Chapter 1 Flashcards

1
Q

What does H.I.P.A.A stand for?

A

Health Insurance Portability and Accountability Act

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2
Q

What does O.S.H.A stand for?

A

Occupational Safety and Health Administration

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3
Q

What does C.L.I.A stand for?

A

Clinical Laboratory Improvement Act

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4
Q

What are 4 things the Medical Assistant must know prior to scheduling an appointment?

A

If the provider is available, if the equipment needed is available, if a room is available, and how long the procedure will take

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5
Q

What are the 6 types of booking?

A

Wave booking
Modified wave booking
Double booking
Stream/time-specific scheduling
Open booking
Cluster/Organization booking

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6
Q

True or False: Practices may use one type or a mix of types of bookings so that days can run smoothly?

A

True

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7
Q

Define Wave booking:

A

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

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8
Q

Define Modified wave booking:

A

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

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9
Q

Define Double booking:

A

2 patients are scheduled to come at the same time to see the same physician

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10
Q

Define Stream/ Time- specific scheduling:

A

Scheduling patients for specific times at regular intervals. The amount of time allotted depends on the reason for the visit

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11
Q

Define Open booking:

A

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

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12
Q

Define Cluster/ Categorization Booking:

A

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

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13
Q

True or False: New patients may require more time than established ones

A

True

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14
Q

True or False: Patient visits are all the same time

A

False
(some visits take longer than others)

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15
Q

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?

A

False

(Patients must be scheduled at the same time to see the same provider to be considered double booking)

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16
Q

What is the difference between wave booking and stream/time-specific scheduling?

A

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

17
Q

Define Matrix:

A

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)

18
Q

Define Template:

A

A document with a preset format that is used as a starting point so that it does not have to be recreated each time

19
Q

TRUE OR FALSE: Reimbursement/payment from insurance companies, also can be linked to time requirements.

A

True

20
Q

“NS” means?
“MA” means?

A

NS= No-shows
MA= Missed appointment

21
Q

What should a CMAA do after the 1st, 2nd, and 3rd no show?

A

1st: note it in the patients medical record
2nd: warn the patient
3rd: consider dismissing the patient from the practice

22
Q

TRUE OR FALSE: Some providers charge fees to patients for no-shows?

A

True

23
Q

What does a CMAA do when the provider cancels?

A

Must let the patients know. If patient has already arrived ask if they want to wait or reschedule

24
Q

What is one preventive strategy to use when booking patients with a history of late arrivals?

A
  • 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
25
Q

TRUE: Although a patient is late it is a definitive that the provider can see them

A

False. The CMAA should check with the physician to ensure that they can still be seen

26
Q

What does PHI stand for?

A

Protected Health Information

27
Q

Define Anatomy and Physiology:

A

Anatomy= The study of the human body
Physiology= The study of the function of each body system

28
Q

What does EMR/EHR stand for?

A

EMR- Electronic Medical Record
EHR- Electronic Health Record

29
Q

What are the 5 strategies to be effective in preventing no-shows??

A
  • Automated Call Routing
  • Appointment Cards
  • Confirmation Calls
  • Email Reminders
  • Mailed Reminders