Você está na página 1de 25

Hospital Terminology

University of Mississippi Medical Center


Access Management
Patient Access Specialists I
In Access Management
g
• We are the FIRST STAGE in the Revenue Cycle.
• If patient information is entered incorrectly by us,
us
the hospital can’t get paid for services it provides.
• When errors occur,, valuable resources must be
spent recovering money lost because of OUR
MISTAKE.
• Access
A M
Managementt iis the
th foundation
f d ti off the
th
Revenue Cycle.
What to Expect…
p
• This module will help you prepare to be a
RESOURCEFUL Patient Access Specialist
p I.
• You will learn terms commonly used while
registering patients and often heard throughout the
h it l
hospital.
• The terms are broken down into six categories.
• A quiz at the end will measure what you learned.
learned
In This Module…
You’ll Learn Terms Regarding:
11. Admitting and Registering Patients
2. Patient Records and Identification
3. g and Consent Forms
Patient Rights
4. How Patients Arrive at UMC
5. Patient Status Codes
6. Miscellaneous Codes
Section I
Section I
This section deals with terms regarding the admission and registration
off patients.
ti t

Direct Admission- An admission usually scheduled in


ad ance from a doctor’s office
advance office, clinic
clinic, or the emergency
emergenc
room. These patients usually have a room/bed reserved.

Emergency Admission- An admission necessitated by an


accident or medical emergency processed through the
Emergency Department.
.
Section I
Scheduled Admission- An admission always scheduled in
advance. It may be urgent or elective. A Direct
Admission can be a Scheduled Admission but a Scheduled
Admit cannot be a Direct Admit

Pre-Admit- The process of obtaining patient information and


partially preparing admission forms before a patient’s
arrival at the health care facility.
Section I
Registration- The process of entering personal information
into the hospital computer system to enroll a person as a
patient by creating a patient record. Patients may be
registered as inpatients, outpatients, or observation
patients.

Observation Patients- This is a patient a doctor wants to


keep an eye on for a limited amount of time. They are
assigned to a bed on the nursing unit and receive care for a
period of less than 24 hours. Doctors can extend the
Observation period up to 48 hours if necessary. Any
additional time requires a transfer to Inpatient Status.
Section I
Inpatient- A patient admitted into the hospital for at least one
overnight stay. Treatment can continue indefinitely.

Outpatient- A patient being treated in an office, clinic, or


other ambulatoryy care facilityy typically
yp y released on dayy of
treatment. Following a procedure and 6 hours in PACU, a
doctor may want to place an Outpatient in a bed to monitor
for a few additional hours, or even overnight. If they meet
observation criteria, they are transferred to Observation
status. If condition deteriorates, they would then be
transferred to Inpatient status.
Section II
Section II
This section discusses methods of patient identification.

**NOTE: THESE FIRST TWO TERMS ARE EASILY CONFUSED**

Medical record number- This number is assigned to the


patient
i during
d i their
h i FIRST VISIT to the
h hospital
h i l andd iti
NEVER CHANGES. This is the patient’s unique UMC ID
number used to access their personal information. It is
used for all subsequent admissions to the hospital
hospital. A
patient should never have two medical record numbers.
Section II
Patient Account Number- This is a unique number
identifying a SINGLE PATIENT VISIT to UMC. A new
number is assigned each time the patient is admitted to or
registered at the hospital. It is used for billing purposes. A
patient may have more than one patient account number.

Patient Identification Bracelet- A plastic band with a


patient identification label affixed to it worn by the patient
throughout hospitalization
hospitalization. In the obstetrics department,
department a
mother and the newborn would share the same
identification label affixed to their ID bracelets until the
baby is assigned their own medical record number
number.
Section II
Patient Identification Labels- Self-adhesive labels used on
the patient’s identification bracelet to identify forms,
requisitions, specimens, etc.

Face Sheet- A form initiated byy the admittingg department


p and
included in the inpatient medical record that contains
personal and demographic information.

Advance Directives- Documents indicating a patient’s


wishes in the event they become incapacitated and unable
to make decisions regarding their own medical care.
Section III
Section III
This section discusses patients’ rights concerning health care and the
f
forms they
th mustt sign
i during
d i registration.
i t ti

HIPAA- Stands for the Health Insurance Portability and


Accountability Act of 1996.
1996 A major component of HIPAA
addresses the privacy of individuals’ health information by
establishing a nation-wide federal standard concerning the
PRIVACY OF HEALTH INFORMATION and how it can be
used and disclosed. This federal standard will generally
preempt all state privacy laws except for those establishing
stronger protections. The HIPAA privacy laws became
effective on April 14, 2003.
Section III
EMTALA – Stands
St d ffor th
the Emergency
E Medical
M di l Treatment
T t t
and Active Labor Act. It governs when and how a patient
may be REFUSED TREATMENT, or transferred from one
hospital
p to another when in unstable condition. “Refusal
of treatment,” broadly interpreted means the potential of
refusal based on financial conditions or ability to pay.

Medicare Rights Form – This important message form must


be signed and dated by all Medicare patients. This informs
Medicare patients of their rights to services and discharge.
Section III
Notification of Consent of Medical Treatment – This form
AUTHORIZES THE HOSPITAL TO DO MANY THINGS
and must be signed and dated by the patients on EACH VISIT.
It is required to be scanned into the system by the registering
PAS.
This form:
• Authorizes
A h i the
h hospital
h i l to release
l patient
i information
i f i whenh necessary
• Authorizes the insurance company to reimburse hospital for services
provided to the patient
• Is a financial agreement between the patient and hospital
• Is an official notice that the patient is liable for coinsurance
• Gives consent to treat patient
• Explains how xx-rays
rays are retained and destroyed
• Informs patients of their responsibility to secure their valuables.
Section III
Notification of Privacy Practices (NPP) – This form, which
must be signed and dated by the patient describes how medical
i f
information
i about
b the
h patient
i may be b usedd andd disclosed,
di l d andd
how patients can gain access to the information. The notice
has to be SIGNED AND DATED ONLY ONCE, pending the
Patient Access Specialist enters into the system that a
signature has been obtained. This is part of the HIPPA Act.
The PAS is required to scan NPP into the system.
Section IV
Section IV
This section explains the different ways patients arrive to the hospital
and how they should be classified
classified.

Ambulatory - patient walked in.

Air Transport – patient brought in by helicopter.

Wheel Chair – patient arrived in their privately owned


wheelchair.
Section IV
Ground Ambulance – patient arrived by ambulance
but was not on a stretcher.

Carried – patient was physically carried in by


someone not affiliated with UMC.

Stretcher – patient
ti t arrived
i d by
b ambulance
b l andd was
on a stretcher.
Section V
Section V
This section presents eleven different patient status codes and their
meanings.

Patient Status Codes and Meanings


Inpatient Status Codes
IA – Inpatient Active
IP – Inpatient Pre-Admit
Pre Admit
ID – Inpatient Discharge
IC – Inpatient Complete
Section V
Patient Status Codes and Meanings
Outpatient
p Status Codes
OA – Outpatient Active
OP – Outpatient Pre-Registered
OD – Outpatient Discharge (NOTE: Monthly Account)
OC – Outpatient Complete (Not an Active Code)
ET – Emergency Active
EA – Emergency Discharge (NOTE EA instead of ED)
EC – Emergency Complete (Not an Active Code)
Section VI
• The following slides present an exhaustive list of codes
used throughout the hospital.

• You do not need to know all of them.

• Naturally you will become familiar with codes common to


your area.

• For the quiz, you must know that this list can always be
accessed by using the Help Screen. To access, place the
cursor where the code is needed and hit “Shift
Shift + F12.
F12 ”
Section VI
ALG ADULT ALLERGY DRM DERMATOLOGY
AIR AIR-AMBULANCE DIG DIGESTIVE DZ
AEA AMBULATORY EVAL DER DURANT ER MED
ANE ANESTHESIOLOGY DMD DURANT MEDICINE
ACR CARDIOLOGY DPE DURANT PEDS ER
CVS CARDIOVASCULAR DPM DURANT PEDS MED
LAB CLINICAL LAB ENT EAR,NOSE,THROAT
RMD CRC MEDICINE EFT EMERGENCY FAST
RNU CRC NEUROLOGY TRACK
DEN DENTISTRY EMR EMERGENCY
ROOM
Section VI
END ENDOCRINE NCU NEONATAL
AFM FAMILY MEDICINE NEP NEPHROLOGY
NUR GEN NEWBORN NEU NEUROLOGY
GER GERONTOLOGY NSU NEUROSURGERY
GAM GROUND OB OBSTETRICS
AMBULANCE /INPATIENT
GYT GYN TUMOR OOB OBSTETRICS
GYN GYNECOLOGY /OUTPAT
HPC HEMATOLOGY ONC ONCOLOGY
IFD INFECTIOUS DZ OHN OPHTHALMOLOGY
REH INPATIENT REHAB DOS ORAL DENTISTRY
MED MEDICINE ORT ORTHOPEDICS
NOB OUTBORN
Section VI
PTH PATHOLOGY VNE PAVL NEUROLOGY
VAN PAVL ANESTHESIA VOB PAVL OBSTETRICS
VEN PAVL EAR, NOSE, VOT PAVL
THROAT OCCUPATIONAL
VEM PAVL EMERGENCY VOP PAVL OPHTHAL
MED VOR PAVL ORTH
VFM PAVL FAMILY MED VPA PAVL PATHOLOGY
VGY PAVL GYN VPE PAVL PEDIATRICS
VLB PAVL VPT PAVL PHYSICAL
LABORATORY THERAPY
VMD PAVL MEDICINE VPM PAVL PREVENT MED
VNS PAVL NEURO VPY PAVL PSYCHIATRY
SURGERY
VRA PAVL RADIOLOGY
Section VI
VRD PAVL RADIOLOGY PET PEDS E N T
VSU PAVL SURGERY PER PEDS EMERGENCY
VPR EDIATRIC RESP PED PEDS ENDOCRINE
THER PFM PEDS FAMILY MED
PAD PEDS ADOLESCENT PSU PEDS GEN SURG
PAL PEDS ALLERGY PHP PEDS
PAN PEDS ANESTHESIO HEMATOLOGY
PCRP PEDS CARDIOLOGY PID PEDS INFECT DZ
PCV PEDS CARDIOVAS PMD PEDS MEDICINE
PLB PEDS CLINIC LAB PNE PEDS
PDN PEDS DENTISTRY NEPHROLOGY
PDR PEDS PNU PEDS NEUROLOGY
DERMATOLOGY PNS PEDS NEUROSURG
PDG PEDS DIGEST DZ PON PEDS ONCOLOGY
Section VI
POH PEDS OPHTHALMOL PUR PEDS UROLOGY
POS PEDS ORAL DENT APS PLASTIC SURGERY
POR PEDS ORTHOPEDIC PSY PSYCHIATRY
PPH PEDS PATHOLOGY PUL PULMONARY
PPS PEDS PLASTIC RON RADIATION
SURGERY ONCOLOGY
PPY PEDS PSYCHIATRY GIX RADIOLOGY
PPU PEDS PULMONARY RHU RHEUMATOLOGY
PGX PEDS RADIOLOGY SUR SURGERY
PEH PEDS REHAB THC THORACIC
PRH PEDS RHEUMATOLO TPT TRANSPLANT
PTC PEDS THORACIC TRA TRAUMA
PTP PEDS TRANSPLANT URO UROLOGY
PTR PEDS TRAUMA VAS VASCULAR SURG

Você também pode gostar