Read the scenario below and complete the tasks that follow.
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 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
Expert Solution Preview
Introduction: As a medical administrator at a podiatrist medical office, it is important to have a clear understanding of the necessary steps required to register and provide treatment to patients while adhering to HIPAA privacy rule guidelines. In the following answers, I will provide a summary of how to greet patients and manage the waiting room, outline the steps for verifying patient insurance, complete the Outpatient Encounter Form and Patient Registration Form, and outline the five steps to ensure patient privacy is protected while registering the patient.
1. Summary of how to greet the patient and manage the waiting room:
When a patient arrives at the podiatrist medical office, it is important to greet them warmly and promptly to ensure they feel comfortable and welcome. The first step is to acknowledge the patient’s presence with a polite greeting. Next, the medical administrator should provide the patient with any necessary paperwork or instructions, such as the Patient Registration Form, and inform them of the estimated wait time. It is also important to maintain communication with the patient throughout their wait and keep them updated on any delays or changes. Finally, when the patient is ready to be seen, the medical administrator should escort them to the treatment area and introduce them to the podiatrist.
2. Brief outline describing how to verify the patient’s insurance:
To verify a patient’s insurance, the medical administrator should ask the patient to provide their insurance card and a valid form of identification, such as a driver’s license. Next, the administrator should contact the insurance company to confirm the patient’s coverage and obtain any necessary referrals. It is important to ensure that the patient’s information is accurate and up-to-date while maintaining confidentiality and adhering to HIPAA privacy rule guidelines.
3. Outpatient Encounter Form:
As the medical administrator, the Outpatient Encounter Form should be completed with the patient’s information, including their name, date of birth, address, and insurance information. It is important to accurately document the patient’s condition and ensure that the treatment provided is clear and concise. The form should also include any necessary follow-up appointments or referrals.
4. Patient Registration Form:
As the patient, the registration form should be completed with accurate personal and insurance information. It is important to provide a valid form of identification and insurance card while ensuring that all information is kept confidential and adhering to HIPAA privacy rule guidelines.
5. Five steps under the HIPAA privacy rule to ensure patient information is protected while registering the patient:
– Obtain the patient’s consent to use and disclose their healthcare information
– Collect only necessary patient information and limit disclosure to only relevant parties
– Maintain physical, administrative, and technical safeguards to protect patient information
– Provide annual training to all employees to ensure proper compliance with HIPAA privacy rule guidelines
– Provide patients with access to their healthcare information and maintain accurate and up-to-date records.
In conclusion, as a medical administrator at a podiatrist medical office, it is important to provide efficient and high-quality healthcare while ensuring patient privacy and adherence to HIPAA privacy rule guidelines. By following the outlined steps and standards, patients can receive the care they need while feeling respected and valued.