Terms and Definitions

Question 1

Advanced booking

Answer 1

Scheduling appointments for patients on a future date.

Question 2

CEU

Answer 2

Continuing education unit

Question 3

Cluster scheduling

Answer 3

Grouping appointments for patients with similar problems or procedures.

Question 4

CMS

Answer 4

Centers for Medicare and Medicaid Services

Question 5

Coding

Answer 5

The use of numbers and letters to describe illnesses, disease, and medical procedures.

Question 6

Conditioning

Answer 6

The removal of metal items from paperwork to prepare for placing medical records.

Question 7

Controlled substances

Answer 7

Medications or substances listed by schedule and controlled under the Controlled Substance Act according to the potential for addiction or medical use.

Question 8

Database

Answer 8

The area of POMR charting that includes information such as the patient’s chief complaint.

Question 9

DEA

Answer 9

Drug Enforcement Agency. A federal law enforcement agency tasked with regulation of controlled-substances.

Question 10

Durable supplies

Answer 10

Supplies that are expensive and not often replaced.

Question 11

Federal Register

Answer 11

The official daily publications for rules, proposed rules, and notices of federal agencies and organizations.

Question 12

Filing

Answer 12

Method by which medical records are kept to ensure ease in updating and finding of records.

Question 13

Global periods

Answer 13

Includes all services related to a procedure during a period of time depending on payor guidelines.

Question 14

Indexing

Answer 14

Order in which paperwork is added to medical record.

Question 15

Informed consent

Answer 15

A form of patient consent in which the patient has been told and understands the procedure that has been prescribed.

Question 16

Inpatient

Answer 16

Someone who has been admitted to a hospital or other health care facility.

Question 17

Advanced booking

Answer 17

Scheduling appointments for patients on a future date.

Question 18

CEU

Answer 18

Continuing education unit

Question 19

Cluster scheduling

Answer 19

Grouping appointments for patients with similar problems or procedures.

Question 20

CMS

Answer 20

Centers for Medicare and Medicaid Services

Question 21

Coding

Answer 21

The use of numbers and letters to describe illnesses, disease, and medical procedures.

Question 22

Conditioning

Answer 22

The removal of metal items from paperwork to prepare for placing medical records.

Question 23

Controlled substances

Answer 23

Medications or substances listed by schedule and controlled under the Controlled Substance Act according to the potential for addiction or medical use.

Question 24

Database

Answer 24

The area of POMR charting that includes information such as the patient’s chief complaint.

Question 25

DEA

Answer 25

Drug Enforcement Agency. A federal law enforcement agency tasked with regulation of controlled-substances.

Question 26

Durable supplies

Answer 26

Supplies that are expensive and not often replaced.

Question 27

Federal Register

Answer 27

The official daily publications for rules, proposed rules, and notices of federal agencies and organizations.

Question 28

Filing

Answer 28

Method by which medical records are kept to ensure ease in updating and finding of records.

Question 29

Global periods

Answer 29

Includes all services related to a procedure during a period of time depending on payor guidelines.

Question 30

Indexing

Answer 30

Order in which paperwork is added to medical record.

Question 31

Informed consent

Answer 31

A form of patient consent in which the patient has been told and understands the procedure that has been prescribed.

Question 32

Inpatient

Answer 32

Someone who has been admitted to a hospital or other health care facility.

Question 33

Medicare

Answer 33

Government-based health insurance for people over the age of 65 and others with certain disabilities.

Question 34

Non-durable supplies

Answer 34

Supplies that are inexpensive, and often used and replaced.

Question 35

Objective

Answer 35

In the SOAP format, the clinical assessment of a patient. Test results and information that can be observed by others.

Question 36

Open office scheduling

Answer 36

A method of allowing patients to access medical care without making an appointment.

Question 37

Outpatient

Answer 37

Patient who has received a procedure, treatment or test that does not require an overnight stay.

Question 38

Pathology

Answer 38

The branch of medicine that treats the essential nature of disease as changes in structure and function.

Question 39

POMR

Answer 39

Problem Oriented Medical Records that divide records into four sections - the database, problem, treatment, and progress.

Question 40

Privacy Rule

Answer 40

A national standard to protect a patient's medical record and health information.

Question 41

Radiology

Answer 41

Medical specialty that uses imaging to diagnose and treat disease.

Question 42

Releasing

Answer 42

The marking of a document to indicate that the records is ready for filing.

Question 43

Security Rule

Answer 43

A national standard that requires health care professionals to take specific technical precautions to ensure that patient information stored of transmitted in an electronic format remains confidential, accessible, and of a high quality,

Question 44

SOAP

Answer 44

Charting format that uses subjective, objective, assessment, and planning to organize the information.

Question 45

Sorting

Answer 45

Method of preparing medical records for filing by putting into order.

Question 46

Subjective

Answer 46

In the SOAP format, any information stated or perceived by the patient; will include patient's chief complaint.

Question 47

Tabular List

Answer 47

Volume 1 of the ICD-9-CM containing disease information.

Question 48

Wave scheduling

Answer 48

A method of scheduling patients in which multiple patients are scheduled at one same time and seen in the order they arrive at the office.