Chapter 26

A(n) ____ sticker is placed on the inside of a pt's record to bring attention to a medical condition or allergy.

Alert

To bring attention to a specific medical or clinical condition

Alert

The process of evaluating a patient's condition is known as

Assessment

Which term describes the collection of data to help the dentist make a correct diagnosis?

Assessment

A(n) ____ time period is one that is arranged in order of occurrence.

Chronological

What form in the patient record would provide knowledge to the dental team of an existing restoration?

Clinical examination form

What term describes the collection of data used to make a correct diagnosis?

Diagnostic information-gathering forms: Physical examination form, Radiographic examination form, Clinical examination form

____ can be used to establish the identity of an individual on the basis of scientific methods

Forensics

What type of demographics would be included in the patient registration form?

Insurance information, responsible party, patient information, signature, and date

____ is the act of conducting legal proceedings such as a lawsuit or trial

Litigation

What specific info must the dental team receive from the pt before it can provide treatment?

Patient registration, medical history, and informed consent

What is PHI the abbreviation for?

Protected Health Information

What does the dental history section of the form provide for the dentist?

The patient's previous dental treatment and care.

Give an example of a medical alert.

alert sticker inside of the patient record indicating allergy to a specific antibiotic that a patient cannot be prescribed.

Where in the patient record would the patient registration form be found?

at the beginning

A patient's illness is classified as ____ if it persists for a long time.

chronic

persisting over a long time

chronic

Arranged according to the time of occurrence; earliest to most recent

chronologic

_____ information can include a person's address, phone number, and work info

demographics

identification or determination of the nature and cause of a disease or injury through evaluation of a patients history and examination findings

diagnosis

pertaining to the identity of an individual on the basis of scientific methods

forensic

What forms would the business assistant hand to a new patient to complete before he or she is seen for treatment ?

informational gathering forms - patient registration, medical dental history form, medical alert information form, and consent form

Quality assurance is an important asses of a practice because

it describes the type of care a patient is receiving

program in place for monitoring and evaluating a lawsuit

quality assurance

A new patient will complete a _____ form, which includes personal info, info regarding the party responsible for payment, and insurance info.

registration

act of completing forms by providing personal information

registration

To verify that the information is accurate, what must a patient provide after completing a health history form?

signature and date

The patient record is a permanent document of whom?

the dentist