MISC Flashcards
What Are The Five Telephone Triage Questions?
1.) What kind of problem are you having? (chief complaint)
2.) How long has it been going on? (onset/duration)
3.) Is it getting worse? (severity)
4.) Does it affect your vision? (associated symptoms)
5.) Does anything make it better? (modifying factors/relief)
What Are The Telephone Triage Categories?
1.) Emergency
2.) Urgent
3.) Routine
Emergency
Must Be Evaluated Immediately (Ex: Pain In The Eye With No Other Symptoms)
Urgent
Must Be Seen Within 12-24 Hours or 24-48 hours
Routine
To Be Seen At Next Available Appointment (Ex: Eye Exam)
Telephone
“Lifeline” Into and Out Of The Practice
Triage
System of Sorting/ Assigning Priorities For Medical Treatment Based On Urgency Of Symptoms.
Two Main Types Of Filing System
Alphabetical And Numerical
HIPAA
Health Insurance Portability And Accountability Act
Purpose Of HIPAA
Improve the portability and continuity of health insurance coverage, to improve access to long-term care services and coverage, and to simplify the administration of health care.
Use
The sharing, employment, application,
utilization, examination, or analysis of (PHI) within the covered entity
Disclosure
The sharing or release of PHI in any
manner outside the covered entity
PHI
Protected Health Information
HIPPA Privacy Rule
Individuals have right to receive an accounting of disclosures of PHI made by your office
Exceptions:
-Treatment
-Payment
-Health Care Operations
Minimum Necessary Principle
Requires office to take reasonable steps to limit the use, disclosure, and request for PHI to the minimum necessary to accomplish intended purpose
Ethics
Rules of conduct recognized in respect to a particular class of human actions
Informed Consent
To inform patients or their legal guardian about the patient’s health care and health care options
Electronic Medical Record (EMR)
The electronic record of patient health information generated by encounters at ONE particular delivery setting.
Electronic Health Record (EHR)
A lengthy electronic record of patient health information generated by ONE or MORE encounters in any care-delivery setting. Digital format capable of being shared across different health care settings.
Interface
Program designed to enable the exchange of data between two sources (enable software to connect one information system to another to share certain data or outputs), to join systems to perform tasks seamlessly and without double entry of data, such as integration of testing equipment with the software.
Security Measures
Safeguarding computing resources, ensuring data integrity, limiting access to authorized users, and maintaining data confidentiality.
Storing Information/ Software Back Up
Refers to the copying and archiving of computer data so it may be used to restore the original after a data loss event.
Electronic Claim Submission
Submitting insurance claims electronically through a software vendor or a third party clearing house
Network
Set of connected computers that are able to communicate and share data or programs.
Operating System
Software program that provides the commands and logic that operates the computer.
How many rings should telephone be answered in?
Before third ring ends.
Which may not be a triage question?
a). What kind of problem are you having?
b.) What medications are you on?
c.) How long have your symptoms been going on?
d.) Does it affect your vision?
b.) What medications are you on?
Interportability
The capability of systems to pass meaningful information between them.
E-Prescribing
A prescriber’s ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point-of- care. This is an important element in improving the quality of patient care.
Meaningful Use
Using certified electronic health record (EHR) technology to:
improve quality and efficiency of health care and maintain privacy of patient health information.
During fee presentation should you apologize to patient?
No. Do not apologize for the fee Patients realize there is a fee associated with professional services. But you should make the reason for fees clear to patient.
Use
Sharing, employment, application,
utilization, examination, or analysis of Protected Health Information (PHI) within the covered entity
Disclosure
The sharing or release of PHI in any
manner outside the covered entity
Which is not required for documentation of released PHI?
A. Date, name, address
B. Description of information released
C. Age, name, password
D. Verified identity of requestor
C
Which is not a part of implementing HIPAA?
A. Identify those in your office who need access to PHI to do their job
B. Further identify anyone else who may need access
C. Create policies and procedures for disclosure
D. Unlimited PHI disclosure for staff developing criteria
D
Prior to scheduling a patient appointment, which of the following should be done first?
A. Check with the doctor
B. Make certain the purpose of the visit is known, to schedule properly
C. Determine if special tests are needed
D. Determine the patient’s insurance company
B
