Week 3 test 1 monday Flashcards

1
Q

two main elements of scheduling…

A

mechanics and art

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2
Q

mechanics

A

selecting appointment book( electronic or manual) outlining MATRIXING and entering info

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3
Q

ART

A

work with dental health care team and answer a few questions

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4
Q

appointment book columns are to

A

organize scedual, identify who is performing the treatment, who the patient is, why the patient is beeing seen, and what will be done

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5
Q

unit/time blocks

A

10 or 15 minute intervals

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6
Q

four questions to help maximize sceduling effecancy

A

what time of day does the team work smarter and faster, how much time is needed to complete a procedure, which procedure may require the assistance of an extented funtion assistant, who will do the sceduling.

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7
Q

Dentist shall be obliged to make reasonable arrangements for emergency their patients of record.

A

ada principles of ethics and code of professional conduct january 2010, chicago illinois

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8
Q

follow up appointments

A

records all nessary information. completes the appointment card,hands it to patient, repeats the information

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9
Q

recalll system

A

is an organized method of sceduling patients for examinations prophylaxis or other dental treatment

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10
Q

the success of a recall sytem is dependant on several factors

A

patients must be willing to return for follow uo care and examination, the dental practice must follow consistantly, an effecient methode for tracing and contacting patients

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11
Q

recall opintment

A

automatic scheduling of a patient.

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12
Q

benefits of a recall system

A

forms a partner ship between patient and health care team,increases referrals from patients, insures a steady flow of patients, results a partenership with other dental profesinals because the total care of the patient is shared

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13
Q

classification of recalls

A

avragerecall apointment includes examination radiographs prophylaxis and floride for children

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14
Q

customary fee

A

the fee determined by the third party administrator from actual fees for specific dental services

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15
Q

resonable fee

A

a determination by the third party administrater that a particular service for a given procedure has been modified to take into consideration unusual complications,

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16
Q

closed panel

A

groups of dental providers that under contracts with third paries to provide dental services.

17
Q

cordination of benefits COB

A

a system that cordinates the benifits of two or more dental policies. the total benifits payed should not be more than 100 % of the original fee

18
Q

incentive program

A

if the patient reveives preventive care at set intervals during the first year, the dental benefits plan will increase to 80-20 %. the increase will continue as long as the patent continues to follow the preset standard of treatment

19
Q

closed panel programes

A

are programes that dictate to patients where they can receive their dental treatments

20
Q

another type of closed panel program

A

is provided by large corperations, the dentist and the dental auxilary are emlpoyees of the corporation.

21
Q

maximum coverage

A

total dollar amount that an insurance company will pay in an year

22
Q

steps in manual insurance tracking system

A

place all paid claims in a file for the month in whitch the claim is payed(chronilogicaly) in a n area with easy access, in case they are nedded during the year. if EOB (explanation of benefits

23
Q

secondary coverage:The Birthday Rule

A

designates primary coverage to the parent whose birthday comes first in the year.

24
Q

workers’ Compensation programs

A

cover employees who substain dental injuries while working. these require special handling and authorization. patients who have a work-related claim also must provide billing information. it is wise to contact the insurance carrier and receive clear instructions before any work is begun

25
Q

fraudulent insurance billing 5B2 over billing

A

it is unethical for a dentist to increase a fee to a patient solely because the patient is covered under a dental benefits plan..