Black Panther
PHI
What is Protected Health Information?
HIPAA
What is the Health Insurance Portability Act of 1996?
PPO
What is a Preferred Provider Organization?
PCP or PCM
What is a Primary Care Provider or Primary Care Manager?
TOS
What is Time of Service?
The amount that must be paid before benefits can begin.
What is Deductible?
An individual's personal code of conduct
What is ethics?
Rules governing the correct or polite way to react/behave
What is etiquette?
another word for insured
What is policyholder, subscriber, enrollee?
The percentage shared by the health plan and the patient once the deductible has been met
Wha is Co-insurance or Coins?
Copay
What is the set amount that must be paid by the patient based on the type of facility or provider?
Standarized communication from computer to computer
What is EDI, EDE or electronic data interchange/exchange?
Meaningful use
What is the government paying providers to change from paper charts to electronic medical records?
PPACA
What is the Patient Protection and Affordable Care Act of 2010?
What is write off?
What law incentivized the use of electronic medical records before it became mandatory in 2014.
What is HITECH?
medical necessity
What is ensuring the procedure given is warranted (based on the patient's diagnosis)?
Billing a patient the difference between the coast and allowed amount
What is balance billing?
True or False: A practice/facility is required by law to have a financial policy.
What is false?
Retention policy
What is the time frame in which records are kept by the medical facility?
Government Payers
The law that prohibits fraud and abuse
The amount a provider is limited to charging the patient due to having a contract with a payer.
TPO
mammogram and immunizations
What are preventive services?