Read the scenario below and complete the tasks that follow.

Scenario

You just accepted a role as medical administrator at a podiatrist medical office. There are many responsibilities associated with this position including managing the office, patient registration, insurance verification/referrals, and scheduling following up appointments. As you navigate through your first day at work, the waiting room is full and a patient with a severe foot infection is seeking treatment without an appointment. As part of your new position and responsibilities, you will be required to review, assess, and participate in all medical administrative duties that will support this patient.

As the new medical administrator, you have will complete an encounter form of the new patient with a severe foot infection.

Identify and summarize the steps for registering this patient by completing the encounter form as the patient and the registration form as the medical administrator, which includes verification of the patient insurance. HIPAA privacy rule should be adhered when registering the patient.

In order to successfully complete the Outpatient Encounter Form and the Patient Registration Form below, please use the information contained in the following document:

Patient and Outpatient Information

• Patient Welcome/Managing Wait Time
  • In one page summarize how to greet the patient and manage the waiting room
  • Include a brief outline describing how to verify the patient’s insurance
• Outpatient Encounter Form
  • Complete this form as the medical administrator: Outpatient Encounter Form
• Patient Registration Form
  • Complete this form as the patient: Patient Registration Form
• Apply HIPAA rules when documenting patient information
  • Outline the five steps under the HIPAA privacy rule to ensure patient information is protected while registering the patient. The summary should follow the “Guidelines for Ensuring” patient privacy isn’t breached in the reception areaOutpatient Encounter Form
    

    Patient Information		Billing Information		Visit Information
    Patient ID number		Primary		Visit date
    Patient name		Primary ID number		Visit number
    Address		Primary group number		Rendering physician
    City/State		Secondary		Referring physician
    Social Security number		Secondary ID number		Reason for visit
    Phone number		Secondary group no.
    Date of birth		Cash/credit card
    Age		Other billing
    E/M Modifiers	Procedure Modifiers	Other Modifiers
    24 — Unrelated E/M service during postop.	22 — Unusual, excessive procedure
    25 — Significant, separately identifiable E/M	50 — Bilateral procedure
    57 — Decision for surgery	51 — Multiple surgical procedures in same day
    	52 — Reduced/incomplete procedure
    	55 — Postop. management only
    	59 — Distinct multiple procedures
    CATEGORY	CODE	MOD	FEE	CATEGORY	CODE	MOD	FEE
    Office Visit — New Patient				Wound Care
    Minimal office visit	99201			Debride partial thick burn	11040
    20 minutes	99202			Debride full thickness burn	11041
    30 minutes	99203			Debride wound, not a burn	11000
    45 minutes	99204			Unna boot application	29580
    60 minutes	99205			Unna boot removal	29700
    Other				Other
    Office Visit — Established				Supplies
    Minimal office visit	99211			Ace bandage, 2”	A6448
    10 minutes	99212			Ace bandage, 3″-4”	A6449
    15 minutes	99213			Ace bandage, 6”	A6450
    25 minutes	99214			Cast, fiberglass	A4590
    40 minutes	99215			Coban wrap	A6454
    Other				Foley catheter	A4338
    General Procedures				Immobilizer	L3670
    Anascopy	46600			Kerlix roll	A6220
    Audiometry	92551			Oxygen mask/cannula	A4620
    Breast aspiration	19000			Sleeve, elbow	E0191
    Cerumen removal	69210			Sling	A4565
    Circumcision	54150			Splint, ready-made	A4570
    DDST	96110			Splint, wrist	S8451
    Flex sigmoidoscopy	45330			Sterile packing	A6407
    Flex sig. w/ biopsy	45331			Surgical tray	A4550
    Foreign body removal—foot	28190			Other
    Nail removal	11730			OB Care
    Nail removal/phenol	11750			Routine OB care	59400
    Trigger point injection	20552			OB call	59422
    Tympanometry	92567			Ante partum 4–6 visits	59425
    Visual acuity	99173			Ante partum 7 or more visits	59426
    Other				Other

    Other Visit Information: Fees:

    Lab Work to Order: Total Charges: $

    Referral to: Copay Received: $

    Provider Signature: Other Payment: $

    Next Appointment: Total Due: $

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