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NHA CCMA Test > Module 15: Administrative Assisting > Flashcards

Module 15: Administrative Assisting Flashcards

1
Q

Appointment Book

A

book used schedule, cancel, reschedule appointments

color coded or arranged

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2
Q

Matrix

A

table used for scheduling

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3
Q

Template

A

outline used to make new pages with similar design, pattern, style

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4
Q

Wave Scheduling

A

scheduling three patients at the same time to be seen in order in which they arrive

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5
Q

Modified Wave Scheduling

A

allocating two patients to arrive at specfied time/third to arrive 30 mins laer, repeated throughout the day

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6
Q

Double-Booking

A

scheduling two patients at same time with the same provider, often to fit in patient has acute illness

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7
Q

Filing Systems/Processes

A

conditioning-grouping related papers together, removing all paper clips/staples, attaching smaller papers to regular, fix damange records
releasing-marking form to filed with mark (ready filed, provider’s inital, stamp)
indexing/coding-determined where to place
sorting-ordering papers in specific groups

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8
Q

Filing Types

A

alphabetic-arranged last, first, middle
numeric-larger health centers or hosptals
subject-specific tab

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9
Q

How to Schedule Internal Appt. with Established Patient

A

name, DOB, reason
determined amount of time needed
what day and time
consider availability, provider preferences, patient habits

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10
Q

How to Schedule External Appt. with New Patient

A

name, address, DOB, contact, insurance info, social security, emergency contact, give them registration packet/medical history

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11
Q

Five Basic Steps of Filing Paper Records

A

conditioning, releasing, indexing, coding sorting, storing

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12
Q

SOAP Method of Documenting Info

A

subjective impressions
objective findings or clinical indication
assessment or medical diagnosis
plan for treatment

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13
Q

CHEDDAR Method of Documenting Info

A

chief complaint
history
examination
details
drugs and dosages
assessment
return visit information

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14
Q

Info to Verify Patient Health Insurance

A

full name
DOB
policy number
SS Number

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15
Q

Chart Reviews

A

checking over charts to reduce payment errors by making sure payment is only made for services that meet medical necessity requirements/ are covered by insurance plan

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16
Q

3 Factors Determine Level of Service E/M Coding

A

History
Exam
Medical Decision Making

17
Q

3 Types of Referrals

A

Regular- 3 to 10 business days
Urgent- 24 hours
Stat- approved by phone immediately

18
Q

Difference Between Preauthorizations/Precertifications

A

Preauthorization obtaining permission to perform specific procedures/services or refer a patient to a specialist
Precertification proving medical necessity before performing procedure

19
Q

Copay

A

specific sum of money based on patient’s insurance policy benefits due at the time of service

20
Q

Coinsurance

A

amount a policyholder is financially responsible for according their insurance policies

80/20

80% paid to insurance and 20% to you

21
Q

Deductibles

A

specific amount of money patient must pay out of pocket before the insurance company

22
Q

Explanation of Benefits

EOB

A

provided to patient by insurance company as statement detailing service were paid, denied, reduced NOT A BILL

23
Q

Remittance Advice

RA

A

explanation of benefits sent to provider from insurance carrier post payment

24
Q

Advance Beneficiary Notice

ABN

A

form a medicare patient when a provier thinks medicare won’t pay for it

25
Q

Federal Policies

A

include Tricare, military, 65 or up, anything with state

26
Q

Private Policies

A

group, fund themseleves

27
Q

ICD-10-CM

A

7 characters
1st alaphabetic, 2-3 numeric, 4-7 either

diagnosis

28
Q

ICD-10-PCS

hospital

A

procedures normally in hospital

29
Q

CPT

procedures

A

procedures/services based by provider in outpatient setting

30
Q

HCPCS

A

procedures everything CPT does not cover

31
Q

Electronic Medical Record

EMR

A

info about a patient that can be created, managed, accessed by authorized people within a single place

32
Q

Electronic Medical Record

EMR

A

information on patient that can be given to whoever needs it

33
Q

Supplies

A

pen, pencil, paper, toner, paper clips, registration form, info sheets, clipboards

34
Q

OSHA

A

responsible for workers

NHA CCMA Test (22 decks)

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