Compliance Corner
The federal law that ensures public access to emergency services regardless of ability to pay.
What is EMTALA?
The process of collecting patient demographic and insurance information.
What is Registration?
Type of plan typically requires a referral from a PCP.
What is an HMO?
This is the first impression patients get when they arrive.
What is Check-in/Front Desk interaction?
Emergency Room hours of operation.
What is 24 hours?
What HIPAA stands for.
What is the Health Insurance Portability and Accountability Act?
What must always be verified at every visit?
What is patient identity (2 identifiers)?
The amount a patient pays before insurance starts covering services.
What is a Deductible?
The best way to handle an upset patient.
What is Listen and show empathy?
Number of Financial Counselors Carson Tahoe has.
What is 4?
This happens when a healthcare employee leaves their computer screen open and walks away.
What is a HIPAA violation?
This document allows providers to bill insurance on behalf of the patient.
Explanation of Benefits (EOB)
The percentage a patient pays after the deductible.
What is Coinsurance?
What should you do if you don’t know the answer to a patient’s question?
What is Seek help or escalate appropriately?
Carson Tahoe's CFO
# of patient identifiers are required before providing care.
What is Two?
Term for checking if a patient’s insurance is active.
What is Eligibility Verification?
The fixed amount a patient pays for a visit.
What is a Copay?
The most important skill in patient interactions.
What is Communication?
The year Carson Tahoe opened its doors.
What is 1949?
Action you should take if you suspect a HIPAA violation.
What is Report it?
Why is it important to collect insurance information before services are rendered?
What is to ensure accurate billing and avoid delays or denials?
The term for when we get approval from insurance before services are performed.
What is Prior Authorization?
A patient is upset about a bill you cannot fix—what is the best next step?
What is escalate or connect them to the appropriate department?
This communication framework includes Acknowledge, Introduce, Duration, Explain, and Thank You.
What is AIDET?