| A | B |
|---|
| why is important scheduling | It is important because the more scheduling we do, the more patient you can see on a day, and the more money you can make. |
| Can we charge people who are late? | Yes, we can but only if they have been previously notified in the policy that you are going to charge them. |
| When should schedule the chronically late patients? | At the end of the day, so if they don't make it they won't mess up the rest of your schedule. |
| A fail appointment is knows as | "No show" and must be noted in the patient's medical record, as well as the appointment book. |
| Know the General Codes | Evaluation Management (90,000), Surgery (general 10,000), Radiology (70,000), Lab/Pathology (80,000) |
| Why we need exact, accurate and complete biling and coding (downcoding) | If we want to obtain the highest legal reimbursement possible, so the clinic can get more money. |
| What a CPT is used for | Is used for general categories not specific procedures |
| What an ICD-9 stands for | International Coding of Diseases |
| Purpose of the ICD-9-CM | is used to track healthcare statistics, as well as to facilitate accurate medical record keeping and ease in processing claims, to receive the highest legal reimbursement. |
| The ICD-9-CM consists of: | A three-digit category code that represents a specific disease within a general category, up to two additional digits can be used, for further definition and specificity. |
| The surgery section in the CPT | Is the largest in the CT-4 manual |
| Upcoding | means selectiing a code that contains elements not mentioned in the medical documentation |
| What three items should be considered wehn scheduling appointments? | 1. The physician's habits and desires, 2. Patient need, 3. Available facilities |
| Advantage for using the appointment book for schedule | They can be color-coded; easy to read and are helpful when the patient is to be seen a certain number. |
| Disadvantage for using the appointment book for schedule | There can only be 1 person accesing it at a time, one location, the book should be large enough to accommodate the practice, the book should open flat for easy writing and reference. |
| Advantage to using a computer for scheduling | Multiple people can access it at once. More than one person can schedule patients at a time, printouts can be produced for all of the employees who need that information. |
| Disadvantage to using a computer for scheduling | If the coputer crashes, you can't see the schedule appointment |
| A returning patient is called | an established patient |
| Open Office Hours | Office is open certain hours. Allow patients to come to the physician's office when it is convenient and wait in turn to see the physician. Accepts only walk-in appointments, first come, first serve. Advantage: Eliminates broken/cancelled appointments, and of the office running behind schedule. Disadvantages: inconsistent flow of patients. |
| Flexible office hours | Flexible, allow patients to see the physician during the evening and often on weekends. Advantage: can increase the size of the practice because of convenience. Disadvantage: staff hours are affected by these schedules. |
| Why is patient need an important consideration when planning services that the clinic will offer? | Patient need is an important consideration so that the clinic can plan how to best serve the patients and run the appointments in a smooth manner. |
| How can the MA handle a physicin who habitually spends more than the allotted time with patients? | The MA can adjust the schedule to allow more time and help the physician stay on schedule by efficiently assisting with the examinations. |
| Schedule appointments | Pre-made appointments that patients keep. Advantage" physician can see more patients with less pressure. Disadvantage: if scheduler is unskilled, they cannot plan accurately. |
| Double Booking | Scheduling two patients to arrive at the same time. Advantage: you can schedule more patients. Disadvantage: It's a poor practice, patients can get angry for waiting. |
| Wave Scheduling | Schedule 3 or more patient's at the same time. Advantage: if one patient is late, another can be seen. Disadvantage: if all 3 arrive on time, it will take a long time. |
| Modified Wave scheduling | Scheduling 2 patients at the same time with a 3rd. 30 minutes later. Advantage: if patient's are late schedule is not affected. Disadvantage: patient's may complain of waiting. |
| Grouping procedures | Schedule blocks of same type of appointment. Advantage: the equipment preparation is the same for each patient. Disadvantage: it can be tricky to get down at first |
| Advance booking or preparation | Establish a Matrix, block off time slots when the physicians are not available, appointments made for in advance. Advantage: nice to know schedule for in advance. Disadvantage: patient's may forget about appointments. |
| Open Office Hours also called | Tidial Wave Scheduling |
| Self-scheduling | Patients can log on and schedule their own approintments, allows for patient confidentiality by showing only available appointments time. Advantage: Reduces calls to the office, available to patients 24 hours a day |
| Manifestation | Are the signs and symptoms of diseases |
| ICD-9 codes consists of | 3 primary digits and up to 2 additional digits |
| A non-malignant cancerous growth is said to be: | benign |
| Primary condition is: | a diagnosis that is questionable, probably or likely |
| E codes: | Codes that describes the circumstances of an accident or injury |
| L codes: | Codes that explain the reason why a patient came into contact with a healthcare professional, even if no injury or illness exists |
| V codes | are used when the patient is not currently ill but is being seen by health services professionals. |
| The word "and" can be interpreted as: | "and" or "or" in the ICD-9 manual |
| Ancillary diagnostic services | Services that support patient diagnoses |
| Ancillary therapeutic services | Services that support patient treatments |
| What is a modifier | Code additions that explains circumstances that alter a provider service, or provide additional clarification or detail about a procedure or service |
| Use of the ICD-9 CM | Volume 2, the alphabetic index, look for diseases. Proceed to the Tabular Index, Volume 1, which contains the most specific coding information |
| The MA should never code directly from: | The alphabetic index |
| Etiology | the cause or origin of a diseases, disorders |
| Volume 1 - Tabular Index | is a numeric listing of diagnosis codes and descriptions. Contains 17 chapters, 2 sections with supplementary classification codes, 5 appendixes. |
| SEE CATEGORY is a variation of | SEE INSTRUCTION |
| Volume 2 - Alphabetic Index | consists of alphabetic list of diagnostic terms and related codes. Use the alphabetic index only as a guide never code directly from the alphabetic index |
| Volume 3 -Procedures | contains a Tabular Index, and Alphabetic Index of procedures used in hospitals |
| What is diagnostic coding? | Is defined as the translation or transformation of written descriptions of diseases, illnesses, or injuries into numeric codes. |
| NOS stands for | Not otherwise specified |
| NEC stands for | Not elsewhere classifiable |
| Bold types is used: | for all codes and titles in the tabular index |
| Italic Type is used: | for exclusions notes and to identify any diagnosis thta can not be used as a primary diagnosis |
| When you should code? | Only when theh physician has not yet reached a determination of the final diagnosis |
| Signs and Symptoms can be: | subjective and or objective findings. |
| In situ | absence of invation of surrounding |
| Steps for coding burns: | if the burn is infected, use code 958.3 as a third code to identify the infection. Determine the % of body burned. Code to the site by degree. |
| What is a procedure coding? | is defined as the accurate transformation of verbal description of medical services and procedures into numeric or alphanumeric designations. |
| Bundled Codes | designate procedures or services that are grouped together and paid for as one procedure or service |
| Unbundled Codes | Designate codes that are separated into several components of a procedure; one procedure is separated into several different codes and reported separately. |
| POS stands for | place of service |
