Appointments, Encounters, and Referrals

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Description and Tags

Vocabulary flashcards covering appointment scheduling times, confirmation protocols, telehealth, EHR safety checks, encounters, outpatient services, and insurance referral procedures.

18 Terms

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Appointment Reminders

Notifications conducted via email, text, or phone call a few days prior to a scheduled appointment to remind patients to bring a photo ID, insurance card, medication list, and co-payment, and to arrive 15 minutes15\,\text{minutes} early.

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Appointment Confirmation Documentation

The process of recording in the EHR whether an appointment is confirmed or not confirmed, with medical practices potentially assessing a late or no-show fee for missed visits.

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Specialist Consult

A provider appointment scheduled for an allocated duration of 45–60 min45\text{--}60\,\text{min}.

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Annual Physical Exam

A comprehensive provider appointment scheduled for a duration of 30 min30\,\text{min}.

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Follow Up

A provider appointment scheduled for a duration of 15 min15\,\text{min}.

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Sick Visit

An acute care appointment scheduled for a duration of 15 min15\,\text{min}.

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Blood Pressure Check

A clinical visit scheduled for a duration of 5 minutes5\,\text{minutes}.

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Nurse Visit

A clinical appointment scheduled for a duration of 5 minutes5\,\text{minutes}.

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Telehealth

Virtual appointments initiated by a provider via FaceTime or telephone that allow patients with limited mobility or other physical limitations to receive treatment without presenting in person; billed the same as an in-person visit.

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Prescribing Safety Checks

Real-time alerts provided by an EHR to prevent handwritten prescription errors, including warnings for drug allergy conflicts, drug-drug conflicts, and incorrect medication dosing.

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Encounter Form

A form used in a medical practice for coding and billing purposes, handled when the patient checks out with the clerical medical assistant to schedule follow-ups and tests before leaving.

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Encounter

Any instance where a patient presents for an appointment with a provider; it constitutes a billable service and includes a patient diagnosis for the visit.

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Outpatient Encounter

A clinical visit that includes billing and coding for services rendered in an outpatient setting.

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Inpatient Encounter

A clinical visit that includes billing and coding for services rendered in an inpatient setting.

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Outpatient Diagnostic Testing

Tests performed generally in an outpatient setting to help a provider diagnose a patient's condition, such as lab work, X-rays, stress tests, and pulmonary function tests.

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Outpatient Procedures

Minor surgical operations where a patient presents to the hospital and is discharged a few hours later, including tonsillectomies, colonoscopies, arthroscopic surgeries, and myringotomies.

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Insurance Referral

A formal documentation and approval process submitted to a patient's health insurance company (required by HMO plans) allowing evaluation and treatment by a medical specialist.

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Referral Letter

A formal document generated to finalize the specialist referral process and notify the patient of approval.