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Medical Assisting Ch. 8
Terms in this set (21)
arranging of names or titles according to the sequence of letters in the alphabet.
main reason for the visit to the medical office.
placing in the order of time; usually the most recent is placed foremost.
a company that receives, reviews, sends, and manages insurance claims for physicians.
anyone required to follow the Health Insurance Portability and Accountability Act's requirements. Health care providers, insurance companies, and insurance companies, and insurance clearinghouse are covered entities.
notation in a file telling that a record is stored elsewhere and giving the reference; verification to another source; checking the tabular list against the alphabetic list in ICD-9 coding.
relating to the statistical characteristics of populations.
electronic health records (EHR)
information about patients that is recorded and stored on computer.
color-coded sheets that allow information to be recorded in graphic or tabular form for easy retrieval; form that gathers all the important data regarding a patient's condition and stays in the patient's chart as a reminder of care and a record of whether care expectations have been met.
medical history forms
record containing information about a patient's past and present health status.
sheets of microfilm.
photographs of records in a reduced size.
a paragraph indicating the contact with the patient, what was done for the patient, and the outcome of any action.
arranging files by a numbered order.
a specific account of the chief complaint, including time frames and characteristics.
problem-oriented medical record (POMR)
a common method of compiling information that lists each problem of the patient, usually at the beginning of the folder, and references each problem with a number throughout the folder.
protected health information (PHI)
individually identifiable personal health information as defined by the Health Insurance Portability and Accountability Act. Information that can be linked to a particular individual by name, code, or number.
reverse chronological order
items placed with oldest first.
a style of charting that includes subjective, objective, assessment, and planning notes.
arranging files according to their title, grouping similar subjects together.
employer insurance for treatment of an employee's injury or illness related to the job.
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