Exam Prep #4 Flashcards
Patient Care Coordination and Education
Organization of patient care activities and the sharing of information with all parties concerned with a patient’s care to achieve safer and more effective care. To meet patient’s needs and preferences while delivering high-quality, high-value health care.
Care Coordination
A provision of health services to individuals, families, and their communities by at least 2 health providers who work collaboratively with patients and their caregivers to accomplish shared goals.
Team Based Patient Care
What are 2 common healthcare delivery models?
Patient Centered Medical Home (PCMH) and Accountable Care Organization (ACO)
An approach to delivering high quality, cost effective primary care. Coordinates patient care across the health system is called?
Patient Centered Medical Home
The movement of a patient from one setting of care to another. Including hospitals, ambulatory primary care practices, ambulatory specialty care practices, long-term care facilities, home health, and rehabilitation facilities.
Transition of Care
A law that reformed the Medicare payment system. Incorporates quality performance measurements into payments with the goal of creating an equitable payment system for physicians.
Medicare Access and CHIP Reauthorization Act
Learning by hearing and listening. Remembering things you have heard or by the way things sound is called?
Auditory Learning
When you manipulate or touch material to learn. Needs to see the action and then perform it back. What kind of learning is this?
Kinesthetic Learning
Learning by visualizing images, graphics, colors, and maps to communicate ideas and thoughts.
Visual Learning
List 3 different scheduling methods.
- Wave scheduling
- Modified scheduling
- Double-Booking
Scheduling methods that allows 3 patients to be scheduled at the same time in the order that they arrive.
Wave Scheduling
Scheduling methods that allows 2 patients to arrive at a scheduled time and the third to be scheduled 30 minutes after.
Modified Wave
Scheduling method where 2 patients are scheduled at the same time to see the same provider. Allows for a patient with an acute illness to be seen when no time is available.
Double-Booking
Lists the steps for paper record filing.
- Conditioning
- Releasing
- Indexing and coding
- Sorting
- Storing and filing
Scheduling new patients require which factors of information?
- Full name
- Address
- DOB
- Phone number
- Insurance info
- SSN
- Emergency contacts
What are 3 basic filing methods
- Alphabetic
- Numeric
- Subject filing
A federal law that sets national standards to protect medical records and confidential patient information.
HIPAA
Gives individuals the right to access and request amendments to their medical records.
The Privacy Act of 1974
HIPAA security rule requires measures to safeguard electronic protected information to ensure its _________, _________, and _________.
Confidentiality, integrity, and security.
Explanation of benefits sent to the provider from the insurance carrier. Contains multiple patients and providers as well as electronic fund transfer information or check for payment. Used to post payment to patient accounts.
Remittance Advice
Also known as a waiver or liability. A notice a provider should give patients before you receive a service if your provider has a reason to believe Medicare will not pay for the services.
Advanced Beneficiary Notice (ABN)
A 7 number character, alphanumeric code. Each code begins with a letter, and that letter is followed by 2 numbers.
ICD-10-CM
A 7 number character, alphanumeric code. Each code begins with a letter, and that letter is followed by 2 numbers.
ICD-10-PCS
Used to document procedures and technical services based on services by providers in outpatient settings.
CPT Codes and Modifiers
