| A | B |
|---|
| Medical Records (MR) | source of all documentation relating to the pt |
| Electronic Medical Records (EMR) | medical records kept via computer |
| POMR: problem oriented medical record | pt records organized by pt's dx |
| SOAP: subjective, objective, assessment, plan | chart notes according to symptoms, signs, assessment, and plan |
| Active Records | pt currently seeing a physician up to 1-5 years according to office policy |
| Inactive Records | pts not been seeing within the time established by the office policy usually 1-5 years |
| Closed Records | pts who actively terminated their contract with the physician |
| Alphabetic filing | filing systems based on the letters of the alphabet |
| Numerical filing | filing system that assigns a ID# to each person's name |
| Terminal-Digit filing | filing system based on the last digits of the ID# |
| Missing file | file is removed from the file cabinet and an out guide is not put in place |
| Tickler file | reminder notices to be mailed to the pt. |
| Incident report | written report of an accident, injury, or unusual occurrences |
| JCHAO | Joint Commission of Accreditation of Health Organization |
| OSHA | Occupational Safety and Health Organization |
| Releasing medical records | pt must state in writing authorizing the release of his/her medical records |
| Storing medical records | may be filed off-site or outsourced to a business that specializes in managing and housing documents |
| System approach to office management | categorized ito system that must function simultaneously |
| administrative component of a medical office | personnel management, employee records, financial management, scheduling and etc............ |
| Clinical office management | training new personnel, track of medical supplies, physician request are met and proper procedures are followed |
| The Office Manager | acts as the coordinator of business activities conducted in the office |
| Authoritarian | these leaders tend to be direct. They make decisions w/o input of others |
| Democratic | these leaders concentrate more on relations among staff and emphasize teamwork |
| Permissive | these leaders are very open with staff. They are not strict with rules and policies |
| Bureaucratic | these leaders are very strong at enforcing rules |
| Team size | the size of the group can greatly affect the dynamic of the office |
| Team personality | creating a team atmosphere, allowing staff members to help in the hiring process |
| Team purpose and goal | ensure that you have the correct personality and talents in a good starting point |
| Hiring | verification of references of applicants and selecting top choices |
| Time Management | the ability of multitask and prioritized important tasks to complete on schedule |
| Personnel Policy Manual | aka: employee hand book contains info about the employer-employee relationship, work environment |
| Patient Information Booklet | information regarding the physician, staff members, and office |
| Target market | the service of the office should match the area it is located |
| Webites | marketing tool for medical professions. Providing one-way information to the pt regarding the practice |
| Office Procedures Manual | describes how to carry out a task within a particular medical practice |
| Customer Service | provide excellent customer service to the patients, which in turn increased profits and increased patient volume |
