CMAA Study Guide
Terms in this set (98)
What is the medical law?
the medical administrative assistant is required to have a basic understanding of the legal principles.
what is the physician-patient relationship?
an implied contract in which the physician is expected to assess and treat the patient with the same amount of knowledge, skill, judgment as another physician under the same circumstamces
define: implied consent
apperent through their action of seeking the services of the physician
define: informed consent
a written form that states the understanding of the prescribed treatment as well as its accompanying risks
define: Good Samaritan Act
a volunteer is not held liable for any civil damages that may occur as a result of their efforts to provide emergency care.
What does the patient bill of right do?
it promotes the interests and well beings of patients within any healthcare facility
What is HIPPA?
[Health Insurance Portability and Accountability Act] a fediral law designed to protect the privacy of individuals health information
the discontinuation of medical care without proper notice
the usage of an impartial third party for the hearing and determination of a dispute
the unlawful use of force or violence
the failure to provide the necessary care that is required for a person's situation
phone etiquette STEP 1:
answer the phne promptly and kindly
phone etiquette STEP 2:
be sure to properly speak into the phne
phone etiquette STEP 3:
be sure to give the caller ur undivided attn
phone etiquette STEP 4:
speak clearly and distinctly
phone etiquette STEP 5:
always be courteous
phone etiquette STEP 6:
be sure to ask the caller's permission be4 placing them on hold
phone etiquette STEP 7:
never allow and angry or aggressive caller upset u; remain calm and composed
what is verbal communication?
the use of language or words spoken
what is nonverbal commuication?
the use of eye contact, body language, facial expression, or symbolic expression to communicate a message.
What types of scheduling is there?
wave scheduling, modified wave scheduling, double booking
define: Wave Scheduling
provides service to several patients at same time
define: Modified Wave Scheduling
small groups of patients are scheduled at intervals throughout the hour
define: Double Booking
scheduling two patients to see the physician at the same time
Scheduling a new patient: STEP 1
obtain and verify general information
Scheduling a new patient: STEP 2
gather appropriate information regarding a patient referral
Scheduling a new patient: STEP 3
determine the patient's chief complaint
Scheduling a new patient: STEP 4
make the patient aware of the various dates and times they are available to come in
define: Express Mail
available everyday of the year, including holidays, for items up to 70lbs in weight and 108 inches in height
define: First-Class Mail
includes letters, postal cards, postcards, and business reply mail
define: Priority Mail
first-class mail that weighs more than 13 oz
define: Certified Mail
gives the sender the option to recieve proof of delivery
define: Bulk Mailing
a form of mailing large volumes of information which is presorted by zipcode
what are the types of health insurences?
Indivisual Policies, Group Policies, Government Plans
define: Indivisual Policies
ppl with this type of insurance are usually ineligible to recieve benefits from a gvrnmnt plan. this type of coverage ir characterized by high premiums and a limited amount of benefits.
define: Group Policies
provides coverage for employees under a single contract. this type of coverage is characterized by greater benefits and low premiums
define: Government Plans
available to a large group of ppl who meet specific
define: Assignment of Benefits
an arrangement by which a patient requests that their health benefit payments be made directly to a physician
the amount payable by the carrier toward the cost of services for which the patient is eligible for
the amount an indivisual must pay for health care expenses before insurance (or self insured company) covers the cost.
the portion of a service fee that the patient must pay
a document that describes the insurance coverage for an indivisual or property
the amount the patient pays for an insurance contract
define: Usual, Customary and Reasonable (UCR) or Covered Expenses
an amount customarily charged for or covered for similar services and supplies which are medically necessary, reccomended by a doctor, or required for treatment
define: Waiting Period
a period of time when you are not covered by insurance for a particular problem
how many steps are there to establish a patients medical record?
STEP 1 to Establish a medical record
determine the patients status in the office (New or Established)
STEP 2 to Establish a medical record
obtain the required general information
STEP 3 to Establish a medical record
enter the information into the patient history form
STEP 4 to Establish a medical record
review the form for accuracy
STEP 5 to Establish a medical record
enter the patients name into the computerized ledger
STEP 6 to Establish a medical record
assemble the appropriate forms, prepare the folder and file as necessary
what are the components of the medical record?
Personal and Medical History, Patients family history, patients social history, patients chief complaint, diagnosis.
define: Personal and Medical History
created using information gathered fromthe patient. usually includes information such as past illnesses, surgical operations, and the patients daily health habits
define: Patients Family History
includes information regarding the health of members of the patients family, and a record of the cause of death.
define: Patients Social History
includes the information regarding the patients lifestyle
define: Patients Chief Complaint
A statement of the patients symptoms
A decision made based on the information regarding the patients history and the results of the doctors examination.
what is the SOAP approach?
a format for progress notes based on the letters od the word
what is "S" in SOAP?
what is "O" in SOAP?
Objective clinical evidence
what is "A" in SOAP?
Assesment or Diagnosis
what is "P" in SOAP?
Plans for further studies, treatment, or management
FILING- how many indexing rules are there?
INDEXING RULE 1:
Last name, first name, middle name/initial
INDEXING RULE 2:
the hyphenated portion of a name is used as 1 unit
ex. anna smith-meyer is filed as smithmeyer, anna
INDEXING RULE 3:
Apostrophes are not used in filing
INDEXING RULE 4:
titles, and terms of seniority are only used to distinguish from an identical name
INDEXING RULE 5:
when indexing a company, articles such as "the" and "a" are not used
folders are arranged in the same sequence as the alphabet
An alphabetic cross-reference is used to categorize materials with digits, patients are assigned in a consecutive number, records are filed backwards in groups.
cerebrum (largest part of the brain)
how many body systems are there?
BODY SYSTEM # 1 musculoskeletal
FUNCTION: support, movement protection ORGAN: muscles, bones, joints, bone marrow
BODY SYSTEM # 2 Integumentary
FUNCTION: protection ORGAN: skin, hair, nails
BODY SYSTEM # 3 Gastrointestinal
FUNCTION: nutrition ORGAN: stomach, intestines
BODY SYSTEM # 4 Urinary
FUNCTION: elimination of nitrogenous waste ORGAN: kidneys, bladder, ureters, urethra
BODY SYSTEM # 5 Reproductive
FUNCTION: reproduction ORGAN: ovaries, testes
BODY SYSTEM # 6 Blood/Lymphatic
FUNCTION: transportation ORGAN: blood cells
BODY SYSTEM # 7 Immune
FUNCTION: protectionl ORGANS: lymph glands
BODY SYSTEM # 8 Cardiovascular
FUNCTION: transportation ORGAN: heart, vessels
BODY SYSTEM # 9 Respitory
FUNCTION: delivers oxygen to cells, removes carbon dioxide ORGAN: lungs, bronchi, trachea
BODY SYSTEM # 10 Nervous/Behavioral
FUNCTION: recieve/process information ORGAN: brain, nerves, mind
BODY SYSTEM # 11 Endocrine
FUNCTION: effects changes through chemical messengers ORGAN: pancreas, thyroid
front surface of the body
back side of the body
away from the surface
above another structure
pertaining to the middle of the body
lying on the back
lying on belly
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