should be filled out when a threatening call is received.
Unusual occurrence report(UOR)
Authorizes access to a patient's personal information
confidential communication preference (CCP)
Used for reference when placing long-distance phone calls
time zone map
prevents you from disclosing patient information over the telephone to unauthorized parties
Health insurance portability and accountability act (HIPPA)
Takes patient calls during non-office hours and relays messages to the office or on-call doctor
Answering service
can be used to help compile contact information for community resources
search engines
system designed to address patients language needs
interpreter service
Allows participants in different locations to hear and see each other at the same time
teleconferencing
may be used to allow patients to request prescriptions refills
patient portal
often allows you to select a priority level, depending on the time sensitivity of the message
electronic message template
A combination of practice management and electronic medical records
electronic health record (EHR)
Refers to the interoperability of electronic medical records or the ability to share medical records with other health care facilities
electronic health record (EHR)
patients can create their own electronic health records; communicate with their provider electronically; request lab results, referrals, and appointments
patient portal
A combination of electronic, wireless, or paper records
hybrid
A software that provides the medical office the electronic component to deal with day-to-day financial and administrative operations of a medical practice and that allows information to be pulled from the patient's record and populated in the financial components of the patient account
practice management (PM)
Patient records in a digital form at
electronic medical record (EMR)
A phone screening manual is sometimes called a(n)_______ manual
triage
Before you transfer a patient's call to another department or office
pull the chart for the provider if the patient is calling for info and have the pertinent data readily available, give the caller the phone number, extension, and name of person to whom you are transferring to, signal (or page) the person in the department you are transferring to and when the person answers, explain who is waiting to speak to him or her and give a brief summary of the issue
electronic prescription refill request are commonly referred to as
e-prescribing
if a caller is requesting info, you should ask if you can call him or her back if it will take you longer than_____ to retrieve it
1 minute
if a caller makes threats, you should
document the info about the caller and the threat and end the call
if a person claiming to be a patient's attorney calls to request info from the patient's medical record you should
verify that the attorney is authorized to receive it and offer to call them back
If you are speaking to a patient face-to-face at the office and the phone rings, you should
say, "excuse me for a moment, please, "and answer the call
it is most appropriate to use an answering machine
during the office lunch break
phone menus are designed to
increase efficiency
the use of mobile devices in health care settings is commonplace, which of the following is not considered a concern when using mobile devices
convenience and connectivity
when a patient calls and asks to speak directly with the provider, never respond by saying
the doctor is busy
when a patient calls with a medical question, you should
document the patient's info and relay it to the doctor for review
when answering a telephone call, you should not
remain expressionless
when conducting phone calls, on average, how long doe it takes a person to pick up on attitude from listening to the tone of the person's voice?
10 seconds
When documenting a telephone call, you should
include your own name or initials
When it comes to your personal mobile device, it would be considered best practice to
put the phone away during office hours
When obtaining a telephone message from a recording device or outside answering service, you should not
prioritize messages according to the order in which they were received
when responding to a nonemergency phone call and the person needs additional info, it is appropriate to respond
"may i call you back with that info", confirm the patient's phone number before hanging up because it might have changed since the patient's last appointment, excuse yourself from the phone call by saying, "may i put you on hold for a moment?
when scheduling appointments, you must do all but which of the following?
use at least 3 identifiers of the patient
Which calling feature allows several people in various locations to converse at the same time?
conference calling
Which of the following is the most appropriate question to ask when scheduling an appointment?
What is the reason for the visit?
your provider has a scheduling template that has 3 time slots held for same day or urgent visits, two in the morning and one in the afternoon. when booking a same-day or urgent visit, you ahouls
book same-day appointment for patients requiring more immediate attention, fill your afternoon appointment first
which of these are used to provide specific written instructions regarding the examinations and diagnostic tests performed in your office?
information sheets
any identified materials to be sent with the letter
enclosures
identifies another person o persons to whom a copy of the letter is sent
Cc
Expressing the closing of the letter
complimentary closing
content of the letter
body
address of the person to whom the letter is being sent
inside address
signature of the writer
sender's signature
writer's title, if appropriate
title
initials of the letter's typist
reference initials
greetings to the recipient
salutation
used to identify what or about whom the letter is concerning
reference
date when a letter is dictated or composed(if not dictated)
dateline
preprinted name, complete address and phone number(optional)
letterhead
word that modifies a verb, adjective or adverb
adverb
word that is used to express strong feeling or emotion
interjection
word that connects words, phrases and clauses
conjunction
word or word group that expresses action or a state of being
verb
word that describes, limits or restricts a noun or pronoun
adjective
Name of anything, such as a person, a place, an object, an occurrence or a state
noun
word that shows the relationship of an object to some other word in the sentence
preposition
substitute for a noun
pronoun
used to enclose a direct quote
quotation marks
used to formally introduce a word, a list, a statement or question, a series of statements or a long quotation
colon
Used when omitting a word, phrase, line, paragraph, or more from a quoted passage
ellipsis
used after words, expressions, or sentences to show strong fee lings
exclamation mark
placed after every direct question
question mark
used in contractions to signify that one or more letters have been left out
apostrophe
used between two clauses of a compound sentence when they are not joined by a conjunction, unless they are very short and are used informally
semicolon
used to separate two adjectives when the word can be inserted between them
comma
placed at the end of a statement
period
used to enclose matter apart from them main thought
parenthesis
usually are personal and informal in nature
informal notes
annual diagnostic examination reminders
from letters and templates
used for thank-you, congratulations, or similar expressions
informal notes
a powerful tool, enabling us to communicated at. times without picking up the phone or worse getting on a plane; provides round-the-clock convenience and service, reducing cost and increasing productivity at work
an informal, memo-style communication that is usually specific to one concern
interoffice communication
allows for the almost instant exchange of information
professional associations, licensing boards, and other physicians regarding some issue or concern affecting personal medical activities or their professional practice
professional letters
correspondence with travel agencies, mail-order catalogs, uniform or clothing suppliers and specialty shops
personal letters
an effective way of being certain that everyone is aware of some event, policy, concern and other internal communication, circulated electronically or by a copy of a memo
interoffice communication
often written on a first-name basis
informal notes
provide specific written instructions regarding the examinations and diagnostic tests performed in your office
information sheets(patient education)
noncompliance, missed appointments, and dismissal from practice
form letters and templates
return-to-work or school approvals
form letters and templates
referrals, consultations, annual examinations reminders, collection letters, school and work releases, suppliers of equipment and materials and other correspondence necessary to the office operation
form letters and templates
A form letter would not be appropriate for
outlining an accident victim's injuries
a release would be required to give information about a patient to
life insurance questionnaire
a ______ sentence contains two or more independent clauses, separated by a comma
compound
adverbs commonly end in
-ly
how many sheets of paper are in a ream?
500
if you receive a letter or package that you suspect is contaminated, you should
wash your hands throughly with soap and water
the characteristic feature of the _______ letter style is that the dateline, complimentary close, and typed signature begin a bit right of center
modified block
the first step in composing a letter is to
determine what information needs to be included
There are three letter styles. which of the following is NOT considered a letter style
partial block letter
when addressing a letter, it is recommended that you use a(n)_____ type font to help expedite delivery
standard
when typing a business letter, the sender's name is entered _____ spaces below the closing
four
When using the three-read system of proofreading, which of the following do you check for first?
errors in composition
when you annotate the incoming mail, you
identify for the physician important points to be noticed
which main service is used to ensure that mail is delivered only to a specific addressee or an authorized agent for the addressee
restricted delivery
which of the following would sent to a licensing board
professional letter
which of these is a disadvantage of using email
it is not as secure, private, and confidential as people think
which of these statements is true
emails can be sent or forwarded without your knowledge or permission
Which of these words should be capitalized
Tylenol
which of these zip codes is written correctly
74820-2772
a bit is either
0 or 1
A safe environment begins at the front door. Thereceptionroom requires a safety check every morning to ensure that it presents no hazards for patients and visitors. Which of the following is not part of evaluating the reception area
placing charts for check-in
At the beginning of the day, visually inspect all exam rooms and lab areas. What items should you inspect and tasks should you perform
restock supplies and maintain inventory, observe temperature and plug in any disconnected electrical equipment; check the water level in the autoclave and turn it on
Chemicals kept in the office for laboratory work
must be properly labeled and stored
daily equipment maintenance includes all but which of the following
ordering replacement parts
dragon naturally speaking is an example of
speech recognition
electronic health record (EHR) software allows you to do all but which of the following?
Determine the best drug for a patient without consulting the provider
hardware and software devices that protect and organization's network from intruders are called
firewalls
identify advantages of using encoder software
medicare CCI edits
if a medical office has a computer network, passwords should be used on
all computers and all software applications
if you are the first person to arrive at the office and there is evidence of forced entry you should
leave at once and call building security or police
it is recommended that all central computer data be backed up
daily
regardless of whether your office has electronic health record(EHR) software or not, you must employ best practices for safe computer use. there are a number of consideration for security. which of the following is not considered best practices for computer security
placing printers, fax, copier, and so on in high-traffic and visual sight areas
The internet is a system of interconnected computer networks by which to access information from all over the world. to access the internet, you need
modem, web browser, and computer
The national task force on violence against health care providers recommends that medical facilities conduct ________ inventories
semi-annual
to avoid alignment or repetitive injuries while working, use
proper ergonomics
when using a computer, you should not keep your
thighs perpendicular to the floor and the lower legs parallel to the floor
when using a fax machine, you should not
transmit material without a cover page
when using electronic health record (EHR) software, the electronic superbill
can be done in conjunction with charting
which is not considered part of preparing the front desk at the beginning of the day
checking the reading material, toys and books
which of the following is an example of software
application program
which of the following working postures is NOT considered proper ergonomics
upper arms and elbow extended outward
which statement about the internet is correct
some type of web browser is required to access web sites on the internet
why is careful monitoring of inventory vital in a medical practice, and what is considered best practice
you do not want to over-order items, you do not want to run out of supplies, time-sensitive (date expirations) items should be stored in order of expiration, with the first to expire in front
patients are scheduled in the same way as wave scheduling, with the exception of scheduling patients in the last 30 minutes at 10 to 20 minute intervals
modified wave
scheduling patients for specific types of visits or procedures at specific times
clustering
no scheduled appointments; patients sign in upon arrival and are seen by the physician in that order
walk in/ open hours
appointments are scheduled for a particular, amount of time based on patients need
streaming
each patient is booked for a specific amount of time
single-booking
patients are scheduled during the first 30 min if each hour, leaving the last 30 min for same-day appointments
wave
same appointment time is given to two or more patients
double-booking
a disadvantage of clustering is that
if one visit gets off track, it may throw the entire appointment flow off track
a disadvantage of electronic appointment scheduling software (practice management ) would be
printing copies of schedules, therefore not reducing the amount of paper consumed
a patient does not need to provide signed consent for the medical office to release information about
a public health risk
A_________ refers to blocking off time slots in a paper schedule with an "X" or having specified time periods automatically blocked out in the computer's schedule screen
matrix
during a telephone screening, you should not
paraphrase the caller's description of their symptoms
electronic appointment scheduling software (practice management) offers several advantages over paper schedules. which of the following is not considered an advantage of electronic scheduling?
downtime resulting in lost information
if a new patient appears reluctant to complete the intake forms, you should
quietly offer to assist in completing them in a separate closed room
if a patient engages in clearly inappropriate behavior, you should
have a witness come in and instruct the patient to cease the behavior
if you have a patient who is habitually late, it is recommended that you
ask the office manager to discuss the scheduling policy with the patient
insurance companies typically require patients to obtain a _____ before they will pay for a visit to a specialist
referral
one way to ease fears and maintain good rapport with patients is to communicate clearly what is expected from patients of the practice as well as what patients can expect from the office staff. why would explaining payment options and billing procedures be an important part of communications
to help avoid misunderstandings regarding financial matters
posting a ______ is one way to communicate not only the legal rights patients have while under the care of a practitioner of facility but also what rights they have ethically
patients bill of rights
the main disadvantage of single-booking is that
if patients problems are easily addressed, there may be gaps in the schedule
the primary benefit of _____ is that patients have an opportunity to present for complaints that have an unexpected onset
walk in/open hours scheduling
to help a patient develop a payment plan for elective surgery, the medical assistant should
review insurance coverage with the patient
weekly schedules for the providers should be accessible to
everyone in the office
when patients arrive at the office, the administrative medical assistant should
explain all instructions thoroughly
when using a computerized scheduling system, a(n) ______ refers to having specified time periods automatically blocked out
matrix
when using a paper scheduling system if a patient cancels an appointment at the last minute, you should_______ the original entry
draw a single line through
when you recognize that a patient in the waiting room will be required to wait much longer than originally expected, you should
notify the patient tactfully and offer the option to reschedule
which method of scheduling is designed to keep a continuous flow of patients coming through the office
streaming
which of the following is an advantage of a paper scheduling system
several styles of appointment books allow for scheduling as far out as a year or more
what act was signed into law as part of the American recovery and reinvestment act that provides health and human services (HHS) with the authority the promotion of health information technology
health information technology for economic and clinical health (HITECH)
what do the two Ds in CHEDDAR stand for
details and drugs
What does the "P" stand for in POMR
problem
what does the P in SOAP stand for
plans for further studies, treatment, or management
when making a correction to the progress note in an electronic medical record, you should
use the edit feature
when recording progress notes, the specific chief complaint should be
written using the patient's own words
when terminating or severing the physician/patient relationship the physician should notify patients in writing, which of the following statements is NOT true
advise the last day the physician will be available to render medical care, assuring the patient has been provided at least 5 days of emergency treatment and prescription before discontinuing the physician's availability
when you purge a file, you
clean it out
which of the following system provides the most patient privacy
numerical
which of the following is an objective statement
the patient's heart rate is elevated at 120 beats per minute
Which of the following is not an advantage of electronic health records (EHRs)
they completely eliminate the necessity for paper records
which of the following would be a subjective statement
you don't look well
identify what would be part of maintaining a patient's medical record
straighten and tidy the forms before filing
a complete and accurate medical record provides legal protection for
both patients and physicians
health insurance portability and accountability act (HIPAA) requires all medical records, signed consent forms, authorization forms, and any other HIPPAA-related documents to be retained for ____ years
six
in regards to filing____ is done by marking the index identifier on the paper to be filed
coding
it is recommended that filing dividers or guides be constructed of _______ material
heavy, sturdy
the patient chart belongs to the
medical practice
When coding, the primary reason for the office visit is listed first, and other reasons are listed in what order
order of importance
when records are reviewed by third-party payers, if a procedure is not documented, it
is considered to never have been performed
where in the current procedural technology (CPT) manual would you find information about modifiers
appendix A
which of the following statements is true regarding healthcare common procedural coding system (HCPCS) level II codes
level II G codes are temporary codes for procedures/professional services. Level II codes are composed of one alpha and four numeric characters. Level II codes were developed to identify products and supplies for which there are no current procedural terminology (CPT) codes
who publishes current procedural terminology (CPT)
American medical association (AMA)
As a result of the Medicare modernization act of 2004, new, revised, and deleted healthcare common procedural terminology (CPT) codes must be implemented every year on which date
January 1
Assigning a procedure code that dose not match patient documentation for the purpose or increasing reimbursement is known as
upcoding
international classification of diseases (ICD) codes are descriptive of the
presenting disease or condition
services performed in the office are generally selected on a patient's encounter in the EMR by the
provider
the AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent, diagnose, or treat an illness, injury, or disease or the associated symptoms in a manner that is
clinically appropriate in terms of frequency, type, extent, site, and duration, in accordance with the generally accepted standard of medical practice, not for the intended economic benefit of the health plan or purchaser or the convenience of the patient, physician, or other health care provider
the current procedural terminology (CPT) manual uses symbols to indicate information about code numbers, for example the + symbol stands for
add-on code
the international classification of diseases, 9th revision, clinical modification (ICD-9-CM) remained in use in the united states until September 30th of what year
2015
the main rule to remember of the international classification of diseases(ICD) coding rules, which says that the reason for the patient visit (Encounter) is coded first in known as
reason rule
upcoding can result in
serious fines and penalties