CMAA Study Guide Latest 2023 Rated A+

CMAA Study Guide Latest 2023 Rated A+ What is the medical law? the medical administrative assistant is required to have a basic understanding of the legal principles. what is the physician-patient relationship? an implied contract in which the physician is expected to assess and treat the patient with the same amount of knowledge, skill, judgment as another physician under the same circumstamces define: implied consent apperent through their action of seeking the services of the physician define: informed consent a written form that states the understanding of the prescribed treatment as well as its accompanying risks define: Good Samaritan Act a volunteer is not held liable for any civil damages that may occur as a result of their efforts to provide emergency care. What does the patient bill of right do? it promotes the interests and well beings of patients within any healthcare facility What is HIPPA? [Health Insurance Portability and Accountability Act] a fediral law designed to protect the privacy of individuals health information define: Abandonment the discontinuation of medical care without proper notice define: Arbitration the usage of an impartial third party for the hearing and determination of a dispute define: Battery the unlawful use of force or violence define: Negligence the failure to provide the necessary care that is required for a person's situation define: Statutes state law phone etiquette STEP 1: answer the phne promptly and kindly phone etiquette STEP 2: be sure to properly speak into the phne phone etiquette STEP 3: be sure to give the caller ur undivided attn phone etiquette STEP 4: speak clearly and distinctly phone etiquette STEP 5: always be courteous phone etiquette STEP 6: be sure to ask the caller's permission be4 placing them on hold phone etiquette STEP 7: never allow and angry or aggressive caller upset u; remain calm and composed what is verbal communication? the use of language or words spoken what is nonverbal commuication? the use of eye contact, body language, facial expression, or symbolic expression to communicate a message. What types of scheduling is there? wave scheduling, modified wave scheduling, double booking define: Wave Scheduling provides service to several patients at same time define: Modified Wave Scheduling small groups of patients are scheduled at intervals throughout the hour define: Double Booking scheduling two patients to see the physician at the same time Scheduling a new patient: STEP 1 obtain and verify general information Scheduling a new patient: STEP 2 gather appropriate information regarding a patient referral Scheduling a new patient: STEP 3 determine the patient's chief complaint Scheduling a new patient: STEP 4 make the patient aware of the various dates and times they are available to come in define: Express Mail available everyday of the year, including holidays, for items up to 70lbs in weight and 108 inches in height define: First-Class Mail includes letters, postal cards, postcards, and business reply mail define: Priority Mail first-class mail that weighs more than 13 oz define: Certified Mail gives the sender the option to recieve proof of delivery define: Bulk Mailing a form of mailing large volumes of information which is presorted by zipcode what are the types of health insurences? Indivisual Policies, Group Policies, Government Plans define: Indivisual Policies ppl with this type of insurance are usually ineligible to recieve benefits from a gvrnmnt plan. this type of coverage ir characterized by high premiums and a limited amount of benefits. define: Group Policies provides coverage for employees under a single contract. this type of coverage is characterized by greater benefits and low premiums define: Government Plans available to a large group of ppl who meet specific define: Assignment of Benefits an arrangement by which a patient requests that their health benefit payments be made directly to a physician define: Benefit the amount payable by the carrier toward the cost of services for which the patient is eligible for define: Deductible the amount an indivisual must pay for health care expenses before insurance (or self insured company) covers the cost. define: Copayment the portion of a service fee that the patient must pay define: Policy a document that describes the insurance coverage for an indivisual or property define: Premium the amount the patient pays for an insurance contract define: Usual, Customary and Reasonable (UCR) or Covered Expenses an amount customarily charged for or covered for similar services and supplies which are medically necessary, reccomended by a doctor, or required for treatment define: Waiting Period a period of time when you are not covered by insurance for a particular problem how many steps are there to establish a patients medical record? 6 STEP 1 to Establish a medical record determine the patients status in the office (New or Established) STEP 2 to Establish a medical record obtain the required general information STEP 3 to Establish a medical record enter the information into the patient history form STEP 4 to Establish a medical record review the form for accuracy STEP 5 to Establish a medical record enter the patients name into the computerized ledger STEP 6 to Establish a medical record assemble the appropriate forms, prepare the folder and file as necessary what are the components of the medical record? Personal and Medical History, Patients family history, patients social history, patients chief complaint, diagnosis. define: Personal and Medical History created using information gathered fromthe patient. usually includes information such as past illnesses, surgical operations, and the patients daily health habits define: Patients Family History includes information regarding the health of members of the patients family, and a record of the cause of death. define: Patients Social History includes the information regarding the patients lifestyle define: Patients Chief Complaint A statement of the patients symptoms define: Diagnosis A decision made based on the information regarding the patients history and the results of the doctors examination. what is the SOAP approach? a format for progress notes based on the letters od the word what is "S" in SOAP? Subjective Impressions what is "O" in SOAP? Objective clinical evidence what is "A" in SOAP? Assesment or Diagnosis what is "P" in SOAP? Plans for further studies, treatment, or management FILING- how many indexing rules are there? 5 INDEXING RULE 1: Last name, first name, middle name/initial INDEXING RULE 2: the hyphenated portion of a name is used as 1 unit ex. anna smith-meyer is filed as smithmeyer, anna INDEXING RULE 3: Apostrophes are not used in filing INDEXING RULE 4: titles, and terms of seniority are only used to distinguish from an identical name INDEXING RULE 5: when indexing a company, articles such as "the" and "a" are not used ALPHABETICAL FILING folders are arranged in the same sequence as the alphabet Numerical Filing An alphabetic cross-reference is used to categorize materials with digits, patients are assigned in a consecutive number, records are filed backwards in groups. Bi/o Life carcin/o cancerous, cancer cephal/o cerebrum (largest part of the brain) how many body systems are there? 11 BODY SYSTEM # 1 musculoskeletal FUNCTION: support, movement protection ORGAN: muscles, bones, joints, bone marrow BODY SYSTEM # 2 Integumentary FUNCTION: protection ORGAN: skin, hair, nails BODY SYSTEM # 3 Gastrointestinal FUNCTION: nutrition ORGAN: stomach, intestines BODY SYSTEM # 4 Urinary FUNCTION: elimination of nitrogenous waste ORGAN: kidneys, bladder, ureters, urethra BODY SYSTEM # 5 Reproductive FUNCTION: reproduction ORGAN: ovaries, testes BODY SYSTEM # 6 Blood/Lymphatic FUNCTION: transportation ORGAN: blood cells BODY SYSTEM # 7 Immune FUNCTION: protectionl ORGANS: lymph glands BODY SYSTEM # 8 Cardiovascular FUNCTION: transportation ORGAN: heart, vessels BODY SYSTEM # 9 Respitory FUNCTION: delivers oxygen to cells, removes carbon dioxide ORGAN: lungs, bronchi, trachea BODY SYSTEM # 10 Nervous/Behavioral FUNCTION: recieve/process information ORGAN: brain, nerves, mind BODY SYSTEM # 11 Endocrine FUNCTION: effects changes through chemical messengers ORGAN: pancreas, thyroid Anterior (ventral) front surface of the body Posterior (dorsal) back side of the body deep away from the surface Inferior below proximal near distal far Superior above another structure Medial pertaining to the middle of the body lateral side Supine lying on the back Prone lying on belly