MEDICAL LAW AND ETHICS

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Medical ethics and etiquette

Define ethics, etiquette, and medical liability

Discuss the principles of medical ethics as they apply to both the physician and the medical secretary.

Medical law

Describe the general requirements for the licensing of a physician.

Explain the physician’s liability for employees.

Describe what is meant by implied, informed, and written consent.

Determine appropriate behavior when asked for information about a patient.

Determine appropriate behavior when a patient requests treatment advice.

Demonstrate knowledge of the patient’s rights and responsibilities in receiving medical care.

Discuss the physician-patient relationship

Summarize safeguards for preventing malpractice litigation as they apply to employees.

PATIENT RELATIONS/HUMAN RELATIONS

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Personal attributes

List personality characteristics essential to a medical secretary.

List and explain positive work attitudes.

Describe the appropriate appearance of a well-groomed medical secretary.

Human relations

Recognize and identify desirable relationships between the medical secretary and office staff, and between the medical secretary and patients.

MEDICAL RECORDS MANAGEMENT

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Preparing the medical record

Discuss reasons for maintaining a patient’s record.

Report format

Discuss the components of the medical record format referred to as SOAP.

Chart forms

Identify and utilize appropriate chart forms for patient’s folder.

Interpreting notes

Give the meanings of common medical abbreviations found in the reading material and the chart notes.

Correcting an error

Explain the method for correcting an error made in a patient’s chart.

SCHEDULING APPOINTMENTS

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Patient appointment

Apply guidelines for scheduling appointments.

PEGBOARD ACCOUNTING

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Financial records

Utilize the pegboard accounting system by accurately completing the three essential forms:

 1) numbered charge/receipt slips;

 2) patients’ ledgers; and

 3) daily journal.

HEALTH INSURANCE

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Types of coverage

Describe the various types of health insurance coverage.

Define health insurance terms.

Discuss the medical secretary’s role in processing insurance claims.

Medicare

Explain Medicare’s Part A and Part B.

Medicaid

Explain the purpose of the Medicaid program.

Worker’s Compensation

Explain the purpose of Worker’s Compensation insurance.

CHAMPUS and CHAMPVA

Define CHAMPUS and CHAMPVA.

Health care plans

Discuss the difference among HMOs, IPAs, and PPOs.

Processing claims

Process insurance claims in given situations.

Discuss the purpose of diagnostic and procedural coding.

Explain the follow-up process for insurance claims.

BILLING/COLLECTION

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Determining fees

Explain how fees are determined.

Credit information

Obtain necessary credit information about the patient.

Recording transactions

Compute charges and make appropriate entries for services rendered, charges, and payments.

Billing

Request payment for services rendered.

Collection

Prepare effective collection letters.