Terms and Definitions Flashcards

1
Q

Advanced booking

A

Scheduling appointments for patients on a future date.

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2
Q

CEU

A

Continuing education unit

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3
Q

Cluster scheduling

A

Grouping appointments for patients with similar problems or procedures.

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4
Q

CMS

A

Centers for Medicare and Medicaid Services

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5
Q

Coding

A

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

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6
Q

Conditioning

A

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

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7
Q

Controlled substances

A

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

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8
Q

Database

A

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

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9
Q

DEA

A

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

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10
Q

Durable supplies

A

Supplies that are expensive and not often replaced.

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11
Q

Federal Register

A

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

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12
Q

Filing

A

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

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13
Q

Global periods

A

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

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14
Q

Indexing

A

Order in which paperwork is added to medical record.

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15
Q

Informed consent

A

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

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16
Q

Inpatient

A

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

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17
Q

Advanced booking

A

Scheduling appointments for patients on a future date.

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18
Q

CEU

A

Continuing education unit

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19
Q

Cluster scheduling

A

Grouping appointments for patients with similar problems or procedures.

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20
Q

CMS

A

Centers for Medicare and Medicaid Services

21
Q

Coding

A

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

22
Q

Conditioning

A

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

23
Q

Controlled substances

A

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

24
Q

Database

A

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

25
Q

DEA

A

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

26
Q

Durable supplies

A

Supplies that are expensive and not often replaced.

27
Q

Federal Register

A

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

28
Q

Filing

A

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

29
Q

Global periods

A

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

30
Q

Indexing

A

Order in which paperwork is added to medical record.

31
Q

Informed consent

A

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

32
Q

Inpatient

A

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

33
Q

Medicare

A

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

34
Q

Non-durable supplies

A

Supplies that are inexpensive, and often used and replaced.

35
Q

Objective

A

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

36
Q

Open office scheduling

A

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

37
Q

Outpatient

A

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

38
Q

Pathology

A

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

39
Q

POMR

A

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

40
Q

Privacy Rule

A

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

41
Q

Radiology

A

Medical specialty that uses imaging to diagnose and treat disease.

42
Q

Releasing

A

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

43
Q

Security Rule

A

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,

44
Q

SOAP

A

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

45
Q

Sorting

A

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

46
Q

Subjective

A

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

47
Q

Tabular List

A

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

48
Q

Wave scheduling

A

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.