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Final

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
What are the three levels of dental practice software   Basic, Intermediate, Advanced  
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Create patient billing accounts- insurance processing – recall – basic accounting   Basic  
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Electronic scheduling – support group practices – personalize recall – generate reminders- all of the basic functions   Intermediate  
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All of above Plus integrates clinical with business office Maintains clinical records- Interoral and digital x-rays – electronic banking – credit card processing- digital signatures   Advanced  
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who should be involved in the selection of software in the office   everyone  
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3 things the first level of software gives you   Word processing ( letters) Submit insurance claims List of scheduled patients daily ( not as a time schedule just a list)  
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Should the dentist’s signature be preprinted on a computer generated Prescription? Why or why not?   no too easy for unauthorized people to give RX for drugs  
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Why is it a good thing to have terminals in treatment rooms?   Clinical personnel can enter treatment at time of treatment for office to generate bills and insurance – schedule follow-up appts  
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What types of management forms can be generated by electronic systems?   Bills, superbills, letters, insurance forms, collection letters, charts and graphs of production of office and personnel, year to date financials, Patient demographics,  
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What does the computerized software assure the Administrative Assistant of?   A safe and secure system that will gather, store, process, and help effectively connect the clinical and business sides of the practice.  
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four categories of records are   vital important useful unimportant  
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clinical records should be written in pencil so you can fix mistakes easily?   false  
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is is oka to make derogatory statements in the patients clinical record because it is property of the dentist?   false  
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One type of number system is   Universal Numbering system  
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the registration form is used to   gather demographical info. insurance info, financial data  
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can clinical charts and record be used in the court of law?   yes  
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which numbering system is most widely used in the us today   Universal  
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Mesial Occlusal Buccal Distal would be noted in the chart as what   MOBD  
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Tooth “A” would be noted on a chart for a?   child  
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EX, Ext, Exo on a chart means   extraction  
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Employee records that must be maintained in the office include which of the following?   Birth certificated, high school diploma, employment agreements, Certifications and Hygiene Licenses.  
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Is it considered prudent to send copies and keep the original of records and x-rays?   yes  
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Can you send a copy of a husband’s clinical records and billing information to his wife   No unless he signs a release form giving permission  
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A patient phones to say he wants to have his entire clinical chart and any x-rays sent to his new dentist. Do you have to send them? Can you charge to send them? What is step one?   Step one – get signed permission to send only send copies of the clinical chart and copies of the x-rays keep originals in office  
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HIPPA privacy rules apply to the office – How do you get around the rules if you need to send a copy of an x-ray to the endodontist to whom you are referring a patient?   have patient sign a release form giving permission to send a copy of his x-rays to the endodontist  
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How often should the health history be updated?   each visit, or once a year  
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You heard the pharmacist tell a patient of office that his Warfarin prescription was ready. The patient is going to have 6 lower teeth extracted next week. Warfarin is a blood thinner. He never put the Rx down on his health history. What do you do?   -Call patient ask if he taking any med you need to know about for the extractions I.e a blood thinner; explain why Call doctor and tell him about the extractions: ask if there is any protocol he wants regarding pt going off the Warfarin.  
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it is smarter to use pencil when entering in a chart so you can erase something later.   false  
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Data entered into a chart after treatment should be initialed by the dentist or hygienist and in what other circumstances by the DA as well.   If the DA is the one who actually entered the info dictated by the doctor or hygienist, even if it was only part of the entry.  
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Which name comes first – John McDonald or John MacDonald   John Macdonald  
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ADA requires all dental and non dental supplies should be ordered from an accredited dental supplier.   false  
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Expendable supplies require the most attention   True  
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Why is it not prudent to order all supplies from on supplier?   you can sometimes get them cheaper or sooner from another vendor  
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A procedural Manual is good for: Dentist; Office Mangager, All staff Members   all staff  
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Clinical records can only be entered in the business Office   false  
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P. O. # stands for:   Purchase Order  
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Staples, Rite Aide, Bangor Medical supply are considered   Retail stores; non medial supply  
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What is HIPAA and what does it stand for?   Health Insurance Portability and Accountability Act Protects the privacy of the patient –  
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What is OSHA and what does it stand for?   Occupational Safety Health Administration protects the worker  
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Perry O’Dontal died 4 years ago can we throw away his records   no you must keep records for a certain amount of time after the death of a patient  
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What are the four types of documents in the office?   vital important unimportant useful  
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Why do we keep the original of dental records in the originating office?   legal document- forensics  
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What are the two types of filing systems for patient records?   alphabetical and numeric  
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The alphabetical patient filing system is used by 90% of all offices.   True  
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Is it considered ethical to charge a fee for copying records and x-rays to be sent to another dental practice?   yes  
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Define “lead time” when ordering supplies   Time it takes from order placement to receiving the merchandise  
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What are the three types of supplies?   capital expendable nonexpendable  
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What is a down side of the card inventory system?   cards can get lost or mis filled  
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Which of the following is NOT a reason for a recall? Cleaning, b. determination of periodontal tissue status, c. extraction   Extraction  
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The success of the recall system depends on what?: motivation, education, and consistent follow-up   Follow up  
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Productivity = Treatment divided by a. monetary considerations b. time factors c. patient motivation.   Monetary Considerations  
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Infection control in the office is whose responsibility   everyones  
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Evening hours and Saturdays should be saved for whom?   the working people who can't get time off from work  
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There are three types of recall system give and explain the good and bad for two.   advance appointment telephone system mail 1. make appt. when there – have it – may forget 2 telephone – personable – time consuming 3. mail – visual reminder – can be ignored  
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CASD stands for what?   Canceled appointment same day  
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A Patient comes in for a cleaning on the wrong day. What do you do?   Check to see who really made mistake- if “us” we see the patient – if patient- show nicely they are wrong and make sure they have one for a later date  
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When is the best time to see a preschooler?   around naps and meals  
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True or False, When making an appointment always ask, “What time would be best for you?”   False  
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List three thing to do when using the telephone recall system ie say thank you.   don't call too early in the morning voice conveys a happy positive attitude Make calls in private out of other patient hearing Don't pester a patient  
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Who gets specific times scheduled or extra time?   Elderly, handicapped,children, frightened  
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The office is backed up, you are running 45 min. late. What do you do with the patients who are stacking up in the waiting room   First apologize Tell them an emergency arose, ask if they can wait – give apx how long, offer new appointment  
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What are the two types of appointment book?   electronic or manual  
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What is the best type of traditional appointment book? Why?   spiral bound notebook pages are more secure  
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Should you use an indelible black pen in an appointment book? Why or why not?   No, erase tx of ca appt leave name put in new name under it with tx for new patient  
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What do you do with lunch hours, holidays, and vacations in the book?   cross them out; highlight lunch  
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Staff meeting should be held when?   when office is closed; employee should be paid for it  
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where should the office policy on broken/cancelled appointments be noted? ( there are 2 places)   in reception area and new pt letters  
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Is it “OK” to charge for a broken appointment? If YES, explain when, if NO, explain why   Yes – after x # have been broken, patient has been informed verbally and in writing  
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HIPPA   Health Insurance Portability and Accountability Act  
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Emergency Buffer   Time xed out for emergency patients  
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Peak Time   B/4 8 Am After 3P  
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Legal Document   Appointment Book  
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Xed out time   Lunch time  
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Call List   Used for broken or cancelled appts  
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Red Ink   Used for CA and CASD  
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Daily Appoint. Screen   Can have colors for each practioner  
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Daily Schedule   Can be printed for all Tx rooms  
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Advanced appointment   type of recall system  
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Crime   wrongdoing by society as a whole  
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Felony   serious crime punishable by imprisonment of more than 1 yr  
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litigation   process of a law suit  
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Expert Witness   offers an opinion based on records  
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Misdemeanor   Less serious crime punished by fine or imprisonment up to one year  
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Malpractice   negligence or wrongdoing by a professional  
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Code of Ethics   systematic, intellectual approach to standards of behavior  
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Consent   actions and duties that flow from a relationship  
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Negligence   an act of omission or commission  
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Malpractice can be intentional or unintentiona   True  
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Tort is a criminal wrongdoing with the government against a person   false  
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A fact witness must provide first hand information, not opinion based on records   True  
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If a dentist tells the DA to cement a permanent crown in the state of Maine it is “ok” if the dentist is in the building   False  
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Abandonment is considered malpractice   True  
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Risk Management programs provide examples of dentists who: ___ are good managers to copy ___ are good dental practitioners to copy ___ have been found liable in the past ___ have taken risks in the past   have been found liable in the past  
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Records of Management ___must include any incident between patient and staff ___ include all employee records ___ include any incident between staff, be documented and retained ___ all of the above   All of the aboce  
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2 Categories of the Americans with Disabilities are: a. ___ Impairments b. ___ Records of impairment c. ___ inability to speak English d. ___ a & b e. ___ b & c   A and B  
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Tort is civil wrongdoing: it means ___ plaintiff against plaintiff ___ plaintiff against government ___ plaintiff against defendant(s)   Plantif against defendants  
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Acts that can lead to litigation: ___eating in the treatment rooms ___ canceling a patient’s appointment for the second time in a row ___ entering inaccurate information on a patient chart ___ B & C   entering inaccurate information on a patient chart  
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The two roles of dentistry in today’s modern world are: a. to listen and help patients b. to provide health care service and make a profit c. to create communication and service between patients and the practice   To provide health care service and make a profit  
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Goals are achieved by: a. stressing efficiency b. considering short term goals first c. being proactive rather than reactive   Being proactive rather than reactive  
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80% of all failed jobs are due to poor ___________ skills. a. technical b. people training leadership   people  
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are the major assets in the new workplace.   employees  
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The modern dentist must be a/an ___ as well as a clinician.   entrepreneur  
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When a patient comes into the office what is he really looking for   Service  
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is what evolves into the commitment for the welfare of others   Attitude  
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The basis for patient retention is   Communication  
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To promote service you must listen to the patient.   True  
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It is important to inform patients of alternative plans.   True  
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The office manager develops the practice philosophy.   False  
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One way to promote service is to maintain regularly scheduled office hours.   True  
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It is up to the dentist to assign any duty he wants.   False  
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Technology alone cannot drive a practice.   True  
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Who else can carry out the administrative assistant’s duties?   Chairside Dental Assistant  
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One barrier to communication is   Lingo Terminology Vernacular Language Preconceived ideas Emotions, noise, stereotyping, conflicting non verbals  
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List two non verbal clues   Tenseness Embarrassment Anger Feeling Ignored Defensiveness  
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How does the patient show the two you gave?   How he sits, clenched hands, cover mouth, holding body in a tight manner, crossed arms, tapping toes or fingers  
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What is the first thing that should happen when a patient enters the office?   Smiled at greeted or acknowledged – if on phone complete call asap  
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What are the five elements of communication?   Sender Message Medium Receiver Feedback  
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What are semantics and what is a common one in the dental office?   Change in meaning of a word. Drill is one in dentistry  
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What should you always do when answering the phone?   Smile  
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What is the difference between telephone communications and face to face?   Non verbals cannot be seen, auditory only, tone of voice becomes Paramount  
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Show a telephone message with all the informational questions.   Date Time Int of person who took the mess For Name of caller Number of caller Call back Y or N Message  
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Second pages of a letter do not have the letter head on them.   True  
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What are 4 types of correspondence sent from a dental office?   Bills recall cards, letters to other dental offices, greeting cards, collections, insurance claims and cover letters  
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What type of correspondence is sent return receipt requested?   Final bills before legal action is taken, notices of firing a patient, legal correspondence  
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Do not send personal, sensitive, or confidential information e-mail. Why?   it is not secure  
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When dental personnel use jargon to a patient what happens?   The patient gets confused and upset and may get the wrong impression of what is happening  
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What does the Dental Assistant do with the Doctor’s mail when he goes on vacation?   Follows office protocol (places it on his desk unopened)  
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A patient who has a crown placed on a root canalled tooth# 2 is exhibiting which of Maslow’s hierarchy of needs?   Safety  
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Patient relations revolve around: ___ empathy ___understanding ___ warmth ___concern _ all of above   All of the above  
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Rogers believed that people were striving to   achieve the ideal self  
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List three things that influence a patient’s decision to join a practice.   name, ins accepted, staff communication, dentist’s philosophy  
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Why is the receptionist one of the MOST important people in the office?   First one seen at initial visi or spoken to on phonet  
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Mary Marshall is a 48 year old widow. How do you address her when it is her turn to be seen ?   Mrs. Marshall or as protocol for the office dictates  
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If a patient has to wait more than 10 minutes beyond their appointment what should you do?   Tell them – ask if they can wait - offer coffee or a beverage  
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A patient has cancelled 3 appointments for her root canal. Why? How do you get her to tell you the real reason?   Talk to her ask non one word answers and open ended questions  
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Iva Foulmouth comes into the reception area yelling. He has received a bill for services his insurance should have covered he screams. There are 2 children and one new patient in the waiting room. What do you do?   Get him out of the room into a quiet area. Speak quietly and calmly. Tell him you will recheck the bill and see what has happened – If there is time call the ins co. to see why it was not paid. Be firm and objective do not let it get personal to you  
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List 4 Team Strategies to provide outstanding customer service   available - unique image - appreciation shown- personalizes patints- listens- set goals for the office understands value  
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What are the 4 types of communication channels in an office   Formal downward horizontal Formal upward informal  
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In Formal downward communication who is the instigator of the communication?   Top down dentist or office manager to DA or Hyg Dent to off mgr  
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Is the office grapevine a good thing or detrimental to the office?   good to tell you if there is a problem arising in the office  
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Of the 4 types of conflict in the office, which one is between the three hygienists?   Horizontal  
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Noise, work overload, lack of trust is all barriers to communication.   True  
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Criticism can be constructive if it causes   Positive Changes  
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Ethel never can make a decision. If you ask her if she wants Subway or Quizzno’s for lunch she will say,”Oh, it doesn’t matter, whatever you all want if fine.” What is her conflict handling style?   avoid style, as well as passive aggresive  
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The dentist is going to ordered new uniforms for the office – it is a really ugly green- everyone else thinks it is beautiful. How will you handle the situation and what is the appropriate resolution for the problem?   Either deal with it because you'll only have to wear it one day a week or talk to the dentist and request a new color.  
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What should a well defined credit policy include?   Adhere to community standards conform to community standards reflect attitudes of dentist provide options to patients be written down for patients  
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List 3 traps to not being paid in timely fashion and how do you handle them?   Will pay at end of long treatments defensive or angry if asked for payments will pay after ins pays (even co-pay) be firm give policy again ASK for the money!!  
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Which type of office uses the coupon book for payment most often?   Ortho  
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When are statements sent out?   Usually ½ alphabet on 1st of month 2nd ½ middle of month all only once a month  
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What times of day can you make collection calls?   After 9 AM before 9PM  
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What is important to have in front of you when making a collection call?   All the account information in front of you – charts, ledger, copies of statements  
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What is level 5 of the collection process?   Collection agency or small claims court  
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Who does the Fair Debt Practices Act protect?   The consumer or patient  
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If the patient has insurance that will cover the cost of the procedure, who is responsible for making sure the dentist gets paid   The patient or legal guardian is ultimately responsible  
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adjustment   column that shows a change  
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bookkeeping   recording of financial data  
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receipt   copy of financial transaction for patient  
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day sheet   list of activity per day for each day  
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statement   monthly accounting for patient  
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credit balance   over payment by patient  
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Debit balance   what is due the dentist from the patient  
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nonsufficient funds   check returned for not enough money in bank  
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previous balance   amount owed before additional transactions  
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Accounting   recording, classifying, & summary of financial data  
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When adding decimal you always place the decimal point in the same place   true  
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__ Computer systems are only used to print out super bills   false  
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Computers must be backed up on a regular basis   true  
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In the pegboard system the date is shown as m/d/yy   false  
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__ It is more efficient to pull the ledger cards for the next day today   true  
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A credit balance can occur when the patient prepays for dental work.   true  
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Nonsufficient funds means the patient cannot afford to pay the dentist.   false  
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Cash only eliminates a lot of paper work   true  
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If a treatment is going to extend over 4 appointments, you must ask for the money up front   false  
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If you make an error on the day sheet, you should use white-out neatly and write over it.   false  
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4 kinds of bank checks   Bank certified cashier traveler money order voucher  
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Who in the office should have access to the ATM Card   Dentist and office manager, business manager  
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A patient of many years wants to give you a check made out to her. She will sign it over to the dentist. Should you accept it? Defend your answer   no never take third party checks  
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Is it prudent to accept a check for more than the amount owed and give back change? If no, why not?   No. If it bounces you are out the original amount and the overage plus a bank fee for NSF.  
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Unemployment taxes are paid   the employer  
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What should you never use the ATM for   deposits  
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What does a certified check guarantee? How do you know this   The amount of the check has been frozen in the account. The bank account numbers on the bottom have been punched out.  
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Why is a money order, certified check, or Bank draft, better than a regular check?   Guarantee of payment, bank drafts and money orders were purchased and certified is frozen money in account.  
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What is a voucher check used for? What does it have that a regular check does not?   To pay bills you want itemized and has a stub that can be torn off  
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You made a mistake on the W-2 forms- They have already been sent- How do you correct this?   Make out a corrected copy and resend all the parts to the appropriate places.  
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self produced infection   autogenic  
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environmental protection agency   EPA  
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Hepatitis B Virus   HPV  
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materials identified as hazardous to human health   hazardous waste  
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A chemical used to destroy some pathogenic microorganisms   disinfectant  
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Occupational Safety and Health Administration   OSHA  
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Center for Disease control   CDCC  
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act of making something sanitary   Sanitization  
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process for rendering an item free of germ life entirely   Sterilization  
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secondary goal of dentistry   to make a profit  
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The business assistant is responsible for maintaining health exposure records of employees   true  
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There are 2 types of infection in the dental office.   true  
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_ It is not possible for front desk personnel to pick up germs   false  
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Tuberculosis has been wiped out in the U.S.   false  
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PPE is not necessary for all procedures   false  
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It is acceptable practice to wipe instruments with an alcohol wipe between patients.   false  
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OSHA was established to protect the worker in the workplace.   true  
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All chemicals in the office should be labeled   true  
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The proper way to sterilize instruments is to bag them and put them away in the bag after.   True  
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It is up to the dentist whether or not employees get immunized for Hepatitis B Virus.   false  
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lab jackets and coats must be cleaned by the?   dentist  
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Aseptic technique includes the following:   use of barrier covers use of antimicrobial hand rinses  
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bioburden includes   blood dust and skin cells  
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Chances of getting AIDS in a dental office are:   one in 1,000,000  
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Cross Infection occurs when:   one person to another  
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What “old” disease is suddenly showing up in epidemic proportions in our area?   whooping cough and tb  
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