Chapters 1 & 2 MIT 217: Medical Office Procedures

Place the principles of medical ethics in order according to the American Medical Association.

1. A physician shall in the provision of appropriate patient care except in emergencies be free to choose whom to serve with whom to associate and the environment in which to provide medical services. 2. A physician shall recognize a responsibility to participate in activities contributing to an improved community 3. A physician shall while caring for a patient regard responsibility to the patient as paramount 4. A physician shall support access to the medical care of all people

Chapter 2: Homework

Answers below

While searching online for a medical coding position, Maria noticed that several opportunities required CCS-P, CPC, or other current coding credentials. Which of the following key words or phrases could she use to search for their meaning on the Internet?

Certification

Classify the following actions into the personal attributes they indicate.

Genuine Liking for People- * Looking directly at the patient * Indication openness and acceptance through body language * Recognizing patients as individuals * Reassuring patients with warmth and attentiveness Cheerfulness- * Trying to lift the patient's spirit * Projecting a demeanor * Being pleasant and friendly Empathy- * Sensitivity to patient's feelings * Putting yourself in the patient's shoes * Reminding yourself how you felt when dealing with illness

Which act protects the physician from liability for civil damages that may arise as a result of providing emergency care?

Good Samaritan Act

The following are true regarding physician licensure except:

Good for all 50 states

Which federal law protects the security and privacy of a patient's electronic health information?

HIPAA

At the physician's office, blood must be drawn from a patient to check cholesterol levels and possible reasons for consistently elevated blood pressure. The patient arrives and blood is drawn. Which of the following has the patient given?

Implied consent

A physician is legally required to do which of the following?

Inform the patient when the condition is beyond his/her scope of competency

What may a physician be charged with if he/she discontinues care without sending proper notification to the patient?

Medical abandonment

In order to be certified in a medical specialty, a physician must meet all of the requirements except:

Obtain a maximum amount of education within that specialty

In a lawsuit, who does the burden of proof that malpractice exists rest upon?

Patient

Match each term in Column 2 with its definition in Column 1.

Punctual- On time and ready to work. Self-motivated- Inspired to increase knowledge and to advance. Accurate- Able to produce work with few or no errors. Empathetic- Able to understand how a patient feels. Thorough- Careful to pay attention to detail Honest- Truthful; trustworthy. Privacy for all patient information. Confidentiality- Ability to take independent action. The correct appearance for the job. Initiative- Ability to take independent action Professional Image- The correct appearance for the job. Tactful-Able to present ideas and information without offending Team player- A person who works well with associates and pitches in when needed. Efficient- Able to make good use of time and materials and to be organized. Assertive- Able to present ideas to others with confidence. Cheerful- Pleasant and friendly. Flexible- Able to adapt to new conditions; willing to try new ideas.

Using your critical thinking skills, play the role of an administrative medical assistant as you answer each question. Be prepared to discuss your responses. All of the following are techniques to use when communicating with non-English speaking patients, except.

Raise your voice

A legal document that orders all documents relevant to a case be delivered to the court is called a ______.

Subpoena

An AMA should always be aware of the impression and professional image given by his or her actions and presentation because _________

The physician and practice are represented through the AMA.

Which age group as defined by law is known as majority?

Adult

Which of the following are reasons for the suspension of a physician's license?

All of these are correct

A lip-reading patient needs to have a fasting glucose tolerance test completed at the local hospital. Prior to communicating directions for the test, the administrative medical assistant should

All of these.

Chapter 1: Connect homework

Answers Below

Which organization issues narcotics registrations?

Drug Enforcement Administration

In what situation is expressed consent not required?

Emergency treatment

How often is a physician's narcotic permit renewed?

Every 3 years

Jennifer is asked to develop and implement policies and procedures to protect medical data. Before beginning, which of the following would most likely be the first step?

Identify areas of vulnerability

When does the contract between the patient and physician begin?

When the patient seeks the services of the physician

To maintain certification, a CMA must successfully meet requirements for recertification every

5 years.

Which scenario ensures a patient's PHI is protected?

A medical assistant leaves an examination room and logs off the computer

During her interview, Ashley stated she has worked within the physical medical office setting and from the home setting using electronic health records and insurance claim processing programs. Her records show she received high evaluations and was frequently given more administrative authority. She had demonstrated competence in:

All of these.

Using your critical thinking skills, play the role of an administrative medical assistant as you answer each question. Be prepared to discuss your responses. ______ is a process which is fair to both sides in which an unbiased third party is chosen to hear the evidence.

Arbitration

Which form contains written permission to ensure that a party asking for data has the right to receive it?

Authorization for release of information

If a physician performs a surgical procedure without a patient's consent, what may that physician be charged with?

Battery

When verbally communicating with a patient who speaks a different language than the dominant language used in the medical office, the administrative medical assistant should

Be brief.

A physician is not legally required to do which of the following?

Be familiar with all possible reactions of patients to various medications

During a recent political campaign, the candidates stated varying positions on stem cell research. Under which category does this topic fall?

Bioethics

Listed below are several professional qualifications a medical assistant should have. Match the description of the qualification with the term located in the box.

Critical thinking skills- The ability to evaluate and solve problems. Detail-oriented- The ability to pay attention to minute aspects of a task Empathy- Placing yourself in the "shoes" of someone else Flexibility- The ability to adapt to ever-changing situations Self-motivation- Having the initiative to work without supervision. Professionalism- Showing respect and courtesy to staff and patients Attitude- Having a positive and caring appearance Integrity- Honesty, Reliability, and Dependability Diplomacy- The ability to communicate in a non-offensive manner Team member- Taking on additional job responsibilities to assist other staff members.

During his first six months at a local medical clinic, Aaron completed and submitted insurance claims to various carriers. He used a software program to check and process his claims prior to submitting them for payment. This demonstrated that he accurately completed claims using very few resources. Which of the following was he demonstrating?

Efficiency

Using your critical thinking skills, play the role of an administrative medical assistant as you answer each question. Be prepared to discuss your responses. The AAMA creed emphasizes the following qualities for administrative medical assistants, except:

Ensure sharing patient information with friends

Match each term in Column 2 with its definition in Column 1.

Ethics- Standards of right and wrong conduct. Compliance- Adherence to rules and regulations. Implied Consent- Patient's permission for treatment when he or she enters a doctor's office. Liability- Legal responsibility. Deposition- Testimony under oath, usually outside of court. Etiquette- Behavior and customs that are considered good manners. Statue of limitations- Time limit for a lawsuit to start. Abandonment- Physician's leaving a case before the patient is recovered. Medical practice act- State law that governs the state's practice of medicine. Express consent- Patient's written agreement to have a procedure performed.

When the results of a patient's blood work became available, the physician decided to schedule the patient for a heart catherization. Other courses of treatment had been tried, unsuccessfully, to lower the blood pressure and cholesterol levels. Which of the following must the patient give prior to the procedure?

Implied and informed consent

Sort the following into actions which the physician is legally required to perform or not legally required to perform.

Legal requirement -Possess the ordinary skill and learning commonly held by a reputable physician in a similar locality. -Display physician's license in office - Use his/her learning, skill, and best judgement for the benefit of the patient -Preserve confidentiality -Advise against needless or unwise treatment. Not a legal requirement - Accept as patients all those who seek his/her services. -Restore a patient to he same condition that existed before illness occurred -Obtain recovery for every patient -Guarantee successful results from an operation or treatment -Be familiar with all possible reactions of patients to various medicines

Which values may dictate if a physician takes certain actions or refrains from others?

Moral

How an office will contact a patient to remind him or her of an appointment should be stated within the:

Notice of Privacy Practices

What information is not found on an authorization of release form?

Physicians signature

The following information was displayed on the computer screen containing electronic health information data: Sandy Smith, Social Security number 555-55-5555, DOB 07-07-1959. Upon checkout, Sandy's neighbor saw the data on the screen and later called Sandy to ask why she was seeing an OB/GYN. This is a breech of confidentiality because:

Protected health information was disclosed without permission

After he finishes his shift at the Flatwoods Medical Clinic for Burned Children, Andrew volunteers his time with the local equestrian program for physically challenged children. Which of the following personal attributes is Andrew demonstrating most clearly?

True and genuine liking of other individuals

According to the principles of medical ethics, except in emergencies, a physician may choose all of the following except

to engage in fraud or deception

Place the principles of medical ethics in order according to the American Medical Association

1. A physician shall be dedicated to providing competent medical services with compassion and respect for human dignity 2. A physician shall deal honestly with patients and colleagues, and strive to expose those physicians deficient in character or competence, or who engage in fraud or deception 3. A physician shall respect the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patient 4. A physician shall respect the rights of patients, of colleagues, and of other health professionals, and shall safeguard patient confidences within the constraints of the law. 5. A physician shall continue to study, apply, and advance scientific knowledge, make relevant information available to patients, colleagues and the public obtain consultation and use the talents of other health professionals when indicated

Match the term or phrase on the left with the correct answer on the right.

Accuracy: Completing tasks with correctness and attention to detail Thoroughness: A trait that results in complete, neat, and correct tasks Empathy: Sensitivity to other people's feelings and situations Initiative: A trait characterized by working independently and offering to help others Certification: Recognition given by associations that an individual has met high standards and has demonstrated competency in given knowledge and tasks AHDI: Provides certification opportunities for medical transcriptionists Ethnocentrism: Believing that one's own race, ethnic group, and/or culture is superior to all other groups Tact: The ability to speak and act considerately in various situations Problem-solving: Logically and systematically planning steps to accomplish a task Dependability: Finishing tasks on schedule, without complaining, and offering to assist others

Which definition describes assault?

Clear threat of injury to another

HIPAA covers the following types of entities. Sort the descriptions or specific types of practices into their corresponding entities.

Healthcare providers * Physicians * Nursing homes * Dentists * Durable medical equipment suppliers * Optometrists * Chiropractors Health plans * An individual or a group plan that provides or pays for the cost of medical care Healthcare clearinghouses * Billing service company

HIPAA covers the following types of entities. Sort the descriptions or specific types of practices into their corresponding entities, or if the practice described is not covered by HIPAA, add it to the "Not covered by HIPAA" category.

Healthcare providers - Hospitals - Pharmacies - A person or organization who furnishes bills, or is paid for healthcare in the normal course of business Health plans - Employee welfare benefit plans Healthcare clearinghouses - Companies that "translate" or "facilitate" translation of electronic transactions Not covered by HIPPA - A practice that does not send any claims' electronically and does not employ someone else to send electronic claims to payers or health plans on it behalf

What type of consent is obtained when a patient goes to a physician's office for treatment?

Implied consent

When a patient visits a physician for an appointment, he or she is establishing what type of consent?

Implied consent

Using your critical thinking skills, play the role of an administrative medical assistant as you answer each question. Be prepared to discuss your responses. An assistant is asked by another employee why the assistant decided to meet the requirements to become certified. Which of the following is not a reason for being certified?

Indication of exceeding high standards

Sort the following into actions which the physician is legally required to perform or not legally required to perform.

Legal requirement 1. Inform and advise the patient when the physician knows a condition is beyond his/her scope of competency 2. Obtain express consent for complicated procedures like surgery, diagnostic tests, and x-ray treatments 3. Act in good faith 4. Explain the illness to the patient in simple, understandable language and give options for treatment, along with benefits and risks for each option. Not a legal requirement 1. Be free from errors in complex cases. 2. Posses the maximum amount of education possible 3. Continue care after a patient discharges himself/herself from a hospital even if harm could come to the patient 4. Obtain express consent for routine treatment 5. Obtain consent from the guardian of a minor who is in the military. 6. Obtain consent from the guardian of a minor for a pregnancy test

A law which sets a time limit for starting a lawsuit is called a statute of

Limitations

Upon checkout, Francisco seemed upset and stated he would not be returning to the physician for treatment and was not going to take the prescribed medication. Which of the following course of actions would be appropriate for the AMA?

Make a notation of the patient's statement in his medical record and notify the physician

When Bruce was diagnosed with Alzheimer's disease, he decided he might need another individual to make informed medical decisions, if he was not be able to make them for himself. Which document would he need to need to complete?

Medical durable power of attorney

Why should confidential information not be sent by e-mail?

Most e-mail networks are not secure

Nenna worked as an administrative medical assistant but was dismissed from her AMA position after numerous patients complained about how they were greeted. Nenna claims she always used an appropriate verbal greeting with each patient. Which of the following might have contributed to the miscommunication between Nenna and the patients?

Nonverbal facial expressions and tone of voice

Of the following, which is not a covered entity?

Office supply delivery service

Who must sign a consent form prior to a procedure being performed?

Patient

Using your critical thinking skills, play the role of an administrative medical assistant as you answer each question. Be prepared to discuss your responses. Projecting a professional image is imperative for the medical assistant. Place the following in the correct column.

Professional Image- * Good Health * Clarity of eyes *Trimmed facial hair for males *Active listening *Healthy nails Non-Professional Image- * Excessive use of fragrance * Bright colored nail polish * Visible tattoos *Wrinkled scrubs

Which reports require that a patient's condition be reported to the state health department or social services?

Statutory