Gen Vocab Flashcards

1
Q

Admit

A

A patient that is in the hospital and is under the care of a doctor

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2
Q

Advanced Practice Provider (APP):

A

Term used to indicate scheduling with a Nurse Practitioner, Physician Assistant or Midwife.

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3
Q

Ambulatory Social Work:

A

A department that works with patients in the Welcome Center, Staff training, Social
Services, Advanced Care Planning and Cab Program.

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4
Q

Appointment Desk:

A

The landing page for schedulers when they bring up a patient’s account to schedule an
appointment, verify demographics, or start a telephone encounter.

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5
Q

Appointment Information:

A

The screen where you enter in the referring provider when scheduling an
appointment, possible enter in the attending, assign a PLUE kit. Appointment Information can be access while
scheduling an appointment it can also be accessed after an appointment has been scheduled but either right
clicking on the appointment and selecting Edit Appointment Information or by clicking on the button
on the bottom of the Appointment Desk.

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6
Q

Appointment Notes:

A

This is where you document what the patient is being seen for, if the patient is being
referred, if there was any imaging completed and possibly the insurance depending on the clinic. You can
double click on the Appointment Notes section to make any changes.

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7
Q

Appointment Status Form:

A

A form that is faxed letting referring providers know that their patient has been
scheduled, declined or the patient could not be reached.

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8
Q

AVS (After Visit Summary):

A

A summary of the visit that can be printed out for the patient upon checking out of
an appointment or visible on their MyChart.

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9
Q

Billing (Patient Business Services):

A

Handle the bills that are sent out to patients. Patients receive a single bill that
combines physician and hospital services on one statement. Billing accepts: Cash, personal or cashier’s checks,
Visa, MasterCard, American Express and offers online payment options for the patient’s convenience.

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10
Q

Case Manager:

A

Work for both health care facilities and insurance companies. In a health care facility, they will
help patients who have complicated care or seeing a variety of speciality clinics coordinate their care here at
UW Health. Those who work for insurance companies keep track of a patient’s care and make sure that they are
attending appointments especially in worker’s compensation cases. They may call to verify upcoming
appointments, request records or request status of their patients.

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11
Q

CBTs (Computer Based Trainings):

A

Electronic based training that conveys information in a visual format. These
are located on U-Learn and are also known as WBTs or Web Based Trainings.

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12
Q

Cisco (Cisco Finesse):

A

Refers to the computer program that allows UW Health to place calls on the computer, it
also allows staff to see how many calls are waiting in que, for how long, and informs staff what phone line the
call is coming in on.

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13
Q

Close Encounter:

A

When you have completed an action in the telephone encounter, you can close the encounter if there is no further work to be done and was only about scheduling. Or you can send it to clinical staff so that they can mark that it has been completed.

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14
Q

Cold Transfer (Blind Transfer):

A

When you transfer a call over to another person or department without providing any information. This not the preferred method of handling a call at UW Health.

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15
Q

Co-insurance:

A

The percentage of costs of a covered health service you pay after you have paid your deductible. – Health Insurance Terminology WBT.

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16
Q

Consult:

A

A request by a patient or a referring provider to see a clinical service.

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17
Q

Coverage:

A

Benefits available to an individual under healthcare insurance plan. Typically includes services such as doctor visits, hospitalizations, & prescriptions. – Health Insurance Terminology WBT.

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18
Q

CSAR (Computer Systems Authorization Form):

A

Is used by supervisors/managers to request computer systems access for a staff member who reports to them.

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19
Q

DEA Number:

A

Number to identify a healthcare provider that the Drug Enforcement Administration allows them to write prescriptions for controlled substances. Scheduling staff do not provide this information if requested.

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20
Q

Decision Tree:

A

Is the matrix or tool that is used in Health Link for those specialties that have gone through Specialty Care Redesign (SCR) to determine if a new patient or an established patient can be scheduled or if it needs to be sent to clinical staff to review first.

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21
Q

Demographics:

A

Information that identifies the patient. Including: Address, Phone Number, Insurance, Emergency Contacts.

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22
Q

Department Code:

A

Is a number associated with a clinic at a specific location and is used in Health Link to send encounters, schedule appointments, and make sure patients are scheduled at the correct location.

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23
Q

Department of Corrections (DOC)

A

Facility where offenders reside. They can come and be seen in a Secure Clinic at University Hospital.

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24
Q

Doctor of Osteopathic Medicine (DO):

A

Base diagnosis and treatment on the idea that the body’s systems are interconnected. They treat the body as a whole. They have a medical education from an accredited college of osteopathic medicine, they complete an internship, residency. They can prescribe medicine and perform surgery. They pass a state medical board examination to obtain a license.

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25
Q

Dot Phrase/SmartPhrase

A

Is an abbreviation starting with a period that pulls up a full phrase or a selection of questions that must be answered. Example: .fname will populate a patient’s legal first name in an encounter.

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26
Q

DOS:

A

Date of Surgery.

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27
Q

Deductible:

A

The amount you pay for covered health services before your insurance plan starts to pay. Deductible “reset to zero” each year. Family plans have individual deductibles and family deductibles. – Health Insurance Terminology WBT.

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28
Q

eCheck-in/Pre-registration:

A

A process that allows patients the ability to complete pre-arrival steps up to 6 days prior to their appointment via MyChart. Patients can view and update demographics, review account information, request updates to their insurance and pay copays or outstanding balances.

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29
Q

Epic:

A

The computer program that houses and allows clinical and non-clinical staff to assist in the diverse needs of a patient from scheduling an appointment to documenting after a procedure or hospital visit. UW Health has purchased the Epic program and calls it Health Link.

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30
Q

Facility Fee (FF):

A

This can be observed on UWHealth.org when looking at clinics. This indicates that a specific clinic will have a facility charge as well as a physician/provider charge.

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31
Q

Fellowship:

A

“A post residency training period of 1-2 yrs. in a subspecialty e.g., hand surgery, which allows a specialized physician to develop a particular expertise that may have a related subspecialty board; fellowship time is often used to prepare for specialty boards examinations.” - https://medical-dictionary.thefreedictionary.com/fellowship (occurs after a residency).

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32
Q

Financial Assistance Program:

A

Helps people who are unable to pay for the medical services they receive. For eligible patients, UW Health may reduce bills in part or in full. For more information please visit: Financial Assistance on UWHealth.org.

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33
Q

Financial Responsibility Form (FRF):

A

Is a form that a patient/parent or guardian fills out stating that should insurance not cover the cost of the services that they will accept responsibility for the payment.

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34
Q

Future Tab:

A

Located on the patient’s Appointment Desk it shows any upcoming appointments for the patient from today forward.

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35
Q

Guarantor:

A

The person or entity legally responsible for the payment for healthcare services. Usually adults are their own guarantors. – Health Insurance Terminology WBT.

36
Q

Health Link:

A

A computer program that was purchased from Epic it allows our system to access, organize store and share electronic medical records with each other and other health systems on Epic.

37
Q

Help Desk (also known as ServiceNow):

A

See ServiceNow.

38
Q

HMO MA:

A

A type of patient insurance. HMO stands for health maintenance organization for example: Quartz, Dean, Anthem BCBS, Cigna, etc. MA stands for Medical Assistance. HMO MA means that a patient may have an insurance that is tied to their medical assistance. These types of insurances may require a Referral Request. Which is completed by a Scheduler when trying to schedule an appointment. Referral Request form is located on the bottom left hand side of your home page on Health Link.

39
Q

Huddle:

A

A short gathering of staff within the same speciality, to go over updates regarding clinic for the day.

40
Q

Imaging:

A

Refers to the medical radiographs taken of a patient. Examples: MRIs, CTs, X-rays, EMGs.

41
Q

In Basket:

A

Is a button located at the top of your Health Link where encounters, scheduling orders are sent for staff to follow up on with a plan of care or contact a patient to complete. For scheduling staff typical folders that can be found within In Basket are: MyChart Message, Patient Calls, Re: Patient (Not to chart), Staff Message, Workstation Order, Rx Response, My Open Encounters.

42
Q

Inpatient:

A

Refers to when a patient is staying at the hospital overnight. It can refer to the unit where the patient is staying as well.

43
Q

LPN (Licensed Practical Nurse):

A

Provide basic medical and nursing care needs such checking blood pressure. Report health status to RNs or to Providers.

44
Q

Maximum out-of-pocket:

A

The most you must pay for covered services in a plan year. It does not include premiums. Family plans have family and individual limits. – Health Insurance Terminology WBT.

45
Q

Medical Assistant (MA):

A

Can complete clinical and administrative tasks. Tasks can vary from clinic to clinic. Examples: Rooming patients, discussing patient care needs, reviewing patients’ health information to determine which provider will provide the most appropriate care.

46
Q

Minimally Invasive Surgery:

A

Robot-assisted surgery, “Surgeons carefully maneuver “robotic” arms fitted with small surgical instruments and a small camera scope that provides a detailed view of the patient. The three-dimensional view enables surgeons to perform precise surgery through small surgical incisions.”

47
Q

MyChart:

A

Online portal that allows patients to communicate electronically with their providers and clinical staff, pay bills online, manage appointments and access test results.

48
Q

Medical Records Number (MR or MRN)/Epic Number:

A

A number that is assigned to a patient to identify them in Health Link.

49
Q

Network:

A

Providers or healthcare facilities that are part of a health plan’s group of providers with which it has negotiated a discount. Care is less costly “in network” and more costly “out of network.” – Health Insurance Terminology WBT.

50
Q

NPI (National Provider Identifier):

A

“A unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).” – Wikipedia.org. Scheduling staff can provider this number.

51
Q

Nurse Practitioner:

A

“A registered nurse who holds a master’s or doctorate degree with specific advanced nursing education and training in the diagnosis and management of common and complex medical conditions. Nationally board certified and maintain continuing education throughout their careers.”

52
Q

Pacific Interpreters:

A

A phone service used by UW Health that has access to more than 10,000 trained and qualified interpreters in more than 240 languages.

53
Q

PACS (Picture Archive Communication Systems):

A

A way for clinical facilities to share images (CTs, MRIs, X-rays) electronically, so patients do not need to bring in flat films or bring in a CD with the images on them.

54
Q

Past Tab:

A

On the Appointment Desk it has all past appointments both canceled, completed, and missed.

55
Q

Payor:

A

An insurance company authorized to provide health insurance. The company collects premiums and pays a portion of costs as defined by the plans it offers. – Health Insurance Terminology WBT.

56
Q

Physician Assistant (PA):

A

“A physician assistant is an advanced practice provider licensed to provide medical care with the supervision of a physician Current physician assistant programs award a master’s degree. Training includes extensive clinical rotations focusing on medical models of care including surgical training and overall health and wellness, which prepare them to practice in a variety of settings.”

57
Q

Plan:

A

A defined set of covered services to care for a patient’s healthcare needs, with rules for appropriate usage and cost-sharing. – Health Insurance Terminology WBT.

58
Q

PLUE/PLUE kit:

A

An acronym that stands for Patient Link Up Enterprise. “a system tailored to each location that reduces or eliminates chart preparation time by printing paperwork for each patient as they check in, rather than having to prep it beforehand.” (For most clinics this is no longer in use)

59
Q

Pools:

A

A group of staff members that relate to a medical specialty given a name in Health Link for encounters to be routed to them to act on.

60
Q

Prior Authorization:

A

A check run by insurance companies or third-party payers before they will agree to cover certain medical procedures, radiology exams and or medications. There could be many reasons that insurances require prior authorization such as age, medical necessity, generative alternative or checking for drug interactions. Non-emergent admissions and outpatient procedures (regardless of payor source) will be reviewed by Admissions to assure the appropriateness of hospitalization and level of care.

61
Q

Primary Care Provider (PCP):

A

A doctor that helps “to promote a healthy lifestyle, treat acute and chronic illness, screen for and prevent common conditions, and much more.”

62
Q

Provider:

A

Term to refer to Doctors, Physician Assistants and Nurse Practitioners.

63
Q

Quality Assurance:

A

Reviewing patient interactions to ensure a positive patient experience. The Quality Assurance team will work with scheduling staff to provide real-time feedback and support in order to uphold a high expectation for the patient experience.

64
Q

Recall List:

A

A list to remind Representatives and staff of patients who need appointments years out depending on department it can range from 1 year to 5 years or more. These appointments are not scheduled right away as a provider’s schedule is not created that far out.

65
Q

Referral Tab:

A

Located on the Appointment Desk, it shows both insurance referrals and consults to clinic from referring providers.

66
Q

Referrals:

A

When staff discuss referrals, they could be discussing it in two different ways.
o First, referral could mean a recommendation by a patient’s Primary Care Provider (PCP) or another provider that they are seen by another doctor often a specialist. Some clinic will not agree to see a patient unless a provider has made a recommendation.
o Second, referral could mean and Insurance referral. Approval from the patient’s health plan to render services

67
Q

Regional/Outreach Clinics:

A

Clinics that are outside the Madison, Middleton area that UW Health Specialty Clinics go to.

68
Q

Review (also known as Triage):

A

Word used to inform patients when information is being sent back to clinical staff to look over and determine how the patient should be scheduled.

69
Q

SharePoint:

A

A Microsoft Office program that is starting to be used to house Electronic Versions of Materials for staff to use. Different Clinics and Specialties may have their own SharePoint for their team. Make sure to check with your Trainer/Supervisor if your area uses one.

70
Q

SCR (Specialty Care Redesign):

A

The method that is being put forth by our Specialty Care Clinics and the Ambulatory Access teams. To provide a better experience for patients, staff, clinicians by transforming our delivery system in the following ways: Coordinated Care, Improve Access, High Quality Experience, Efficient Operations.

71
Q

Second Opinion:

A

When a patient or referring provider requests to get another opinion of a medical professional.

72
Q

SecurePrint:

A

A method of printing using your badge, or User ID or Password. Not all locations with UW Health are set up with SecurePrint. Ask your Trainer or Supervisor if your area uses this tool.

73
Q

Service Recovery:

A

When UW Health tries to help diffuse a patient who has had either a bad experience or upset. An example of Service Recovery is when a $5 gift card is given to a patient to one of UW Health’s food services.

74
Q

Subscriber:

A

The person whose employment makes him or her eligible for membership in a health plan. – Health Insurance Terminology WBT.

75
Q

Super User:

A

Someone who has completed the test and has knowledge of Health Link or knows where to obtain the information.

76
Q

Take:

A

Is used when working the In Basket on Health Link. It is when a staff member says that they are taking ownership of a New encounter that has been sent to the In Basket and working on it to call out to a patient. This lets everyone else know that it is being worked on or if there was a message left, or if we are waiting on a response on an HMO MA insurance referral or Community Care.

77
Q

Tax-ID or TIN:

A

A number used for Tax purposes. Insurance companies may ask for to make sure that UW Health is a covered provider.

78
Q

Telephone Encounter:

A

Method of documentation used by staff to indicate they have received a call or message that will be sent to an In Basket that needs further action by clinical or clinical support staff. It can also be used when leaving a message for patients to return calls.

79
Q

TPL (Third Party Liability):

A

Indicating that a party other than Worker’s Compensation Insurance or a patient’s personal Health Insurance is paying for their medical care.

80
Q

Transfer of Care:

A

A patient needing or wanting to transfer from one provider to another with a specialty or clinic. This can be patient driven (they do not like the current provider they are seeing) or provider driven (their current provider is leaving UW Health). This can also be a new patient transferring their care from outside of UW Health to UW Health. For Example: A patient just moved to Madison or their insurance switched requiring them to see a different “in network” provider.

81
Q

Uconnect:

A

UW Health Home Page when accessing the Internet. It allows one to get to pages such as ServiceNow, SharePoint, Directory, Employee Self Service. It has variety of information for you whether, clinical or non-clinical in nature some items you may find are: updates with UW Health, policy information, corporate discounts and where one is able to take more classes to continue growth within UW Health.

82
Q

UWHC:

A

University of Wisconsin Hospitals and Clinics.

83
Q

UWMF:

A

University of Wisconsin Medical Foundation. Refers to the organization that encompasses all UW Health medical providers.

84
Q

Visit Type:

A

When scheduling an appointment, the Decision Tree creates a visit name to indicate whether an appointment is for a new issue, a return visit or a post-op
o New Patient: Used when a patient is new to clinic or being seen for a new issue
o Return Visit/Office Visit: When a patient is following up regarding symptoms that they have already been seen for within a specialty
o Post-op: An appointment that is used up to 90 days after a patient that has surgery
o Pre-op: An Appointment that is scheduled prior to a patient’s surgery that goes over the care plan for the surgery, any tests will be ordered and completed now
o Procedure: A type of minor surgical operation that is usually done in clinic. It can also be injections done in clinic.

85
Q

Warm Transfer:

A

Introducing a caller and the situation before transferring the call.

86
Q

WBTs (Web Based Trainings):

A

Electronic based training that conveys information in a visual format. These are located on U-Learn and are also known as CBTs or Computer Based Trainings.

87
Q

Welcome Center:

A

A call center that assists in getting patients prepared for the UW Health System. This could be by helping them select a primary care provider (PCP), obtaining previous medical records, helping with social service needs, populating family health history.