Medical Office Administration 2nd edition

1. Medical Office Administration2nd edition Brenda A. Potter, CPC

2. Chapter 2 The Health Care Team

3. A Professional Focus • Patients are the reason for our work in health care • Exceptional service to patients is a top priority!

4. Who Is a Provider? • Individual responsible for coordinating and delivering healthcare service(s) • Examples: • Physician • Nurse Practitioner • Physician’s Assistant • Certified Nurse Midwife

5. Physician • Provides preventive care • Provides or coordinates treatment for patient’s disease or injury • Responsible for supervising other providers such as nurse practitioners and physician assistants

6. Physician Education • Undergraduate degree (usually in a science-related field) • Medical school • Graduate is MD (Doctor of Medicine) or DO (Doctor of Osteopathy) • Licensure – required to practice medicine • Residency – additional education in a specialty • Board certified – physician has passed board examination

7. Physician Licensure • Licensure is required to practice medicine • Each state has its own licensing board

8. Residency • Residency will vary in length depending on the specialty

9. Board Certification • After completing residency, physician takes a Board examination • Specialty Boards listed in Box 2-1 • Physicians passing an examination are known as Board certified in their chosen field

10. Physicians Today • Primary care physicians – “gatekeepers” for managed care plans • Primary care specialties • Family practice • General practice • Internal medicine • Obstetrics and gynecology • Pediatrics

11. Physician Assistant (PA) • Provides routine well care and care for illness • Has prescription privileges depending on state laws • Orders testing for patients • Many PAs choose specialties

12. Certified Nurse Practitioner (CNP) • Is a registered nurse with advanced training • Diagnoses and treats patients in a chosen field • Has prescription privileges depending on state laws • Orders testing for patients • Must pass an examination in order to practice

13. Certified Nurse Midwife (CNM) • Is a registered nurse with advanced practice in obstetrics and gynecology • Primarily treats problems related to the female reproductive system • Certification requirements vary from state to state

14. Doctor Of Podiatric Medicine - DPM (Podiatrist) • Treats disorders of the foot and lower leg • Allowed to prescribe medications, perform surgery, treat fractures • Must be licensed in state where podiatrist practices

15. Psychologist • Clinical psychologist (Psy.D.) • Provides treatment for patients with mental disorders • Most states do not give psychologists prescription privileges

16. Doctor Of Chiropractic – DC (chiropractor) • Treats disorders of musculoskeletal system • Is NOT licensed to prescribe drugs or perform surgery • Manipulates and adjust spine • Treats patients with ultrasound and massage • Must be licensed in state where chiropractor practices

17. Doctor Of Optometry – OD (Optometrist) • Performs eye examination and prescribes corrective lenses to correct vision problems • Optometrists are permitted by many states to prescribe medications • Does not perform surgery; ophthalmologist (MD) does • Must be licensed in state where optometrist practices

18. Nurse Anesthetist • Advance practice nurses who administer anesthetic for surgical procedures • Nurse anesthetists work under the supervision of an anesthesiologist

19. Nursing Professionals • Chief focus of nursing professional is caring for patients recovering from illness or injury, or providing health education • Educational requirements may vary from state to state for RNs and LPNs

20. Registered Nurse (RN) • May be employed to provide direct patient care or may be involved in management • Must pass national examination

21. Licensed Practical Nurse (LPN) Licensed Vocational Nurse (LVN) • May also be known as Licensed Vocational Nurse (LVN) • Provides basic patient care • Takes vital signs • Administers medications • Reports patient progress

22. Certified Nursing Assistant - CNA • Often employed to provide personal hygiene care for patients in hospitals and nursing homes • Profession is particularly prone to work-related injury

23. Allied Health Professionals

24. Medical Assistant • Performs administrative and clinical duties in medical office • Some states require successful completion of national certification examination in order to perform clinical duties • CMA – Certified Medical Assistant • RMA – Registered Medical Assistant

25. Medical Transcriptionist • Prepares medical reports from physician dictation • CMT – Certified Medical Transcriptionist • RMT – Registered Medical Transcriptionist • Certification or registration not required to perform transcription

26. Health Information Professionals • RHIT Registered Health Information Technician • Responsible for day-to-day maintenance of medical record and coding for healthcare services • RHIA Registered Health Information Administrator • Usually employed as directors of health information departments • Cancer Registrar • Compiles and tracks information regarding the treatment and progress of cancer patients

27. Physical Therapist (PT) • Plans and provides treatments to improve or restore patient’s ability to move • Uses ultrasound, exercise, heat, or cold treatments. • Must be licensed to practice

28. Physical Therapy Assistant (PTA) • Provides treatments for patients as planned by physical therapist

29. Occupational Therapist (OT) • Helps patients regain daily living skills • May help patients learn to adapt after debilitating illnesses or injuries • Must be licensed to practice

30. Occupational Therapy Assistant (OTA) • Carries out activities for patients as planned by an occupational therapist

31. Respiratory Therapist • Treats patients with respiratory dysfunction • CRTT – Certified Respiratory Therapist Technician • RRT – Registered Respiratory Therapist

32. Radiology Technologist (RT) • Radiology Technologist – (Radiographer) – takes x-ray images of the body • Sonographer – performs ultrasound examinations of the body

33. Medical Laboratory Technologist and Technician • Technicians usually perform routine laboratory tests • Technologists have more education than technicians and are responsible for conducting more sophisticated tests; may be in supervisory roles in a lab

34. Pharmacist • Dispenses medication as prescribed by a healthcare provider to a patient • Provides counseling on proper usage of medication

35. Continuing Education • Usually required in order for healthcare professional to maintain licensure, certification, or registration • Important for healthcare professional to remain aware of changes in medicine

36. Professional Organizations • Most professions have an associated professional organization • Organizations help establish profession standards

37. Healthcare Facilities • Clinic – provides outpatient (ambulatory) care; group of physicians and other providers • Private practice – medical practice consisting of one physician • Hospital – provides inpatient care (patient stays longer than 24 hours); may provide only certain services • Emergency room – department that provides emergency health care (located within a hospital) • Urgent Care Center – provides care for patients needing immediate physician attention (on an as-needed basis); found in clinic and hospital settings

38. Home Health – provides services for patients in patients’ homes • Nursing Home – provides round-the-clock care for residents • Assisted living – level of care far less than nursing home, patients given some assistance with meals and/or medications • Public Health – government agency providing healthcare service