MFA Class Exam Review - Medical Forms and Regulations

Comprehensive flashcards covering German medical assistant (MFA) administrative forms, insurance statuses, and health insurance regulation specifics.

Muster 5

A billing form (Abrechnungsschein) used when the eGK is technically unreadable, for newborns without an eGK, or when a patient refuses to present the eGK but has proof of insurance.

Muster 19

An emergency/representative certificate (Notfall-/Vertretungsschein) used for holiday coverage, emergency services, or emergencies involving external patients.

Muster 21

A child sick leave certificate (Kinderkrankenschein) used to care for a sick child; allows 10 days per child/year/parent, or a maximum of 25 days for 3 or more children.

Muster 1

A certificate of incapacity for work (Arbeitsunfähigkeitsbescheinigung/AU) issued for work disability; can be backdated for a maximum of 3 days.

Muster 20

A reintegration plan (Wiedereingliederungsplan) designed for a step-by-step return to professional life following a long-term illness.

DMP (Disease Management Program)

A free, structured treatment program specialized for patients with chronic illnesses.

Consiliary examination (Konsiliaruntersuchung)

An examination limited to diagnostics and consultation without providing therapy.

Disciplines requiring a referral

A referral is always required for the Laboratory, Radiology, Radiation Therapy, and Nuclear Medicine.

Validity of a referral

A referral remains valid until the following quarter.

Benefit of a referral

It ensures that a medical report (Befundbericht) is returned to the referring physician.

Aut idem

A regulation where the active ingredient and dosage remain identical, but the manufacturer of the medication is allowed to be changed.

Noctu

Indicates medication is needed urgently at night; the patient is not charged a night surcharge.

Patient Status 1

Refers to the standard insured person (Versicherter).

Patient Status 3

Refers to a family-insured person (Familienversicherter).

Patient Status 5

Refers to a retiree (Rentner).

Backdating an AU

Generally not permitted, with a maximum exception of 3 days.

New initial certificate (Erstbescheinigung)

Required if there is an interruption in the AU or if a new diagnosis is established.

Wage continuation (Lohnfortzahlung)

Continued payment of wages for a maximum of 6 weeks, provided a certificate of incapacity for work (AU) is submitted.

Co-payment exemption (Zuzahlungsbefreiung)

Applicable to persons under 18, during pregnancy, for work accidents, social welfare recipients, and Bundeswehr soldiers in emergencies.

Validity of co-payment exemption

The exemption remains valid until the end of the current year.