Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 1 Medical Office Administration 2nd edition Brenda A. Potter, CPC.

Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved.1

Medical Office AdministrationMedical Office Administration2nd edition2nd edition

Brenda A. Potter, CPCBrenda A. Potter, CPC


Chapter 2Chapter 2

The Health Care TeamThe Health Care Team


A Professional FocusA Professional Focus

Patients are the reason for our work in health Patients are the reason for our work in health carecare

Exceptional service to patients is a top Exceptional service to patients is a top priority!priority!


Who Is a Provider?Who Is a Provider?

Individual responsible for coordinating and Individual responsible for coordinating and delivering healthcare service(s)delivering healthcare service(s)

Examples:Examples: PhysicianPhysician Nurse PractitionerNurse Practitioner Physician’s AssistantPhysician’s Assistant Certified Nurse MidwifeCertified Nurse Midwife


PhysicianPhysician

Provides preventive careProvides preventive care Provides or coordinates treatment for Provides or coordinates treatment for

patient’s disease or injurypatient’s disease or injury Responsible for supervising other providers Responsible for supervising other providers

such as nurse practitioners and physician such as nurse practitioners and physician assistantsassistants


Physician EducationPhysician Education

Undergraduate degree (usually in a science-Undergraduate degree (usually in a science-related field)related field)

Medical schoolMedical school Graduate is MD (Doctor of Medicine) or DO (Doctor Graduate is MD (Doctor of Medicine) or DO (Doctor

of Osteopathy)of Osteopathy) Licensure – required to practice medicineLicensure – required to practice medicine Residency – additional education in a specialtyResidency – additional education in a specialty Board certified – physician has passed board Board certified – physician has passed board

examinationexamination


Physician LicensurePhysician Licensure

Licensure is required to practice medicineLicensure is required to practice medicine Each state has its own licensing boardEach state has its own licensing board


ResidencyResidency

Residency will vary in length depending on Residency will vary in length depending on the specialtythe specialty


Board CertificationBoard Certification

After completing residency, physician takes a After completing residency, physician takes a Board examinationBoard examination

Specialty Boards listed in Box 2-1Specialty Boards listed in Box 2-1 Physicians passing an examination are Physicians passing an examination are

known as known as Board certified Board certified in their chosen fieldin their chosen field


Physicians TodayPhysicians Today

Primary care physicians – “gatekeepers” for Primary care physicians – “gatekeepers” for managed care plansmanaged care plans

Primary care specialtiesPrimary care specialties Family practiceFamily practice General practiceGeneral practice Internal medicineInternal medicine Obstetrics and gynecologyObstetrics and gynecology Pediatrics Pediatrics


Physician Assistant (PA)Physician Assistant (PA)

Provides routine well care and care for illnessProvides routine well care and care for illness Has prescription privileges depending on Has prescription privileges depending on

state lawsstate laws Orders testing for patientsOrders testing for patients Many PAs choose specialtiesMany PAs choose specialties


Certified Nurse Practitioner (CNP)Certified Nurse Practitioner (CNP)

Is a registered nurse with advanced trainingIs a registered nurse with advanced training Diagnoses and treats patients in a chosen Diagnoses and treats patients in a chosen

fieldfield Has prescription privileges depending on Has prescription privileges depending on

state lawsstate laws Orders testing for patientsOrders testing for patients Must pass an examination in order to practiceMust pass an examination in order to practice


Certified Nurse Midwife (CNM)Certified Nurse Midwife (CNM)

Is a registered nurse with advanced practice Is a registered nurse with advanced practice in obstetrics and gynecologyin obstetrics and gynecology

Primarily treats problems related to the Primarily treats problems related to the female reproductive systemfemale reproductive system

Certification requirements vary from state to Certification requirements vary from state to statestate


Doctor Of Podiatric Medicine - Doctor Of Podiatric Medicine - DPM (Podiatrist)DPM (Podiatrist)

Treats disorders of the foot and lower legTreats disorders of the foot and lower leg Allowed to prescribe medications, perform Allowed to prescribe medications, perform

surgery, treat fracturessurgery, treat fractures Must be licensed in state where podiatrist Must be licensed in state where podiatrist

practicespractices


PsychologistPsychologist

Clinical psychologist (Psy.D.)Clinical psychologist (Psy.D.) Provides treatment for patients with mental Provides treatment for patients with mental

disordersdisorders Most states do not give psychologists Most states do not give psychologists

prescription privilegesprescription privileges


Doctor Of Chiropractic – Doctor Of Chiropractic – DC (chiropractor)DC (chiropractor)

Treats disorders of musculoskeletal systemTreats disorders of musculoskeletal system Is NOT licensed to prescribe drugs or perform Is NOT licensed to prescribe drugs or perform

surgerysurgery Manipulates and adjust spineManipulates and adjust spine Treats patients with ultrasound and massageTreats patients with ultrasound and massage Must be licensed in state where chiropractor Must be licensed in state where chiropractor

practicespractices


Doctor Of Optometry – Doctor Of Optometry – OD (Optometrist)OD (Optometrist)

Performs eye examination and prescribes Performs eye examination and prescribes corrective lenses to correct vision problemscorrective lenses to correct vision problems

Optometrists are permitted by many states to Optometrists are permitted by many states to prescribe medicationsprescribe medications

Does not perform surgery; ophthalmologist Does not perform surgery; ophthalmologist (MD) does(MD) does

Must be licensed in state where optometrist Must be licensed in state where optometrist practicespractices


Nurse AnesthetistNurse Anesthetist

Advance practice nurses who administer Advance practice nurses who administer anesthetic for surgical proceduresanesthetic for surgical procedures

Nurse anesthetists work under the Nurse anesthetists work under the supervision of an anesthesiologistsupervision of an anesthesiologist


Nursing ProfessionalsNursing Professionals

Chief focus of nursing professional is caring Chief focus of nursing professional is caring for patients recovering from illness or injury, for patients recovering from illness or injury, or providing health education or providing health education

Educational requirements may vary from Educational requirements may vary from state to state for RNs and LPNsstate to state for RNs and LPNs


Registered Nurse (RN)Registered Nurse (RN)

May be employed to provide direct patient May be employed to provide direct patient care or may be involved in managementcare or may be involved in management

Must pass national examinationMust pass national examination


Licensed Practical Nurse (LPN) Licensed Licensed Practical Nurse (LPN) Licensed Vocational Nurse (LVN)Vocational Nurse (LVN)

May also be known as Licensed Vocational May also be known as Licensed Vocational Nurse (LVN)Nurse (LVN)

Provides basic patient careProvides basic patient care Takes vital signsTakes vital signs Administers medicationsAdministers medications Reports patient progressReports patient progress


Certified Nursing Assistant - CNACertified Nursing Assistant - CNA

Often employed to provide personal hygiene Often employed to provide personal hygiene care for patients in hospitals and nursing care for patients in hospitals and nursing homeshomes

Profession is particularly prone to work-Profession is particularly prone to work-related injuryrelated injury


Allied Health ProfessionalsAllied Health Professionals


Medical AssistantMedical Assistant

Performs administrative and clinical duties in Performs administrative and clinical duties in medical officemedical office

Some states require successful completion of Some states require successful completion of national certification examination in order to national certification examination in order to perform clinical dutiesperform clinical duties

CMA – Certified Medical AssistantCMA – Certified Medical Assistant RMA – Registered Medical Assistant RMA – Registered Medical Assistant


Medical TranscriptionistMedical Transcriptionist

Prepares medical reports from physician Prepares medical reports from physician dictationdictation

CMT – Certified Medical TranscriptionistCMT – Certified Medical Transcriptionist RMT – Registered Medical Transcriptionist RMT – Registered Medical Transcriptionist Certification or registration not required to Certification or registration not required to

perform transcriptionperform transcription


Health Information ProfessionalsHealth Information Professionals

RHIT Registered Health Information TechnicianRHIT Registered Health Information Technician Responsible for day-to-day maintenance of medical Responsible for day-to-day maintenance of medical

record and coding for healthcare servicesrecord and coding for healthcare services RHIA Registered Health Information RHIA Registered Health Information

AdministratorAdministrator Usually employed as directors of health information Usually employed as directors of health information

departmentsdepartments Cancer Registrar Cancer Registrar

Compiles and tracks information regarding the Compiles and tracks information regarding the treatment and progress of cancer patientstreatment and progress of cancer patients


Physical Therapist (PT)Physical Therapist (PT)

Plans and provides treatments to improve or Plans and provides treatments to improve or restore patient’s ability to moverestore patient’s ability to move

Uses ultrasound, exercise, heat, or cold Uses ultrasound, exercise, heat, or cold treatments.treatments.

Must be licensed to practiceMust be licensed to practice


Physical Therapy Assistant (PTA)Physical Therapy Assistant (PTA)

Provides treatments for patients as planned Provides treatments for patients as planned by physical therapistby physical therapist


Occupational Therapist (OT)Occupational Therapist (OT)

Helps patients regain daily living skillsHelps patients regain daily living skills May help patients learn to adapt after May help patients learn to adapt after

debilitating illnesses or injuriesdebilitating illnesses or injuries Must be licensed to practiceMust be licensed to practice


Occupational Therapy Assistant (OTA)Occupational Therapy Assistant (OTA)

Carries out activities for patients as planned Carries out activities for patients as planned by an occupational therapistby an occupational therapist


Respiratory TherapistRespiratory Therapist

Treats patients with respiratory dysfunctionTreats patients with respiratory dysfunction CRTT – Certified Respiratory Therapist CRTT – Certified Respiratory Therapist

TechnicianTechnician RRT – Registered Respiratory TherapistRRT – Registered Respiratory Therapist


Radiology Technologist (RT)Radiology Technologist (RT)

Radiology Technologist – (Radiographer) – Radiology Technologist – (Radiographer) – takes x-ray images of the bodytakes x-ray images of the body

Sonographer – performs ultrasound Sonographer – performs ultrasound examinations of the bodyexaminations of the body


Medical Laboratory Technologist and Medical Laboratory Technologist and TechnicianTechnician

Technicians usually perform routine Technicians usually perform routine laboratory testslaboratory tests

Technologists have more education than Technologists have more education than technicians and are responsible for technicians and are responsible for conducting more sophisticated tests; may be conducting more sophisticated tests; may be in supervisory roles in a labin supervisory roles in a lab


PharmacistPharmacist

Dispenses medication as prescribed by a Dispenses medication as prescribed by a healthcare provider to a patienthealthcare provider to a patient

Provides counseling on proper usage of Provides counseling on proper usage of medicationmedication


Continuing EducationContinuing Education

Usually required in Usually required in order for healthcare order for healthcare professional to maintain professional to maintain licensure, certification, licensure, certification, or registrationor registration

Important for healthcare Important for healthcare professional to remain professional to remain aware of changes in aware of changes in medicinemedicine

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1st Qtr 2nd Qtr 3rd Qtr 4th Qtr

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Professional OrganizationsProfessional Organizations

Most professions have an associated Most professions have an associated professional organizationprofessional organization

Organizations help establish profession Organizations help establish profession standardsstandards


Healthcare FacilitiesHealthcare Facilities Clinic – provides outpatient (ambulatory) care; group Clinic – provides outpatient (ambulatory) care; group

of physicians and other providersof physicians and other providers Private practice – medical practice consisting of one Private practice – medical practice consisting of one

physicianphysician Hospital – provides inpatient care (patient stays longer Hospital – provides inpatient care (patient stays longer

than 24 hours); may provide only certain servicesthan 24 hours); may provide only certain services Emergency room – department that provides Emergency room – department that provides

emergency health care (located within a hospital)emergency health care (located within a hospital) Urgent Care Center – provides care for patients Urgent Care Center – provides care for patients

needing immediate physician attention (on an as-needing immediate physician attention (on an as-needed basis); found in clinic and hospital settingsneeded basis); found in clinic and hospital settings


Home Health – provides services for patients Home Health – provides services for patients in patients’ homesin patients’ homes

Nursing Home – provides round-the-clock Nursing Home – provides round-the-clock care for residentscare for residents

Assisted living – level of care far less than Assisted living – level of care far less than nursing home, patients given some nursing home, patients given some assistance with meals and/or medicationsassistance with meals and/or medications

Public Health – government agency providing Public Health – government agency providing healthcare servicehealthcare service

Copyright © 2010, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 1 Medical Office Administration 2nd edition Brenda A. Potter, CPC.

Documents

imprint of elsevier

specialty slide

board examination slide

cpc slide

licensing board slide

health care team slide

chosen field slide

gynecology pediatrics