Billing & Electronic Medical Records Flashcards
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12010266407 | Billable 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 codes | 0 | |
12010369271 | Non-billable time (5) | - evaluation (should be ongoing) - documentation - time spent investigating a new Tx - services provided that are not medically necessary - providing non-skilled tasks | 1 | |
12010425823 | Electronic 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 care | 2 | |
12010452101 | EMR advantages (3) | - reduces computerized prescription entry - can be seen by different providers with up-to-date info - info is immediately available | 3 | |
12010476813 | EMR advantages (3) | - not as comprehensive for client - training staff on how to use the online medical system - high costs of system | 4 | |
12010569713 | Electronic 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 another | 5 | |
12010627674 | EHR advantages (5) | - improved quality of care - convenience and efficiency - saving space - patient access - financial incentives for the federal gov. | 6 | |
12010654985 | EHR disadvantages (4) | - potential privacy and security issues - inaccurate info - frightening patients needlessly - malpractice liability concerns | 7 | |
12010669656 | Who owns the medical records? | FACILITY/PRACTITIONER that treated the client | 8 | |
12010687162 | Who owns the info in the medical records? | record belongs to the client | 9 |