Abbreviate This
PPO
What is Preferred Provider Organization?
A certain percent you must pay each benefit period after you have paid your deductible. This payment is for covered services only.
What is Coinsurance
You should always verify Medicaid coverage if a patient has these types of coverages.
What is Medicare only, Medicare Advantage and Self-Pay?
The federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
What is Medicare?
Term used for looking too deeply into a patients account and tracking it.
What is "In the Weeds"?
OOP
What is Out of Pocket?
The amount you pay to a healthcare provider at the time you receive services.
What is Copayment (Copay)?
You should add this template to every referral and auth/cert account.
What is .REGFCC?
A group of like-minded individuals that agree to come together and help each other pay their medical expenses.
What is a HealthShare?
Term used to protect oneself from blame or responsibility of a denial.
What is "Cover your Anatomy"?
HIPAA
What is Health Insurance Portability and Accountability Act?
The highest amount a health plan will pay for a health service.
What is Allowed Amount?
You would add this to every account you worked after its completed. This also helps track productivity.
What is Flags?
A federal and state program that helps with medical costs for some people with limited income and resources.
What is Medicaid?
Animal Friendly term used to get two things done at once.
What is "killing two stones with one bird"?
CMS
What is Centers for Medicare and Medicaid Services?
Charges for services and supplies that are not covered under the health plan.
What is Non-covered Charges?
Term used when a patients account has been checked for authorization requirements and there are no issues.
What is Financially Cleared?
A corporation that manages health benefits under the United States Department of Veterans Affairs.
What is Triwest?
Term used for ensuring we have all the resources needed for our job.
What is "Give you the tools for your toolbelt"?
COBRA
What is Consolidation Omnibus Budget Reconciliation Act
A healthcare provider who is part of a plan’s network.
What is Network Provider/In-network Provider?
You should do this if your inpatient surgery authorization is pending.
Contact referral source and Financially Unclear account.
A type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits.
What is Medicare Advantage?
One Source of Truth.
What is OneNote?