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Billing & Electronic Medical Records Flashcards

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12010266407Billable time (6)- starts when the client begins for the first treatment activity - re-evaluations - set-up time for an intervention - caregiver education - providing modalities - service-based CPT codes0
12010369271Non-billable time (5)- evaluation (should be ongoing) - documentation - time spent investigating a new Tx - services provided that are not medically necessary - providing non-skilled tasks1
12010425823Electronic medical record (4)- contains info from just ONE PROVIDER/FACILITY - track data over time - identify when clients are due for screenings - monitor and improve overall patient care2
12010452101EMR advantages (3)- reduces computerized prescription entry - can be seen by different providers with up-to-date info - info is immediately available3
12010476813EMR advantages (3)- not as comprehensive for client - training staff on how to use the online medical system - high costs of system4
12010569713Electronic health record (3)- comprehensive record focused on total health - allows clients to log onto their own records - can inform D/C instructions and follow-up care from one setting to another5
12010627674EHR advantages (5)- improved quality of care - convenience and efficiency - saving space - patient access - financial incentives for the federal gov.6
12010654985EHR disadvantages (4)- potential privacy and security issues - inaccurate info - frightening patients needlessly - malpractice liability concerns7
12010669656Who owns the medical records?FACILITY/PRACTITIONER that treated the client8
12010687162Who owns the info in the medical records?record belongs to the client9

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