TYPES OF HEALTHCARE FACILITIES

• Hospitals. The most common work environment for healthcare professionals.
• Medical Offices. May be run by hospitals as an extreme branch, or they may be owned and operated by a physician.
• Government Organizations. A large number of medical professionals work for government organizations and agencies,

  in both clinical and non-clinical capacities.
• Non-Profit Organizations. These organizations exist to achieve a mission or fight for a cause.
• Educational Institutions. Medical professionals are needed in all sectors of the education system, from K12 schools to

  universities.
• Military Organizations. All military branches need qualified medical staff in their ranks.
• Hospice Facilities. Hospice is the branch of healthcare servicing the most seriously ill of all patients. Its purpose is to

  provide the patient with as much comfort, dignity and independence as possible.
• Nursing Homes and Long-Term Care Facilities. Patients who are unable to care for themselves are placed in nursing

  homes or long-term care facilities.
• Scope of practice describes the procedures, actions, and processes that a healthcare practitioner is permitted to undertake in keeping with the terms of their professional license.
• paternalistic- the doctor decides for the patient
• informative- the doctor provides facts to the patient
• deliberative- the doctor, in addition, tells his preferences too
• interpretive- the doctor helps the patient find their preference
• Nonfeasance – or failure to do what a prudent person would do that results in harm to a patient—for example, failure to monitor a patient’s warfarin (Coumadin) levels, which results in the patient being hospitalized for internal bleeding (also called omission)
• 2. Malfeasance – or performance of an improper act that results in harm to a patient—for example, prescribing a medication to a patient with a known allergy, which results in the patient’s death (also called commission)
• 3. Res Ipsa Loquitor - a Latin phrase that means “the thing speaks for itself,” indicating an unintentional tort that is an obvious mistake in which negligence is clearly evident
• 2. Informed consent- a type of consent form given to the patient which explains facts, options and risk factors associated with a particular surgery or procedure. An "informed consent" must be given to a patient and signed before all invasive surgeries.
• 3. Substituted consent-consent given by a person other than the patient. This consent is given on behalf of a person who is legally incompetent. (Minors, mentally handicapped, elderly etc.)
• Implied consent- consent that is indicated by a person's actions (body language or gestures)
• 4. Express consent-consent that is indicated and presented verbally and in writing. This is the most important type of consent. Because it is signed by the physician and the patient, it is written "proof" that consent was given and the patient was informed of the risks.
• THE PART OF THE PROCESS THAT IS THE ACCURATE RECORDING OF FINANCIAL TRANSACTION IS CALLED BOOKKEEPING.
• Accounting for the practice may be done in one of the two ways: 

  1. Cash Basis
  2. Accrual Method
• a record of services rendered, daily fees charged, payments received, and adjustments. It is called a “general journal” “day sheet” or “daily earnings record”
• Receipt Slip/ Charge provide a record of the physician’s services and the charges for these. Each slip has a tear-off receipt for the patient.
• ledger contain a patient’s name, services rendered, charge, payment, and balance.
• Accounts payable ledgers record expense amounts owed to a supplier or creditor.
• Accounts receivable ledgers record the balance of payments due from patients or others on current accounts.
• The monthly summary shows the daily charges and payments for an entire month.
• The annual summary provides the monthly charges and payments for an entire year
• In some practices, quarterly (a three-month period) summaries are prepared.
• banking- This includes making deposits and tying up financial records.
• • 2. Predated checks: A check dated in the past is acceptable only if the date is within a six-month period before the date which you receive it. 
• • 3. Third-party checks: In this case, third party refers not to an insurer but to anyone other than the patient. A third-party check is a check written to the patient by a person unknown to the practice. 
• •  Postdated checks: A check dated in the future cannot be cashed until that future date. 
• A petty cash fund is a fund containing small amounts of cash to be used for small expenses.
• Consecutive filling- 0001,0002,0003
• non-consecutive filling- 70-20-50
• active files- files that are accessible anytime. after 6 years in of doormat, store it i the archive, after 20 years in the archive, dispose it using a shredding machine.
• archive- temporary deletion/storage of documents
• medical record purging- term for disposal of medical record through shredding