CMAA Study Guide with answers

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