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Chapter 10

QuestionAnswer
State consider children to be adult with the rights to privacy at age 18
Open hours Least structured of all scheduling system
Double booking Two or more patient are schedule at the same time
Streaming Schedule based on a patient need
Computerized scheduling Schedule can be accessed from any computer
The steps in filling include Indexing and coding Sorting
There are —-units of indexing 4
Subject filing Alphabetic by topics
Chronological filling Arranged by time
Numerical filling Used when information is highly confidential
Tickler file File used for reminders
The appointment book is a legal record and according to most expert , it should be kept for at least —- years 3
What important information included in a patient record Illness Treatment
Advance schedule Could be weeks or months in advance
Time specified scheduling Minor problems usually require 15 minutes and new patient 30 minutes
Wave scheduling Provides built in flex time for patients that may require more time
Modified wave scheduling Two patient at the beginning of the hour , then single patient every 10-20 minutes
Cluster Also called categorization scheduling
Most manuals cover Organizational chart Time away from work
When sorting and filing place Items faced up Top edge to the left
Simplest filling method is Alphabetical
Office hours Determined by the physician and medical staff
Appointment cards Reminders given to the patients That contain information about their next appointment
Matrix Contains times allotted and not available for appointments
Special problems Due to legal issues , you must track patient who do not show up or are later for their appointment
According to the federal EMR 2014/ 2015 , all medical record should be Kept electronically
Most commonly used options for filling equipment Filling cabinets Filling shelves
Time slots held open for emergency are called Buffer time
A well written document that covers all office policies and procedures is called a Policy and procedural manual
When setting up appointment schedule keep in mind How much time is needed with each patient The doctors availability How soon the patient needs to be seen
Reasons to keep good medical records include They provide documentation for insurance companies They help evaluate the quality of treatment received They can be used in malpractice suits if needed
Supplies needed for filing cabinets Out guide Dividers Labels
Standard information found in a medical record includes Physical examination result Copies of prescriptions Informed consent forms
Most appointment books use Abbreviations
How long must a physician keep immunization records ? Permanently
Types of appointment that a medical assistant can schedule include Surgery , referrals and new patient
Keeping good medical records can help With statistical information Defend insurance audits
What is placed in the upper right hand corner of every paper placed in a patients file The date and patients name
Concepts to keep in mind when charting Completeness Chronological order Confidentiality Clients words
All medical records entries should be Signed Dated
The amount of time that different types of patient records must be kept is called the Retention period
Information included in a patient medical records Treatment and illnesses
Most manuals cover Organizational chart Time away from work
Reasons to keep good medical records include They help evaluate the quality of treatment received They can used in malpractice suits if needed They provide documentation for insurance companies
Standard information found in a medical record includes Informed consent forms Physical examination results Copies of prescriptions
Hw:::::: Widely used filling system for medical practices and may utilized letters or numbers as identifiers ? Subject
In appointment scheduling , the matrix indicates Time not available to schedule patients
Financial information Should not be included in the patients medical records
A chronological file used as a reminder is called a Tickler file
The screening and sorting of emergency situation is called Emergency triage
Scheduling patients so that Two can Come in at the beginning of each hour and the others are scheduled every 10 to 20 minutes is called Modified wave scheduling
Things that should be included in the patients medical records Physical examination result Correspondence with and about the patient Diagnosis and treatment plans Informed consent forms
Office policy manuals contain Regulation for personal appearance
Soap pertains to Patient records
Financial record need to be retained for how long ? 10 years
An appointment book is considered Both a legal document and a scheduling system
The referred of a patient to a physical therapist is documented In which section of a problem oriented medical record (pomr) Progress notes and treatment plan
Two patients are scheduled for an appointment at the same time on the same day . This is example of Double booking
Scheduling methods allow short term flexibility within an hour to account for variables in appointment ? Waves
Provides confidentiality of patient information Numeric
Is not one of the five steps involved in filing Subjecting
P in soap means Plan
When a female patient changes her last name , what is most likely to help a medical assistant find her medical record ? Cross-reference
Schedule systems most likely to decrease the patients waiting time Modified wave
Patient referred by other physicians should be schedule Into the next available appointment
What is substituted in the place of a patients official file when the file is removed Out guide
Arranging items to be fill in a sequence before going to the file cabinet is called Sorting
Item used to separated approximately every 10 folders Divider guide
Advantage of voice recognition software compared with traditional transcription More speed
According to the pomr format , a patients abnormal serum calcium level is recorded under Problem list
Created by: Mariell
 

 



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