Office Procedures Flashcards

1
Q

What Are The Five Telephone Triage Questions?

A

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)

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2
Q

What Are The Telephone Triage Categories?

A

1.) Emergency
2.) Urgent
3.) Routine

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3
Q

Emergency

A

Must Be Evaluated Immediately (Ex: Pain In The Eye With No Other Symptoms)

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4
Q

Urgent

A

Must Be Seen Within 12-24 Hours or 24-48 hours

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5
Q

Routine

A

To Be Seen At Next Available Appointment (Ex: Eye Exam)

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6
Q

Telephone

A

“Lifeline” Into and Out Of The Practice

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7
Q

Triage

A

System of Sorting/ Assigning Priorities For Medical Treatment Based On Urgency Of Symptoms.

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8
Q

Two Main Types Of Filing System

A

Alphabetical And Numerical

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9
Q

HIPAA

A

Health Insurance Portability And Accountability Act

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10
Q

Purpose Of HIPAA

A

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.

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11
Q

Use & Disclosure - Disclosure

A

The sharing or release of PHI in any manner outside the covered entity

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12
Q

PHI

A

Protected Health Information

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13
Q

HIPAA Privacy Rule

A

Individuals have right to receive an accounting of disclosures of PHI made by your office

Exceptions:
-Treatment
-Payment
-Health Care Operations

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14
Q

Minimum Necessary Principle

A

Requires office to take reasonable steps to limit the use, disclosure, and request for PHI to the minimum necessary to accomplish intended purpose

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15
Q

Ethics

A

Rules of conduct recognized in respect to a particular class of human actions

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16
Q

Informed Consent

A

To inform patients or their legal guardian about the patient’s health care and health care options

17
Q

Electronic Medical Record (EMR)

A

The electronic record of patient health information generated by encounters at ONE particular delivery setting.

18
Q

Electronic Health Record (EHR)

A

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.

19
Q

Interface

A

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.

20
Q

Security Measures

A

Safeguarding computing resources, ensuring data integrity, limiting access to authorized users, and maintaining data confidentiality.

21
Q

Storing Information/ Software Back Up

A

Refers to the copying and archiving of computer data so it may be used to restore the original after a data loss event.

22
Q

Electronic Claim Submission

A

Submitting insurance claims electronically through a software vendor or a third party clearing house

23
Q

Network

A

Set of connected computers that are able to communicate and share data or programs.

24
Q

Operating System

A

Software program that provides the commands and logic that operates the computer.

25
Q

How many rings should telephone be answered in?

A

Before third ring ends.

26
Q

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?

A

b.) What medications are you on?

27
Q

Interportability

A

The capability of systems to pass meaningful information between them.

28
Q

E-Prescribing

A

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.

29
Q

Meaningful Use

A

Using certified electronic health record (EHR) technology to:

improve quality and efficiency of health care and maintain privacy of patient health information.

30
Q

During fee presentation should you apologize to patient?

A

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.

31
Q

Use & Disclosure - Use

A

Sharing, employment, application, utilization, examination, or analysis of Protected Health Information (PHI) within the covered entity

32
Q

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

A

C

33
Q

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

A

D

34
Q

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

A

B