Strategic Office Administration
© 1997-1998 R. C. SCHAFER, DC, PhD, FICC
TABLE OF CONTENTS
1. Introduction to a Rewarding Career -14
How Chiropractic Is Similar to Other Health-Care Professions -14
How Chiropractic Differs from Other Health-Care Professions -15
The Chiropractic Approach -15
Environmental Irritants -15
The Nervous System: Primary Regulator of Function -16
Social Concerns -19
Examples of Professional Recognition -20
The Philosophy of Chiropractic -21
Articular Injury -22
Intervertebral Foramen Impairment -22
Intervertebral Disc Disorders -23
Chiropractic Adjustments -23
Brief History of Health Care -24
Early Records -24
Birth of Modern Chiropractic -24
Scope of Chiropractic Practice -25
Basic Principles of Clinical Chiropractic -26
2. The Important Role of the Chiropractic Assistant -28
Versatility Is Often Necessary -28
Duties and Responsibilities -29
The Practice Plan -29
The Atmosphere of a Professional Office -30
Staff Adaptability -31
The Business Aspect of Health Practice -32
Administrative Complexities -32
Initial Data Gathering -33
Fees for Service -33
Acquainting Yourself with Office Policies -33
Policies vs Procedures -34
Practice Policies vs Employee Policies -34
Personnel Records -35
Payroll Deductions -35
Resignation -35
Dismissal -35
Housekeeping Control -36
Confidential Information -36
Personal Telephone Calls -37
Grievances -37
Developing Your Initial Contribution -37
Continuing Education -39
Closing Remarks -39
3. Responsibilities of an Administrative Assistant -40
Overview -40
General Office Philosophy -43
Aiding Professional Service -44
Opening the Office -46
Greeting Patients -46
Importance of a Positive Approach -47
Types of New Patients -49
Greeting Visitors -52
Telephone Duties -53
Attitude -53
Answering the Telephone --56
Calls the Assistant Can Resolve -57
Calls the Doctor Must Resolve -58
Call Records -60
Follow-up Calls -60
Outgoing Calls -61
Answering Services -61
Pressure Shows Your Personality -61
Summary of Highlights -62
Managing the Reception Room -63
Overseeing the Receiving Area -63
Educational Literature -64
Reception Area Supervision -65
Successfully Managing a Professional Appointment System -66
Handling and Making Appointments -66
Managing the Appointment Schedule -70
Handling Difficult Appointment Requests -77
Appointment Planning Influence on Case Management -81
Handling Broken, Changed, or Late Appointments -85
Handling Emergency Situations -90
Maintaining Appointment Continuity and Control -91
Office Records -98
Office Records and Functions -98
Typical Office Records and Communications --99
Common Record Flow -99
Emergency Telephone Numbers -100
Closing the Communications Gap -100
Standard Operating Procedures -101
Entering Patient Data -101
Patient History Form -102
Examination and Case History Form -104
Case Progress Records -105
Legal Considerations -106
Referral List -109
Other Record sand Forms -109
Office Filing Systems -109
Basic Filing Requirements -110
Pulling Files -110
Safety and Security Considerations -111
Avoiding Space Waste -111
Filing Systems -112
Types of Files -114
Purchasing and Inventory Management -124
Typical Business Office Supplies -124
Ordering Supplies -124
Checking Deliveries -124
Clinical Supplies -125
Handling Mail and Correspondence -126
Daily Record -127
Transmittal Slips -128
The Doctor's Correspondence -128
Preparing Enclosures -128
Organizing Incoming Mail -129
X-Ray Films -130
Certified and Registered Mail -130
Letters Containing Checks or Money Orders -130
Document Routing Slips -131
Handling Mail in the Doctor's Absence -131
Holding File -131
Housekeeping and Equipment Service -132
Cleaning Services -132
Equipment Service and Repair -132
Periodic Inspections -132
Policy and Procedural Changes -133
Business and Personal Duties for the Doctor -134
Nonpatient Callers -134
Organizational Aid -135
Meeting and Travel Arrangements -136
Personnel Data -136
Postgraduate Education Log -136
4. Preparation of Professional Documents -138
Office Correspondence -138
Signature Authorization -139
Form -139
Letter Quality -152
Style -152
Design -156
Opening and Closing the Body of a Letter -156
Vocabulary -157
Form Letters and Model Paragraphs -158
Letters Over an Assistant's Signature -158
Letters Over the Doctor's Signature -159
Clinical Reports -162
Postexamination Reports -162
Narrative Reports -164
General Grammar and Rules of Composition -165
Antecedents -166
Verb Number -168
Collective Nouns -168
Verb Tense and Mode -171
Possessives -172
Comparisons -173
Parallelism -174
Punctuation -174
Capitalization -191
Numerals -195
Calendar Dates -199
Abbreviations -200
Footnotes -203
Bibliography Style -205
Errata -207
Formal Professional Papers and Reports -208
The Basic Outline -209
Testing the Outline -209
Organization -210
Typography of Reports -217
Typing Hints and Helps -223
Labeling Drafts -224
Word and Line Divisions -224
Proofreading -224
Spelling -225
5. Brief Introduction to Computer Science -227
The Beginning -227
Early Contributors -227
A Need Is Met for the 1890 Census -228
Microcomputers -229
A Look Ahead -230
What Computers Do -230
Hardware Versus Software -232
Computer Hardware -233
Basic Hardware Elements -233
The Factor of Time -235
A Byte Is Not a Bite -235
Addressing -239
The CPU -239
Registers -239
The Keyboard -240
Buffers -241
Function Keys -241
Numeric Keypad -242
Enhanced Keyboard -245
Storage and Input/Output Devices -245
Floppy Disks -245
Hard Disks -247
Monitors -248
Input Devices -248
Output Devices -249
Interfaces -250
Operating Systems and Commands -251
DOS -251
Parts of DOS -251
Input/Output System -252
Command Processor -253
Starting the Computer -253
Default Drive -254
Device Names -255
Rules for Filenames -255
DOS Commands -256
Command Syntax -256
Listing a Disk Directory -257
Date and Time -258
Formatting Disks -258
Erasing Files -259
Renaming Files -260
Copying Files -260
Typing a File -262
Backing-up a Disk -263
Checking a Disk -263
Concluding Remarks -264
The Role of Subdirectories -266
Paths -267
Tree Structure -267
Batch and Configuration Commands -269
Batch File Commands -269
Configuration System Commands -272
6. Insurance Considerations -274
Introduction -274
Physician Coverage -274
An Office's Insurance Inventory -275
An Overview -275
Maintaining Coverage -276
Malpractice Insurance -277
Medical Expense Insurance -280
Disability Income Insurance -281
Other Types of Coverage -282
Third-Party Relationships -285
Administrative Control -285
Coding Systems in Insurance Claims Processing -290
Claims Control -291
Policy Coverage -291
Helping Patients Process Claims -293
The Processing Procedure -294
Major Medical Accounts -298
Personal Injury Accounts -298
Blue Cross and Blue Shield -299
Workers' Compensation Accounts -300
Automobile Accident Cases -304
Health Maintenance Organizations -306
Government Sponsored Public Plans -306
Medicare -306
Medicaid -308
FEHB -309
CHAMPUS and CHAMPVA -310
Welfare -310
Standardized Claim Forms -310
Statements to Private Insurance Companies -312
Blue Shield -313
Medicare Statements -313
Medicare Receipts -315
Medicaid Statements -315
Workers' Compensation Reports -316
Requests and Follow-up Activities -317
Assignments -317
Cases Accepted on a Nonassignment Basis -318
Cases Accepted on an Assignment Basis -318
Private Insurance Company Assignments -319
Blue Shield Assignments -320
Medicare Assignments -320
Posting Procedures in Assignment Accounts -320
Write-offs -321
Medicolegal Considerations -321
Cost and Utilization Control -322
Professional Standards Review Organizations (PSROs) -323
Peer Review Objectives -323
Independent Consultants -323
Preferred Provider Organizations (PPOs) -324
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