Certified Medical Administrative Assistant Exam Questions with 100% Complete Solutions, Rated A+

wave booking - Patients are scheduled at the same time each hour to create short-term flexibility each hour. modified wave booking - Wave booking can be modified in a couple of different ways. One example of this approach is to schedule two patients to come at 9 a.m. and one patient at 9:30 a.m. This hourly cycle is repeated throughout the day. double-booking - Two patients are scheduled to come at the same time to see the same physician. stream/time-specific scheduling - Scheduling patients for specific times at regular intervals. The amount of time allotted depends on the reason for the visit. open booking (tidal wave scheduling) - Patients are not scheduled for a specific time, but told to come in at intermittent times. They are seen in the order in which they arrive. cluster or categorization booking - Booking a number of patients who have specific needs together at the same time of day. matrix - A grid with time slots blocked out when physicians are unavailable or the once is closed. template - A document with a preset format that is used as a starting point so that it does not have to be recreated each time. Health Insurance Portability and Accountability Act (HIPAA) of 1996. - Legislation that includes Title II, the first parameters designed to protect the privacy and security of patient information. Invoice - A document that describes items purchased or services rendered and shows the amount due. electronic medical record (EMR) - An electronic record of health information that is created, added to, managed, and reviewed by authorized providers and staff within a single health care organization. Advance directive form - Document that spells out what kind of treatment a patient wants in the event that he can't speak for himself. Also known as living will. protected health information (PHI) - Information about health status or health care that can be linked to a specific individual. electronic health record (EHR). - An electronic record of health-related information about a patient that conforms to nationally recognized interoperability standards that can be created, managed, and reviewed by authorized providers and staff from more than one health care organization. guarantor - Person or entity responsible for the remaining payment of services after insurance has paid. birthday rule - The health plan of the parent whose birthday comes first in the calendar year is designated as the primary plan. Healthcare Common Procedure Coding System (HCPCS). - A group of codes and descriptors used to represent health care procedures, supplies, products, and services. reimbursement - Payment from insurance companies Medicare - Federally funded health insurance provided to people age 65 or older, people younger than 65 who have certain disabilities, and people of all ages with end-stage kidney disease. modifiers - Added information or changed description of procedures and services, and are a part of valid CPT or HCPCS codes. health history form - Form that asks patients to list any illnesses or surgeries they have had, family history, medications taken, chronic health issues, allergies, and other physicians they consulted. Notice of Privacy Practices - Document informing a patient of when and how their PHI can be used. consent - A patient's permission. patient financial responsibility form - Form that confirms that the patient is responsible for payments to the provider. assignment of benefits (AOB) form - Form that authorizes health insurance benefits to be sent directly to providers. living will (advance directive) - Document that spells out what kind of treatment a patient wants in the event that he can't speak for himself. DNR form - Form that states that the patient does not want to be revived after experiencing a heart episode or other kind of life-threatening event encounter form - A document used to collect data about elements of a patient visit that can become part of a patient record or be used for management purposes. regular referral - When a physician decides that a patient needs to see a specialist. urgent referral - When an urgent, but not life-threatening, situation occurs, requiring that the referral be taken care of quickly. stat referral - Needed in an emergency situation, and can be approved immediately over the telephone after the utilization review has approved the faxed document. direct filing system - System in which the only information needed for filing and retrieval is a patient's name. cross-reference - Reference to corresponding information in a separate location. Privacy Rule - A HIPAA rule that establishes protections for the privacy of individual's health information. Individually identifiable health information. - Documents or bits of information that identify the person or provide enough information so that the person could be identified