Patient Intake Flashcards
Electronic medical record
Health info that is created, added to, managed, and reviewed by authorized providers of a single health organization
What is on a demographics sheet
Full name, dob, marital status, children, gender, occupation, adress, health insurance, social security, name of spouse, spouse employment
Who are demographic sheets given to
New and returning patients
American with disabilities act
Made in 1990 to ensure equal access to health care
- accommodations for disabilities or language barriers
Accommodations for vision loss
Large print, braille, help with electronic forms
Accommodations for hearing loss
Reduced background noise, unobstructed view of the face
Accommodations for language barriers
Access to forms with other common languages, entrepreneurs, ASL interpreters
True or false
Given consent, papers can be mailed to patients home so family can help fill it out
True
Advanced directive
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
Who must also sign an advanced directive form
A non affiliated witness
Protected health information
Information about health status that can be linked to a specific patient
Electronic health record
Record of health that can be created, managed, reviewed by authorized providers from multiple health organizations
Pre-authorization
Insurance agreement to pay for service
Required 24hrs before procedure
Are preauthorizations required for patients being referred to a specialist?
Yes
What does secondary insurance do
It can pay what is left over from primary insurance
Birthday rule
For children with parents who have their own insurance, whoevers birthday that comes first in the calander is the primary insurer
Guarantor
Person responsible for remaining insurance payment
Coding systems used for
Communicating info about patients from the provider to the insurance company
HCPCS
Group or codes and descriptors uses to represent supplies, procedures, and services
Reimbursement
Payment from insurance companies
ICD-10-CM
WHO
-codes to report diagnoses so insurance carriers know what services were provided
Level 1 of HCPCS
Is the current procedure codes (CPT), describes and reports services
-AMA
How often are CPT codes evaluated and updates
Every 6 months
HCPCS level 1 category 1
5 digit code, 2 digit modifier
Covers providers services
