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CMAA > Patient Intake > Flashcards

Patient Intake Flashcards

1
Q

Electronic medical record

A

Health info that is created, added to, managed, and reviewed by authorized providers of a single health organization

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2
Q

What is on a demographics sheet

A

Full name, dob, marital status, children, gender, occupation, adress, health insurance, social security, name of spouse, spouse employment

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3
Q

Who are demographic sheets given to

A

New and returning patients

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4
Q

American with disabilities act

A

Made in 1990 to ensure equal access to health care
- accommodations for disabilities or language barriers

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5
Q

Accommodations for vision loss

A

Large print, braille, help with electronic forms

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6
Q

Accommodations for hearing loss

A

Reduced background noise, unobstructed view of the face

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7
Q

Accommodations for language barriers

A

Access to forms with other common languages, entrepreneurs, ASL interpreters

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8
Q

True or false
Given consent, papers can be mailed to patients home so family can help fill it out

A

True

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9
Q

Advanced directive

A

Document that spells out kind of treatment given to people in the event they can’t speak for themselves
-familys use to know their wishes

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10
Q

Who must also sign an advanced directive form

A

A non affiliated witness

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11
Q

Protected health information

A

Information about health status that can be linked to a specific patient

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12
Q

Electronic health record

A

Record of health that can be created, managed, reviewed by authorized providers from multiple health organizations

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13
Q

Pre-authorization

A

Insurance agreement to pay for service
Required 24hrs before procedure

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14
Q

Are preauthorizations required for patients being referred to a specialist?

A

Yes

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15
Q

What does secondary insurance do

A

It can pay what is left over from primary insurance

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16
Q

Birthday rule

A

For children with parents who have their own insurance, whoevers birthday that comes first in the calander is the primary insurer

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17
Q

Guarantor

A

Person responsible for remaining insurance payment

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18
Q

Coding systems used for

A

Communicating info about patients from the provider to the insurance company

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19
Q

HCPCS

A

Group or codes and descriptors uses to represent supplies, procedures, and services

20
Q

Reimbursement

A

Payment from insurance companies

21
Q

ICD-10-CM

A

WHO
-codes to report diagnoses so insurance carriers know what services were provided

22
Q

Level 1 of HCPCS

A

Is the current procedure codes (CPT), describes and reports services
-AMA

23
Q

How often are CPT codes evaluated and updates

A

Every 6 months

24
Q

HCPCS level 1 category 1

A

5 digit code, 2 digit modifier
Covers providers services

25
Q

HCPCS level 1 category 2

A

Supplement tracking codes
-Are Optional

26
Q

HCPCS level 1 category 3

A

For new technology services
-Temporary codes deleted after 5 years

27
Q

HCPCS level 2

A

National codes to report services not apart of CPT
-Begins with letter A-V, then 4 numbers

28
Q

Notice of Privacy practices

A

Given at first appointment
-states patients rights about releasing information

29
Q

Consent to release form

A

Gives consent to disclose your info to other health care providers involved to coordinate diagnoses

30
Q

Patient financial responsibility

A

Allows insurance to mail payments to the provider

31
Q

Assignment of benefits

A

Health insurance benefits sent directly to the provider

32
Q

Encounter form

A

The super bill
-document to collect data about elements of the patient visit

33
Q

What does an encounter form include

A

Name, account number, current charges, previous balance

34
Q

What to do with regular referrals

A

Patient needs to see a specialist
-3-10 business days

35
Q

What to do with urgent referrals

A

Urgent but not life threatening
-abour 24hrs

36
Q

What to do with STAT referrals

A

Emergency situation
-approved immediately over telephone

37
Q

What is the back office

A

The clinical side of the facility

38
Q

What to do with yet to be filed records when closing the office

A

Don’t leave them out and lock them up

39
Q

Active files

A

Patients currently receiving treatment

40
Q

Inactive files

A

Patients that haven’t been for a visit in 6+ months

41
Q

Closed files

A

Patients that moved or past away

42
Q

Purging

A

Moving files from active to inactive

43
Q

Perpetual transfer

A

Stickering outside of file with the date to identify for purges

44
Q

Cheif complaint

A

-summary of patient symptoms, when it was first noticed, and remedies tried

45
Q

Provisional diagnoses

A

Uncertain / temporary diagnosis
still working on it

46
Q

Differential diagnoses

A

Weighing probability that other diseases caused this problem

CMAA (3 decks)

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