first half of each hour. |
EKG | electrocardiogram |
active patient files | files for patients who have appointments or who have been in to see the physician recently. |
advance directives | documents that outline patients' wishes regarding health care should those patients be unable to speak for themselves. |
chief complaint | main reason a patient seeks care. |
closed patient files | files for patients who will not be returning to the clinic. |
cross-referencing | method of tracking and finding patient files for patients with with multiple last names. |
electronic medical records | medical records kept via computer; also called electronic health records. |
electronic signature | electronic version of a person's signature to be used in electronical medical records. |
financial information | data on payment record 0r ledger, health insurance identification numbers, and policy numbers. |
flow charts | graphs in patient medical records that track such things as weight gain or newborn growth. |
inactive patient files | files for patients who have not seen the physician for extended periods |
indecipherable | unreadable |
medical information | info on a patient's medical care and history |
medical record | legal document consisting of medical info obtained from the patient via consultations, examinations, and tests. |
medical research program | research conducted to determine the efectiveness or harm of certain medications or medical treatments. |
narrative | type of medical charting in which the health care provider writes a narrative version of patient contact. |
nontherapeutic research program | research programs that do not benefit the study's patients. |
obliterate | to make unreadable or unrecognizable |
patient information | the information contained whitin the patient's medical record. |
personal information | information such as patient's name, birthdate, gender, marital status, occupation, next of kin, and any other items collected for personal identification. |
Problem-oriented medical record (POMR) charting | type of medical record charting that focuses on patients' health care problms and addresses those prolems at each visit. |
progress notes | notes in patients' medical charts outlining those patient's progress or complaints. |
purge | to remove closed or inactive patient medical records from the medical office. |
shingling | process of attaching small pieces of paper to standar-size sheets of paper so the small items are easy to locate in patient's charts. |
SOAP note charting | type of chartingthat considers the patient's subjective and objective findings, the provider's assessment of the patient's condition, and the prescribed plan of action for treatment. |
social information | information about a patient's social habits, such as tobacco, drug, or alcohol use. |
standard of care | leagl term that describes the tyep of care a reasonable health care provider is expected to provide under the same situation. |
statute of limitations | period within which a patient must file a lawsuit after an injury. |
subpoena | court order demanding that a party appear in court or copies of the medical record be sent to a third party. |
FDA | Food and Drug Administration |
HIPAA | Health Insurance Portability and Accountability Act |
NKA | No Known Allergies |
SOAP | Subjective, Objective, Assessment, and Plan. |
Center for Medicare and Medicaid Services (CMS) | federal agency responsible for monitoring laws and regulations surrounding Medicare and Medicaid services. |