Medical Administration
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 area
Outpatient 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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