billing and coding Flashcards

billing

1
Q

cc

A

chief complaint

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2
Q

EHR

A

Electronic Health Record

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3
Q

Demographics

A

Patients name, date of birth, contact ,info ,ssn ,employer ,number, insurance information.

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4
Q

PMH

A

past medical history

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5
Q

Reasons to have accurate records

A

*proof needed for a legal defense
*money
*higher quality of care
track vital statics

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6
Q

continuity of care ( allowing the pt to receive the most benefit..)

A

the smooth continuation of care from one provider to another allowing the pt to receive the most benefit with no intimation or duplication of care.

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7
Q

who owns the medical record

A

the place where the chart was created

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8
Q

anaphylaxis

A

a rapidly progressing, life threating allergic reaction.

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9
Q

what is SOAP

A

subjective data
objective data
assement
plan ( includes provides suggested treatments)

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10
Q

what is HITECH

A

hipaa on steroids

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11
Q

HPI

A

history of present illness

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12
Q

HITECH

A

Health information technology for economic and clinical health

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13
Q

what is HPI

A

concise account of problem more detail than cc

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14
Q

FH

A

family history

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15
Q

ROS

A

range of system

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16
Q

what is the advantage of EHR

A

Reducing the incidence of medical error by improving the accuracy and clarity of medical records.

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17
Q

what is jargon?

A

the vocabulary of particular profession as opposed to common everyday form.

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18
Q

pitch ( depth of a tone..)

A

the depth of a tone or sound a distinctive quality of sound.

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19
Q

triage

A

classify the injury

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20
Q

how do you create a positive impression over the phone

A

you smile:)

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21
Q

test results?

A

the ma needs good communication skills to really test results w/o crossing the line of practicing medicine w.o license
follow the facilities policy on identifying the pt.

22
Q

types of incoming calls

A

billing questions
appointments

23
Q

how do you end a call?

A

restate reason for calling
respectful closing statement
questions.

24
Q

how do you answer service?

A

a commercial service that answers
telephone calls for its clients

25
Q

HOW LONG DO YOU PUT A PATIENT IN A HOLD?

A

NO LONGER THAN 60 SECONDS

26
Q

HOW DO YOU ANSWER THE PHONE?

A

IDENTIFY THE FACILITY
STATE THEIR NAME
FOLLOW UP W/ AN OFFER TO HELP

27
Q

what is cell forwarding

A

allows the user of one phone to automatically send calls to another #

28
Q

urgent but not emergency

A

minor burns
cuts
influenza
mild to moderate
breathing difficulties
urinary tract infection symptoms

29
Q

WHAT DOES EP AND NP MEAN?

A

EP= existing patient
NP= new patient

30
Q

what do you do and NOT do when you get lab results from the hospital?

A

you don’t give the results on the phone
name of the facility and call back

31
Q

what info you need to schedule an appointment?

A

patient full name, telephone number and purpose of the visit.

32
Q

how long do you wanna let the phone ring

A

3 rings

33
Q

pt arrives into the office what is the first thing you would you do?

A

greet them and the pt needs to know what to do and where to go

34
Q

infection control supplies

A

masks,tissues,hand sanitizer

34
Q

what is wave scheduling?

A

A method of scheduling appointments in which several patients are given the same appointment time and seen in the order in which they arrive.

34
Q

When a patient needs to reschedule, what are the two things we should do?

A

remove
Apponiment,
set tne new appointment

34
Q

Answering service is? ( AFTER OFFICE HOURS)

A

After office hours in case of a emergancy situation

35
Q

What types of out-patient procedures can we possible schedule for a patient

A

MRI’s

36
Q

An open book is considered?

A

Urgent but not an emergency

37
Q

Articulation of sounds is known as

A

enunciation

38
Q

Describe what being an “active listening” is

A

Listening caretully and restAting. making good contact asking questions being involved

39
Q

Is used the most when a follow up with the patient is needed

A

Ticker files

40
Q

are for patients that have passed away, moved away or terminated their
relationship with a physician.

A

Closed files🫶

41
Q

Process of moving an active file to inactive is called

A

Purging

42
Q

precertification.

A

.process of contacting an insurance carrier or primary care provider to obtain preapproval for a service

43
Q

preauthorization

A

process of contacting an insurance carrier or primary care provider to obtain. preapproval for a service;

44
Q

A symptom is also called

A

a subjective complaint

45
Q

a sigh is also called

A

objective data

46
Q

Redundancy -

A

files are copied onto many servers in various locations.

47
Q

example of redundancy

A

ICLOUD

48
Q

EMR VS EHR

A

EMR : SINGLE HEALTH ORGANZATION
EHR: Multiple healthcare organizations

49
Q
A