Transcript CH 2 ICBS 120 Test 1

ICBS 120
MEDICAL OFFICE
PROCEDURES
Health Care Settings and the
Healthcare Team
Healthcare is ever-changing
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Dynamic and stimulating industry
Encourage healthcare professionals to
constantly develop new skills and stay on
top of new technology.
Scope of healthcare includes: more than
25 specialties, over 20 kinds of allied
health professionals, and increasing nontraditional practitioners.
Forms of Medical Practice Mgmt
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Sole Proprietorships:
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Partnerships:
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Entitles the physician to hold executive rights to all
aspects of the practice (profits/debts).
May employ other physicians
Several physicians who share a facility.
Corporation:
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Allows income and tax advantages to all employees.
Professional employees only liable for “OWN” acts.
Provides fringe benefits such as health
insurance/vacation.
Ambulatory Healthcare Settings
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Individual and Group Practices
Individual/Solo Practice: treats all patients in the practice
Physician is responsible for all cost of running the practice.
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Group Practices
Two or more physicians share the operating costs of the practice.
Physicians learn and consult with each other
Travel between one or more offices
Has a larger patient base and able to offer lower prices
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Urgent Care Centers
Usually private, for-profit
Services for primary care, routine injuries, illnesses, and minor surgery
Managed Care Operations
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Purpose: To provide comprehensive healthcare at
a reasonable cost.
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Health Maintenance Organization (HMO) is a network of
participating physicians within a defined geographic area
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Specialists are usually seen by gatekeeper referral.
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HMO’s provide a full range of services under one roof
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Preferred Provider Organization (PPO) is a Physicians
network offers discounted services as agreed
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Individual Practice Association (IPA) treats patients for an
agreed-upon fee.
Ways of Keeping Healthcare Costs
Down
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Lifestyle change
Diet and exercise
Taking prescriptions as directed
Patient education
Preventative healthcare
Keep on top of billing
Make sure billing is accurate
Integrative/Alternative
Healthcare
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Training is highly specialized and specific
Considered complimentary to traditional health care.
Broad Disciplines:
Chiropractic: drug free, non-surgical, manipulation of the
body
Naturopathy: remove the underlying causes of disease
and to simulate body’s natural healing processes
Oriental Medicine/Acupuncture: Chinese recognize a vital
energy behind all life-forms called “qi” (chee).
Integrative/Alternative Healthcare
Therapies Cont’d
Broad disciplines continued:
 Oriental medicine is over 3,000 years old.
 Includes acupuncture, Chinese herbology
and bodywork, dietary therapy and
exercise based on traditional Oriental
medicine principles.
Integrative/Alternative Healthcare
Therapy Cont’d
Some Selected Alternative Medicine Modalities:
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Acupressure: apply pressure to specific acupuncture
like points; encourages flow of vital energy along
pathways.
Aromatherapy: inhalation and bodily application of
essential oils from plants to help relax. It strengthens
the self-healing process by indirect stimulation of the
immune system.
Homeopathy: healing that claims highly diluted doses
of certain substance can leave an energy imprint in the
body and bring acout a cure.
Role of the Healthcare TEAM
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Team concept is critical to the quality of patient
care.
A primary care physician is generally, one of the
most important members.
Another critical allied health member is the medical
assistant.
Other members: insurance coding and billing
specialist, RN, surgeon, Receptionist, etc.
Role of the Healthcare TEAM
Cont’d
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Practice within your scope of training.
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For example: no one should ever diagnose a
patient except for the physician.
Never do anything you feel uncomfortable
doing.
Always ask questions when you don’t know
or don’t understand.
Value of the Administrative
Healthcare TEAM
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Must have qualities:
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Great communicators
Liaison between physician and staff members
Ability to undertake responsibility for
directing, informing, and guiding patients and
patient care in a professional and caring tone.
Must be competent and compassionate.