Identify career opportunities ? Patient care technician(MA) LPN(Licensed Practical Nurse) ...
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Transcript of Identify career opportunities ? Patient care technician(MA) LPN(Licensed Practical Nurse) ...
BENCHMARK REVIEW # 2
REVIEW MEDICAL OFFICE MANAGEMENT 4 QUESTIONS
Identify career opportunities ? Patient care technician(MA) LPN(Licensed Practical Nurse) EMT(Emergency Medical Technicians) RT(Respiratory Therapists) Dental Hygienists Pharmacy Technicians Physician Assistants RN
REVIEW Characteristics needed for a quality medical assistant? Accurate Adaptable Conservative Courteous Dependable Confidential Empathetic Enthusiastic Honest Initiative Patient Perseverance Punctual Respectful Reliable Self-control Tact
Review
Work related skills? Administrative and clinical skills Differentiate between administrative skills and clinical skills?
Administrative: - schedule appointments - handle phone calls - complete insurance forms - obtain patient data
Clinical: - take medical histories - take vital signs - assist with medical procedures - prepare patients for exams - prepare medications
Review
Briefly explain the history of medicine: Hippocratic Oath: still taken by doctors
today, was written in Greece in the 5th century. This an oath historically taken by physicians and other healthcare professionals swearing to practice medicine honestly
Review
Indentify allied health professions and credentialing requirements?
Allied health care are health care professions from dentistry, optometry, nursing, medicine, and pharmacy.
Some allied health professions are more specialized, and so must adhere to national training and education standards and their professional scope of practice. Often they must prove their skills through degrees, diplomas,certified credentials, and continuing education.
Review
Medical Practice Specialties: Allergy Cardiology Dermatology Gastroenterology Gynecology Nephrology Neurology Oncology Urology Page 22-23
Review Medical Law And Ethics 10 questions
Identify guidelines/requirements for health care:
Most states statutes define two basic elements that constitute the practice of medicine.
1st is diagnosis and 2nd is the prescribing of treatment(only a licensed physician)
Review
Evaluate medical ethics and related issues:
A system of moral principles that apply values and judgments to the practice of medicine
Sometimes it is difficult to distinguish between legal and ethical issues
Ex: artificial insemination, surrogate, abortion, AIDS(refusing insurance coverage)
Review
Apply risk management processes: Missed appointments, fired patients,
medication management, scope of practice, documentation, dealing with a disruptive patient, non compliant patient
Review
Differentiate between ethics and etiquette: Ethics: standards of conduct and moral
judgment(right and wrong) Etiquette: Conventional rules for correct
behavior(making someone feel comfortable) Examples: Offering a person food
Saying thank youMoving out of the way for a personOpening a door for a personSaying helloSmiling at someoneAsking about someone's day
Review
Interpret medical law terminology: The Uniform Anatomical Gift Act -Organ and tissue donor A living will -Written in advance, it states the patients wishes
regarding end-of-life care Proxy(agent) -A person that must be aware of your wishes The Miranda Law -Gives patients legal options for refusing or accepting
treatment if they are incapacitated(lying ill and helpless)
DNR -Patients have the right to the “do not resuscitate”
Review
-Criminal law: deals with offenses against all citizens(theft, robbery) - Civil law: Disputes between individuals or organization(medical malpractice, divorce, child custody) - Tort: is defined as any of a number of actions done by one person, or a group of persons that
causes injury to another (intentional acts or accidents) -Negligence: is an act or failure to act as a reasonably prudent physician under the same or similar
circumstances that directly causes injury to a patient -Liability: written statements; anything to which a person is liable or responsible for(ex: A nursing
home has a duty to exercise reasonable care to prevent injury to its patients)falls or decubitus ulcers
-Slander: refers to oral remarks; the saying of false and malicious words about another, resulting in
injury to his or her reputation. - Assault: a deliberate attempt or threat to touch without consent - Battery: unauthorized touching
Review
Outline the purpose of the medical practice act:
The Medical Practice Act for each state is constructed with the purpose of protecting the public from unprofessional, improper, unlawful, fraudulent or incompetent practice of medicine, as stated by the Federation of State Medical Boards.
Review Basic Computer Knowledge
Generate a patient record: Charge slips: -This has a list of procedures and codes for
billing HIPPA: -The Health Insurance Portability and
Accountability Act of 1996(privacy) The medical record has an important
purpose: -It serves as a basis for planning care
Review This is a patient demographics: DOB SS# Spouse name Address Work and home # Insurance information Emergency contact information This should be updated at every visit
Review
Prepare a billing statement: Daily journal: Patient charges and receipts are recorded here
each day Account: Will show charges, payments, and balance due for a
patient Account receivable: All outstanding accounts Posting: Transfer from one record to another Debit: A charge, added to an existing balance Credit: A payment, subtracted from existing balance Balance: Difference between debit and credit Adjustment: Professional courtesy discount(write-offs) Debit balance: Amount paid is less than the total due Credit balance: Amount paid is greater than was due, or
account is being paid in advance of service Ledger: is a record of all charges or services render
Review
Complete an insurance form: HIFA or CM-1500 form(talk about later)
Review Office Environment
Professional Appearance: Cleanliness, hand care, hair, proper
attire, jewelry, fragrance, no gum, posture
Collect new patient data: New patient form, take a copy of
insurance card, generate a charge slip
Review
Opening the office: Unlock doors, observe the office,
perform a safety check, pull charts, inspect exam rooms
Closing the office: Restock and clean, check for
completed charts, dictate notes, turn off lights ect, set alarm, lock doors
Review
Late patients: Schedule at the end of the day or after lunch Angry patients: Listen, keep door open, but in a back area, notified supervisor Streaming scheduling: Appointments are schedule for a particular amount of time based on
patient need(PE 30min) Matrix: A format for scheduling a patient, blocking times with an x (3 Dr.
schedules at once) Wave scheduling: Patient are scheduled during the first 30 min of each hour and leaving
the last 30min for same day appointments Modified waved scheduling: Same as above but in the last 30 min patients are scheduled at 10 to
20 min intervals
Review
Double booking: The same appointment time is given to
two or more patients Open office hours: No scheduled appointment given,
patients sign in upon arrival and are seen by the physician in that order
Review Communication 15 questions
Identify oral communication: Answering the telephone, referrals, appointments,
prescriptions, test results, professional calls, business, personal, and legal calls, difficult calls
Identify written communication: Informal notes, personal letters, professional
letters, business correspondence, information sheets(spelling and grammar checks)
Identify nonverbal communication: Perception, body language, facial expressions,
gestures
Review
Scheduling appointment by phone: Patients should be given two appointment time, never say
the Dr. is busy, always ask what is the reason for your visit Triage phone calls: Sorting and identifying the severity of injuries/symptoms Answering the office telephone: Answer by the third ring, be courteous, articulate, and a
careful and active listener Recording a phone message: Always use HIPPA, date, time, and a brief message
regarding the call, phone # of the patient Referrals: Give the patient two choices, have a list of specialties
Review
Identify letter styles and their usages: Stationery: has a watermark, marks a statement
about the physicians office Business letter: see page 148 Components of a letter: Letterhead, dateline, inside address,
salutation(greeting),reference, body, senders signature, title(page 145)
Professional behaviors: Eye contact, saying please and thank you, may I
help you, excuse me, polite, active listening
Review
Sympathy: Feelings of pity and sorrow for someone else's
misfortune Empathy: The ability to put yourself in another persons
place Listening skills: The participation in a conversation with
another by means of repeating words and phrases or giving approving or disapproving nods
Review
Outline the steps of the grieving process:
Denial, anger, bargaining, depression, acceptance
Open and sort business correspondence:
Return to work or school notes, annual appointment letter, delinquent accounts, referrals ect
Proofreading skills,parts of speech: on page 143
Review
Defense mechanisms: Repression- is the forcing of unacceptable, or
painful ideas, feelings, and impulses into the unconscious mind without being aware of it
Suppression- a condition in which the person becomes purposely involved in a project, hobby, or work so that a painful situation can be avoided
Displacement- is the transfer of emotions about one person or situation to another
Projection -you might unconsciously blame another person for your own inadequacies
Review
Rationalization-you justify behavior with socially acceptable reasons and tend to ignore the real reasons underlying the behavior
Denial- is the refusal to admit or acknowledge something so that you do not have to deal with a problem or situation
Procrastination- is defined as “always putting off until tomorrow what you could do today(few more on page 74)
Review Medical Records Management 6 Questions
Distinguish between subjective an objective information: Subjective: what a who is thinking, saying, doing something, felt by
this individual Objective: something that actually exists, vital signs, lump, bruise ect Alphabetical filing: Last name, first name(page 206) Numerical filing: Numbers are read from the right to the left Medical dictation: physician use a desktop machine and use this to dictated
medical notes
Review Office Finances 21 Questions
Deposit slip Separate currency, checks(enter check #), coins Pull bills in the same denomination, face same
direction, highest to lowest, total amount at the bottom of bank
Prepare a bank statement: Done with all transactions(checks) balance your
account Day sheets: a record of keeping track of treatments of
patients and of monies received and spent.
Review
Accounts receivable: All outstanding accounts(amounts due) Write a check: Date, the payee(check is written to), the
amount, the payer signature Petty cash: Money kept in a separate place for small
items for a the office, a check is written to replace monies spent in petty cash
Review
Ledger cards: A record of all chargers or services
rendered, any payments made, and any adjustments
Record charges and credits Post all charges and credits for a patient
and check them off on the ay sheet before you do on to the next patient(page 221)
Itemized statement(page 222) talks about steps
Review Insurance/Coding 10 Questions
Insurance claims: The preparation of claims for the purpose of receiving
payment for medical services ICD-9 codes: International Classification of Diseases 9th revision CPT codes Current Procedural Terminology HCFA or CM 1500 form The official standard form used by physicians and other
providers when submitting bills/claims for reimbursement to Medicare, Medicaid, or private insurance for health services
Terms associated with insurance: Page 238-239(know your insurance plans)
Review Employment-Seeking Skills
Resume’: An outlined summary of your abilities and
experiences Cover letter: Why you should be hired for the desired
position Follow up letter: Shows appreciation for the employer's
interest in you and your interest in the position and in the organization