Foundational Knowledge
the directional reference indicates to the side.
What is Lateral
This stage the revenue cycle is completed.
What is Posting payment
This is where suspected Medicare fraud and abuse is reported
What is Officer of inspector general (OIG)
Action the MAA takes when a patient misses the follow up appt besides calling them
What is Documenting in the patient medical record and re booking the appt
Information imported into the patient health record from the intake forms
What is social history
Abbreviation to be used instead of IU
What is International Unit
No payments from a third party payer have been received in the last month, this report should be reviewed to determine the status of the submitted claims.
What is Insurance aging report
MAA reporting multiple cases of measles to the health department is this responsibility of the National Healthcare Association code of ethics
What is continuously act in the best interest of the general public
the reason vaccination history is a necessary part of the pre-screening questions.
What is determining immunity status of the overall health check
The part of the patient experience where a patient is being educated.
What is check out
The system including the adrenal, pituitary, and thyroid glands.
What is the endocrine system
A third party payers policy for the length of time to submit a claim.
What is timely filing
A requirement when disclosing patient medical records from one practice to another
What is a reason for releasing the medical record
Confirmation essential to help reduce workflow gaps
What is no-show and cancellation policies
Information found in the EOB
What is Coinsurance
The Health record that stores data on an external server and can be accessed with any device that has internet connection but uses a unique user login and password.
What is Cloud-Based EHR system
Provider paid a set amount each month per member.
What is capitation.
The responsibility an MAA is fulfilling when reviewing the fraud and abuse section from the National Health Career Association Code of Ethics.
What is support the standards of professionalism and be honest in all professional interactions
The amount of time a patient should be scheduled for a follow up on diabetes, gout and high blood pressure.
What 60 minutes
Demographic that would be important in the revenue cycle
What is patient demographics
The model involves providers, hospitals, and specialists who work together to deliver quality care specifically patients enrolled in medicare insurance.
What is Accountable Care Organization
This phase of the revenue cycle is reviewing the remittance advice to determine how claims have been paid and if the third party payer has made any errors.
What is receiving and posting reimbursement
This form of consent is when a patient who is in an altered state of consciousness being brought into the clinic.
What is Waived
Pre determined service type for optimal scheduling within the same medical organization
What is same provider service within the last 3 years
Payments that are the patients responsibility expressed as a percentage of the services rendered.
What is Coinsurance