Medical Office Administration Essay

Medical office Administration notes

Dr. Peter- ID- Identification of diseases
Clinical work- MA (Medical Assistance ) its done by medical assistance
Administrative both Medical assistant and Medical office administration

Call to office- (Person who is working for billing office)
Are you first time in the office? Or were you here before?

Which type of insurance to you have?
New Patient- first day in the office
Patient of office who did not show up within three years.

Established Patient- Is Patient of office who did show up within 3 years.

Scheduling ex. 9 am- 5p – 8 hours

9am
10am
11 am
12-Break/no appointment
1pm
2pm
3pm Doc goes on break, take no appointments
4pm
5pm

Established - 15min
New patient – 45-60 min

Insurance pays more
for new patients.

Medical Office

Make diagnosis
CCA- Certified Coding Associate

ClC- Chief complaint: I have paint in my belly (complaint that brings patient into the office)
It should be quoted in the words of patient with quotation marks.
Diagnosis- Determination of cause of disease.

Prognosis- Prediction of future of disease.
Curable (and in between life long medication to control it.- Incurable
For diagnosis we go to:
History
Physical examination
The lab test + imaging studies
HDI- History of present illness.
L- location
I-on scale 1-10? Intensity of the pain.
Q- Quality of the pain. Sharp shooting-Dull aching. Do you have this pain all the time? Or does it come and go? How often do you get it? How long does it last?
O- onset of the pain.
R- Radiation – Does it stay or move around?
A- Any other associated symptoms like nausea, vomiting, diarreah, headache? Does anything make your pain better? Does anything makes your pain worse?

P-Past history
A-Allergy
M-Medication
H-Hospitalization
U-Urinary symptoms Do you have any difficulty in peeing?
G-Do you have any gastro intestine symptoms ex. Constipation and diarrhea.
S-Surgery in the past.
F- Family history
O- Occupation- what do you do for living?
S-Social History-smoking , drinking, recreation drugs and certain diseases are related with particular
occupations.
S- Sexual History- Are you sexually active next are you gay, straight, bisexual. Do you use protection.

Familial diseases: Diseases that are common in a particular family like diabetes, hypertention
Hereditary/Genetic diseases: They pass from one generation to another through chromosomes or genes.

Screening Test
Papsmear- after 3 years of sexual intercourse.
Mammogram- MSG 30- 45 years between USG
PSA Test- Prostate Specific Antigen
Colonoscopy

Physical examinatioin: If patient sates if they have abdominal pain.
History + Physical Labtest + Imaging
Determined by history and physical examination findings (Diagnosis)

CMS (Center for Medical Substance)
By 2017 every office should use EHR/ EMR- electronic health record.
Front Desk work/Clinical/Billing Department
Demographic-Name, Date of Birth I.D. copy of
Insurance Card back and front of both pages.

First Party- Patient

Second party- Provider, Physicians( MA, MD.)
Third Party- Insurance

Guarantor- If you don’t have insurance you need to sign as a guarantor that you will pay after treatment.

ACA- Affordable Care Act

HIPPA- Protects every permission of patient.

Medical office
Administrative -( works only with patients documents)- Clinical- (works with only patients)

1 Patient ID
2. Insurance care always- make copy do both sides
3. Demographics are complete.
4. Release of information signed.
5. HIPPAA form signed.
6. Assignment of benefit form.
7. Healthcare proxy/ living with.

Medical offices-Individuals Polyclinic Group Practice. Hospital and their outpatients.

Health
Insurance
Portability
And
Accountability
ACT

OSHA (Occupational Safety Healthcare Administration)

CDC (Center Disease Control)