Administrative Assisting & Medical Law & Ethics Flashcards
Define accounts receivable
Amount owed to the provider for the services rendered
What is coinsurance
Amount someone owes according to insurance or is responsible for it.
What is the Health Insurance Portability and Accountability Act (HIPAA)?
a law implemented in 1996 to improve the portability and continuity of health insurance coverage; contain costs, fraud, and Abus in the health care industry; set a higher standard for electronic health information communications; and promote the privacy of health information
What is computerized provider order entry (CPOE)?
electronic data entry of provider instructions for treatment of patients
What are SOAP Note and what does it stand for?
The SOAP note is a method of documentation employed by healthcare providers to write out notes in a patient’s chart, along with other common formats, such as the admission note.
SOAP stands for subjective, objective, assessment, and plan. This information is recorded in that specific order.
Subjective data comes from the patient as he/she describes signs and symptoms. Objective data comes from the physician, examinations, and test results. Assessment includes the diagnosis and impression of a patient’s problem. Finally is the plan of action for treatment options, medications, tests, patient education, and follow-ups.
What is a Problem oriented medical record (POMR)
A Problem Oriented Medical Record (POMR) is a way of recording patient health information in a way that’s easy for physicians to read and revise. The basic idea of POMR is to equip doctors with the ability to understand the patient’s medical history.
What does CHEDDAR stand for?
CHEDDAR stands for chief complaint, history, examination, details, drugs and dosages, assessment, and return visit.
