Chapter 1 Flashcards
What does H.I.P.A.A stand for?
Health Insurance Portability and Accountability Act
What does O.S.H.A stand for?
Occupational Safety and Health Administration
What does C.L.I.A stand for?
Clinical Laboratory Improvement Act
What are 4 things the Medical Assistant must know prior to scheduling an appointment?
If the provider is available, if the equipment needed is available, if a room is available, and how long the procedure will take
What are the 6 types of booking?
Wave booking
Modified wave booking
Double booking
Stream/time-specific scheduling
Open booking
Cluster/Organization booking
True or False: Practices may use one type or a mix of types of bookings so that days can run smoothly?
True
Define Wave booking:
Patients are scheduled at the same time each hour to create short-term flexibility each hour.
Patients are seen in the order of their arrival which is often tracked by a sign in sheet
Define Modified wave booking:
Can be modified in a couple different ways. Patients are purposely double- booked at the front end of each hour and the end of the hour is left for catch-up or for pt’s who need extra time
Define Double booking:
2 patients are scheduled to come at the same time to see the same physician
Define Stream/ Time- specific scheduling:
Scheduling patients for specific times at regular intervals. The amount of time allotted depends on the reason for the visit
Define Open booking:
Patients are not scheduled for a specific time but are told to come in at intermittent times. They are seen in the order in which they arrive
Define Cluster/ Categorization Booking:
Booking a number of patients who have specific needs together at the same time of day. Booking times of the day for specific kinds of pt’s
True or False: New patients may require more time than established ones
True
True or False: Patient visits are all the same time
False
(some visits take longer than others)
True or False: If 2 patients are scheduled to come at the same time and are not seeing the same provider is this double booking?
False
(Patients must be scheduled at the same time to see the same provider to be considered double booking)
What is the difference between wave booking and stream/time-specific scheduling?
Wave booking is when multiple pt’s are scheduled at the same time and seen on a first-come-first-served basis. Stream/time-specific scheduling is when pt’s are scheduled at a set time, with the amount of time scheduled contingent on the reason for the visit
Define Matrix:
A grid with time slots blocked out when physicians are unavailable, or the office is closed
example: days off, holidays, lunch or dinner breaks, and meetings)
Define Template:
A document with a preset format that is used as a starting point so that it does not have to be recreated each time
TRUE OR FALSE: Reimbursement/payment from insurance companies, also can be linked to time requirements.
True
“NS” means?
“MA” means?
NS= No-shows
MA= Missed appointment
What should a CMAA do after the 1st, 2nd, and 3rd no show?
1st: note it in the patients medical record
2nd: warn the patient
3rd: consider dismissing the patient from the practice
TRUE OR FALSE: Some providers charge fees to patients for no-shows?
True
What does a CMAA do when the provider cancels?
Must let the patients know. If patient has already arrived ask if they want to wait or reschedule
What is one preventive strategy to use when booking patients with a history of late arrivals?
- To schedule the patient as on of the last appointments during the day.
‘*Another strategy s to ask the patient to come 30 minutes earlier prior to the scheduled appointment
TRUE: Although a patient is late it is a definitive that the provider can see them
False. The CMAA should check with the physician to ensure that they can still be seen
What does PHI stand for?
Protected Health Information
Define Anatomy and Physiology:
Anatomy= The study of the human body
Physiology= The study of the function of each body system
What does EMR/EHR stand for?
EMR- Electronic Medical Record
EHR- Electronic Health Record
What are the 5 strategies to be effective in preventing no-shows??
- Automated Call Routing
- Appointment Cards
- Confirmation Calls
- Email Reminders
- Mailed Reminders
