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What are the two main purposes of HIPPA ?
1. To provide continuous health insurance coverage for workers who lose or
change their job.
2. To reduce the administrative burdens and cost of healthcare by
standardizing the electronic transmission of administrative and financial
transactions and protects the patients personal medical information and
confidentiality.
A CCMA cannot disclose what information ?
A Patients information unless authorized.
Discussing a patients medical information is breaking what ?
HIPPA guidelines
Even if you are related to the patient you are required to have what to obtain
medical information ?
Consent of the patient
The Joint Commission is responsible for what ?
Regulates that identifying patients is crucial to improving patient safety.
,Occupational Safety and Health Administration (OSHA)
1. Federal agency that oversees and regulates safety in the workplace.
2. Training provided to employee at no cost.
Quality Control (QC) promotes what ?
Accurate test results
What is the most important step in ensuring patient safety ?
Is proper identification
Always ask for what two forms of identification to ID a patient ?
FULL NAME
DATE OF
BIRTH
Never confirm a patients name and date of birth how ?
By speaking their name and date of birth to them.
If they are not paying attention they may say yes when they didn't hear you.
What is implied consent ?
Extending an arm for phlebotomy
Removing clothes for a medical procedure or examination.
What is informed consent ?
Informing the patient of the risk, possible outcomes, and alternative therapies.
,What is written consent ?
Must have a patients signature to perform procedure.
Patients bill of rights ?
A list of guarantees for those receiving medical care.
What are some of the rights to the patient covered under patients bill of rights ?
1. Patients have the right to a copy of their medical records.
2. Guarantees fair treatment.
3. Autonomy over medical decisions and many more rights.
POMR Should always be filled in what
order ? (Problem Oriented Medical
Record)
Should always be filled out in chronological order.
Patients have a right to view their medical records at any
time. The information in the medical record belongs to
who ?
The medical record belongs to the patient, however the place where the
information is housed belongs to the author.
What is a CMS-1500 form used for ?
Basic standard claim form used by healthcare professionals to request
reimbursement for services provided to patients.
, Encounter form or Superbill is used for what ?
An itemized form of services submitted to insurance carriers for
reimbursement of rendered services. A CCMA would also use this form
to check out patients.
Release of information form allows what ?
Allows a patient access to his own medical records and allows the patient
control over to whom the medical records are released.
Preferred provider organization (PPO)
Managed care organization of providers, hospitals, and other healthcare
providers who have agreed with an insurer or a third party administrator to
provide health care at a
reduced rates to the insurers administrators clients.
Medicaid provides healthcare coverage for whom ?
Provides health insurance for the medically needy.
Medicare is for ?
Federal insurance plan that generally covers those over the age of 65 and is
considered an entitlement because most have paid into the system through
there employer.
Tricare is ?
Healthcare for military personal and their dependents to receive care form a
civilian provider at the expense of the federal government.