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CMAA
| Question | Answer |
|---|---|
| abandonment | discontinue medical care without proper notice |
| arbitation | usuage of impartial 3rd part for the determination of a dispute |
| battery | the unlawful use of force or violence |
| negligence | failure to provide necessary care that is required for a persons situation |
| statues | laws enacted by the legislative branch of government |
| hippa rule | regulations for the use and disclosure of pho and mandates patients be provided a copy |
| wave scheduling | certain number of patients are scheduled at the same time and are seen in order they arrive |
| modified wave scheduling | small group of patients are scheduled at intervals throughout the hour |
| double booking | scheduling two patients to see the physian at the same time |
| late patients | advise the patient to arrive 30 minutes before scheduled time |
| emergency calls | arrangements should be made for the patient to be seen same day |
| cancelled appts | make sure the original appt time is properly removed, then schedule new appt. |
| unscheduled patients | accommodate the patient as best as possible;ensure that the patient is aware that making an appt. is the most effective way to recieve care. |
| failed appts | note the absence on the patients medical chart as well as the appt book and attempt to reschedule. |
| delay patient wait time | briefly explain the reason for delay,and provide the patient with the options to reschedule |
| express mail | type of mail is available every day of the year including holidays for items up to 70 lbs and 108 inches in height |
| first class mail | type of mail includes letters, post cards,and business reply mail |
| certified mail | type of mail gives the sender the option to recieve proof of delivery |
| bulk mailing | a form of mailing large volumes of information which is presorted by zip code |
| individual policies | type of health insurance are usually ineligible to recieve benefits from a government plan. this type of coverage is characterized by high premiums and limited amount of benefits |
| group policies | this form of insurance provides coverage for employees under a single contract. This type of coverage is characterized by greater benefits and low premiums |
| government plans | this form of insurance is available to a large group of people who meet specific eligibilty criteria. tricare, medicaid, medicare and workers comp are examples |
| assignment of benefits | an arrangement by which a patient request their health benefit payments be made directly to physician |
| benefit | the amount payable by the carrier toward the cost of services for which the patient is eligible for |
| deductible | the amount an individual must pay for health care expenses before insurance covers the cost. Often insurance plans are based on yearly deductible anounts |
| copayment | the portion of a service fee that the patient must pay |
| policy | a document that describes the insurance for an individual or property |
| premium | the amount the patient pays for an insurance contract |
| usual, customary and reasonable or covered expenses | amount customarily charged for or covered for similar services and supplies which are medically necessary, recommended by a dr or requiref for treatment |
| waiting period | a period of time when you are not covered by insurance for a particular problem |
| personal and medical history | creat using information gathered from petient. such as past illness, surgical operations and the patients daily health habits |
| patients family history | information is just as important as the patients medical history. includes information reguarding the health of family and record causes of death |
| patients social history | includes information reguarding patients lifestyle |
| patients chief commplaints | a statement of the patients symptoms |
| diagnosis | a decision made based upon the information reguarding the patients history and the results of the doctors examination |
| s | subjective impressions |
| o | objective clinical evidence |
| a | assessment or diagnosis |
| p | plans for further studies, treatment or management |
Created by:
terrisisk@comcast.net