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back office final
Final
| Question | Answer |
|---|---|
| What is HIPAA? | 1996 Health Insurance Portability & Accountablity Act |
| What is PHI? | Protected Health Information |
| What are covered entities? | Anyone required to follow HIPAA Regulations, ie. : health insurance co, insurance clearing house. |
| What is a policy? | A statement that reflects the organizations rules on a given topic |
| What is a procedure? | a series of steps needed to take in order to preform a given task. |
| What can be disclosed with/o patient consent on PHI | Treatment purposes, Public Health (when required by law) and to submit insurance payments |
| What is OSHA? | Occupational Safety & Health Admin |
| What is the Americans with Disabilities Act? | A law designed to meet the needs of people with physical and mental disabilities |
| What is a matrix? | to establish times that a provider is unable to see patients, by "X"ing out times on the schedule |
| Wave Scheduling | By scheduling several patients in the first 30 mins of each hour, leaving the second half open; patients are seen in order of arrival |
| Open Hours | no appointments are needed and patients are seen in the order they arrive |
| Stream scheduling | a method used to schedule patients, based on their needs and allotting enough time for that visit. |
| Cluster scheduling | a method used by grouping together patients with similar needs at the same time |
| Alphabetical Filing | arranging files by names/ titles according to sequence of letters in alphabetical file |
| Terminal Digit filing | an arrangement of numeric files that are groups of numbers and read from left to right |
| Nonconsecutive filing system | Groups of numbers |
| what does chronological mean? What is reverse chronological mean? | placing in the order of time; usually the most recent is placed foremost. Reverse, puts oldest first. |
| POMR | Problem Oriented Medical Record |
| SOAP | Subject Objective Assessment Plan |
| What is a differential diagnosis? | a rule out of other possible diagnosis |
| What is an Encounter Form? | Super Bill, a pre-printed statement that list codes for basic office charges and has sections to record charges incurred in an office visit, patient balance and next appointment |
| What is a W-2 form | Sent to the IRS at the end of the year; reports employees annual wages and amount of taxes withheld |
| Minimum info needed for a proper patient message? | First & last name, DOB, contact info, time and date. who the message is for and the name of who took the message |
| Money Market | savings and high interest-bearing checking account |
| What is UCR | Usual Customary Reasonable |
| What is a tickler file? | A way to remind yourself chronologically of tasks that need to be completed |
| What is the Truth in Lending Act? | 1968 US Fed. law designed to promote the informed use of consumer credit by disclosing terms and cost. protects consumers |
| When is it a good time to talk about payment policy's with a new patient? | At their first appointment |
Created by:
danni460
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