Medical Administration Mod 3

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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.

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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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