insurance
abbreviations
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Enter Category Name
GUESS THE LOGO
100
HOW MANY INSURANCES CAN A PATIENT HAVE
NO LIMIT
100
WHAT DOES DME STAND FOR
DURABLE MEDICAL EQUIPMENT
100
HOW LONG IS A GFSA GOOD FOR
6 MONTHS
100
WHAT DOES THE COLOR RED REPESENT ON THE ED TRACKER
WAITING FOR PROVIDER
100
200
IF A PT COMES IN TO THE ED FOR NUMBESS AND TINGLING IN THEIR HANDS AND THEY PRESENT THEIR MEDICAID FAMILY PLANNING INSURANCE CARD WHAT ARE YOUR NEXT 2 STEPS?
ASK IF THEY HAVE ANY OTHER INSURNACES/RUN RTE
OBTAIN A GFSA (THIS IS NOT A BILLABLE DX UNDER FAMILY PLANNING)
200
WHAT DOES PAT STAND FOR
PREADMISSION TESTING
200
WHAT ONE SINGLE ACTION IN EPIC MAKES A PATIENT A DOE?
ANONYMOUS
200
300
NAME 2 OUT OF NETWORK INSURANCES FOR THE ED
NONE, THE ED TAKES ALL INSURANCE (EMTALA)
300
WHAT DOES HCAH STAND FOR
HOSPITAL CARE AT HOME
300
Which Federal Agency or Regulation established privacy and security rules?
HIPAA
400
A patient is seen in the ED and states their elbow injury is a result of a motor vehicle accident. The patient was the driver.
The patient has Allstate car insurance and a BCBS policy through his work.
How should this patient be registered?
Allstate policy as Primary; BCBS policy secondary
400
WHAT DOES SNF STAND FOR
SKILLED NURSING FACILITY
400
WHAT IS THE CODE COLOR FOR ACTIVE SHOOTER
CODE SILVER
500
Mr. Bradley Pitt, an 87 year old retiree, is to here to be registered for Physical Therapy. He hands you a Medicare, a BCBS Medigap card and a NJ Medicaid card - all policies are active. In what order should the three payors be listed?
Medicare, BCBS, Medicaid
Medicare as the primary insurance because it is the federal health insurance program for people who are 65 or older, among others. As Mr. Pitt is 87 years old, Medicare would be his primary coverage.
BCBS Medigap as the secondary insurance. Medigap is a Medicare Supplement Insurance that helps fill "gaps" in Original Medicare and is sold by private companies. Medigap policies can help pay some of the remaining health care costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles.
NJ Medicaid as the tertiary insurer. Medicaid would be the payer of last resort after Medicare and any other insurance (like Medigap) have paid. Medicaid programs can help pay for costs not covered by Medicare and Medigap.
500
WHAT DOES HIX STAND FOR
HEALTHCARE INSURANCE EXCHANGE (MARKETPLACE PLANS)
500
A Medicare patient states they do not know exactly when they retired. What date are you putting on the MSPQ form?
Month and Day they were born and the year they turned 65
If their birthday is today you would enter 9/28/1960 as the retirement date.
600
WHAT MEDICARE PLAN IS OUTPATIENT AND ED SERVICES BILLED UNDER
PART B
600
WHAT DOES FMLA
FAMILY MEDICAL LEAVE ACT
600
If a Medicare pt presents to you with no card and RTE/Coverage discovery is not pulling any information. what do you do
Go to Oncesource/Passport and look up the MBI number and check eligibility that way.