Abbreviatioms
What does PHI mean?
Protected Health Information
I can fix your heart. Who am I
Cardiologist
What does medicare part A covers?
Part A: Hospital Insurance
RATHE
Heart
When a provider is_________they are said to be in network.
Contracted
What does PCP mean?
Primary Care Physician
I can fix your lungs. Who am I ?
Pulmonolgist
What does medical part B covers ?
Part B: Medical Insurance
MAHUAN
Humana
CMS is a ________ __________within the US goverment.
Federal Agency
What does HMO mean?
Health Maintenance Organization
I can fix your kidney. Who am I?
Nephrologist
What does part D covers ?
Part D: Prescription Drug
CAMELID
Medical
Double Jeopardy Points - We should never ask the caller for their ________ __________ number.
Social Security
What does CMS mean?
Center for Medicare and Medicare Services
I fix problems with your skin. Who am I?
Dermatologist
Apart from having a combination of AB& D. What other benefits are included in part C?
Dental, Vision and Hearing
SRIHTITRA
Arthritis
A _____________will let you know what the insurance will cover prior to getting services.
Preauthorization
What does HIPAA mean?
Health Insurance Portability and Accountability Act
I fix problems with your feet. Who am I
Podiatrist
What is the difference between Medicare and Medicaid?
Medicare: Adults aged 65 and older, younger individuals with specific qualifying disabilities, or end-stage renal disease.
Medicaid: Low-income adults, children, pregnant women, and individuals with disabilities.
YCNOSOOLPOC
Colonoscopy
Name 3 permitted uses of PHI
1. ______________
2. _______________
3. _______________
1. Verifying benefits/coverage with a member
2. Sharing benefits with a provider
3. Accessing member information while on a call