AUMT MODULE 5 WEEK 1 PRIORITY SHEET

CHAPTER 38-43

WHAT INFORMATION IS CONTAINED IN THE MEDICAL RECORD?

HEALTH HISTORY, RESULT OF THE PHYSICAL EXAMINATION, LABORATORY REPORTS, & PROGRESS NOTES

WHAT IS NOT A FUNCTION OF THE MEDICAL RECORD?

TO SERVE AS A LEGAL DOCUMENT

THE PURPOSE OF HIPAA IS TO

PROVIDE PATIENTS WITH MORE CONTROL OVER THE USE AND DISCLOSURE OF THEIR HEALTH INFORMATION

WHAT IS INCLUDED ON A MEDICATION RECORD FOR MEDICATION ADMINISTERED AT THE OFFICE?

NAME OF THE MEDICATION, ROUTE OF ADMINISTRATION, DOSAGE ADMINISTERED & NUMBER OF REFILLS

WHAT ARE SOME EXAMPLES OF A DIAGNOSTIC REPORT

SPIROMETRY REPORT, COLONOSCOPY REPORT, & RADIOLOGY REPORT

WHAT ARE SOME EXAMPLES OF PHYSICAL THERAPY?

ELECTRICAL STIMULATION, HYDROTHERAPY, AND BREATHING TREATMENTS

WHAT IS USED TO DESCRIBE A PATIENT EHO HAS BEEN ADMITTED TO THE HOSPITAL FOR AT LEAST ONE OVERNIGHT STAY?

INPATIENT

THE ACRONYM FOR THE FORMAT USED TO ORGANIZE “POR” PROGRESS NOTES IS

SOAP

DATA OBTAINED FROM THE PATIENT ARE RECORDED IN “POR” PROGRESS NOTES UNDER

SUBJECTIVE DATA

WHAT IS THE CHIEF COMPLAINT?

THE SYMPTOM CAUSING THE PATIENT THE MOST TROUBLE

WHAT IS AN EXAMPLE OF A FAMILIAL DISEASE?

DIABETES MELLITUS

WHAT ARE SOME EXAMPLES THAT ARE INCLUDED IN THE SOCIAL HISTORY?

DIETARY HISTORY, PNEUMONIA, AND TUBERCULOSIS

BLACK INK SHOULD BE USED WHEN RECORDING IN THE PATIENTS CHARTS TO

REDUCE CHARTING ERRORS

THE PURPOSE OF PROGRESS NOTES IS TO

UPDATE THE MEDICAL RECORD WITH NEW PATIENT INFORMATION

WHAT IS A SYMPTOM?

ANY CHANGE IN THE BODY OR ITS FUNCTIONING THAT INDICATES DISEASE

FLUSHED SKIN USUALLY INDICATES

AN ELEVATED TEMPERATURE

A YELLOW COLOR OF THE SKIN THAT IS FIRST OBSERVED IN THE WHITES OF THE EYE IS CALLED

JAUNDICE

A DECREASE IN THE AMOUNT OF WATER IN THE BODY IS KNOWN AS

DEHYDRATION

WHAT IS USED TO DESCRIBE EXCESSIVE PERSPIRATION?

DIAPHORESIS

WHAT IS USED TO DESCRIBE DIZZINESS?

VERTIGO

WHAT IS THE NAME FOR THE STATEMENT THAT ALLOWS THE OFFICE TO RELEASE INFORMATION TO THE INSURANCE COMPANY FOR BILLING PURPOSES?

RELEASE INFORMATION FORM

WHAT ARE SOME ADVANTAGES OF USING A COMPUTER?

TASK CAN BE PERFORMED WITH GREATER ACCURACY, TASK CAN BE PERFORMED WITH GREATER SPEED, A VARIETY OF DIFFERENT TASK CAN BE PERFORMED, & TASK CAN BE PREFORMED REPEATEDLY WHILE MAINTAINING THE SAME LEVEL OF EFFICIENCY.

WHAT ARE SOME EXAMPLES OF HARDWARE?

MONITOR, MOUSE, KEYBOARD & PRINTER

“CPU” IS AN ABBREVIATION FOR

CENTRAL PROCESSION UNIT

WHAT IS THE FIRST THING THE MEDICAL ASSISTANT SHOULD DO WHEN ANSWERING A TELEPHONE CALL?

IDENTIFY THE PRACTICE & HIM/HER SELF

WHEN ANSWERING THE TELEPHONE, WHAT IS THE BEST QUESTION FOR THE MEDICAL ASSISTANT TO ASK TO FIND OUT A CALLER’S NAME?

“MAY I ASK WHO IS CALLING, PLEASE”

HOW OFTEN SHOULD THE MEDICAL ASSISTANT CHECK BACK WITH A CALLER WHO IS ON HOLD?

AT LEAST EVERY 30 SECONDS

WHAT IS THE NAME OF THE TELEPHONE FEATURE THAT ALLOWS A MEDICAL ASSISTANT TO SEND CALLS FROM ONE TELEPHONE NUMBER OR EXTENSION TO ANOTHER?

CALL FORWARDING

WHEN IS CALL FORWARDING USED?

WHEN ALL CALLS ARE REROUTED TO ANOTHER TELEPHONE NUMBER

WHAT IS IT CALLED WHEN THE MEDICAL ASSISTANT DETERMINES WHICH TELEPHONE CALLS WILL GO TO THE PHYSICIAN?

SCREENING

WHEN ARE APPOINTMENT REMINDERS CALLS USUALLY PLACED TO PATIENTS

24-48 HOURS BEFORE THE APPOINTMENTS

WHAT IS THE NAME OF THE SCHEDULE PATIENTS WITH SIMILAR PROBLEMS OR CONDITION ON CERTAIN DAYS?

CLUSTERING SCHEDULE

WHAT SYSTEM SCHEDULE THREE OR FOUR PATIENTS EVERY HALF HOUR, WHO ARE SEEN IN THE ORDER WHERE THEY ARE ARRIVE

WAVE SCHEDULING

WHAT IS THE GOAL OF STREAM SCHEDULING?

TO SCHEDULE PATIENTS SO THAY THERE IS A STEADY FLOW OF PATIENTS MOVING THROUGH THE OFFICE

WHAT IS THE ADVANTAGE OF THE OPEN OFFICE HOURS?

THEY GIVE MORE PATIENTS FLEXIBILITY

WHAT IS THE ADVANTAGE OF AN ELECTRONIC MEDICAL RECORD SYSTEM?

LESS SPACE IS REQUIRED FOR RECORD STORAGE

WHAT IS AN OUTGUIDE?

A STIFF PIECE OF PAPER OR PLASTIC THAT IS PLACED IN A FILE WHEN A MEDICAL RECORD IS REMOVED

WHAT IS A PATIENT SURNAME?

LAST NAME

WHAT IS THE SECOND INDEXING UNIT IN ALPHABETIC FILING?

FIRST NAME

HOW DO YOU STORE PATIENTS FILES INFORMATION BY

SURNAME (LAST NAME) FIRST THEN, FIRST INDEXING UNIT (FIRST NAME)

WHAT IS THE FIRST FILING UNIT FOR THE NUMBER

01-68-72-59

59

WHAT ARE SOME EXAMPLES OF WHEN MEDICAL ASSISTANT OPENS THE MEDICAL OFFICE?

TURNS OFF ALARM

UNLOADS AUTOCLAVE

TURNS ON RADIO, TELEVISION, AND/OR DVD PLAYER IN THE WAITING ROOM

FILLS PAPER TRAYS OF COPIER AND PRINTER

WHAT ARE SOME EXAMPLES OF WHEN A MEDICAL ASSISTANT IS CLOSING THE MEDICAL OFFICE?

SETS THE ALARM

LOADS AUTOCLAVE

TURNS OFF RADIO, TELEVISION, AND/OR DVD PLAYER IN THE WAITING ROOM

MAKES BACKUP COMPUTER COPIES