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Scheduling

A key administrative function in healthcare that ensures smooth operation and maximizes patient care.

Wave Scheduling

Scheduling several patients at the same time, usually on the hour, and seen in the order they arrive.

Modified Wave Scheduling

Patients are scheduled at intervals within a given hour, for example, two at the beginning and one mid-hour.

Double-Booking

Two patients are booked at the same time for the same provider, typically for brief appointments.

Open Booking

Patients are seen in the order they arrive without specific appointment times, often used in urgent care.

Cluster Scheduling

Grouping similar types of visits or procedures together during a block of time.

Patient Preferences

Considering patient availability and preferences to enhance satisfaction in scheduling.

Alphabetical Filing

A filing system where files are arranged in alphabetical order by the patient’s last name.

Numerical Filing

A filing system where each patient is assigned a unique number, commonly used in large practices.

Subject Filing

A filing system that organizes documents by subject such as insurance or referrals.

Electronic Health Records (EHR)

A digital version of a patient’s chart that includes medical history, diagnoses, and treatment plans.

Private Insurance

Insurance plans provided by employers or purchased individually, like Blue Cross Blue Shield.

Medicare

Federal insurance program for individuals aged 65 and older or with certain disabilities.

HMO (Health Maintenance Organization)

A managed care plan that requires patients to use a network of providers and obtain referrals.

ICD-10 Codes

Codes used to describe diagnoses and conditions for billing and record-keeping.

CPT Codes

Codes used to describe medical procedures and services, such as office visits.

Clean Claims

Claims that are complete and error-free submitted for reimbursement.

Denied Claims

Claims rejected by the insurer due to errors or lack of coverage.

Appeal Process

The steps taken to contest a denied claim, including gathering documentation and writing an appeal letter.