Forms
A written notice given to a beneficiary before receiving certain items or services, informing them that the insurance may deny payment for specific services, and that they my be financially responsible
What is a Advance Beneficiary Notice (ABN)
Block off the providee’s unavailable times
What is a Matrix
Added to the end of a CPT code
What are modifiers
Ensuring that employee “right to know“ information is available
What is OSHA’s Hazardous Communication Standard
List all of the patient’s chargers and payments and is kept in their medical record
What is a patient ledger
Agreement conveying the medical professional‘s right to claim medical services and obtain benefits from the patient’s insurance plan
What is an Assignment of Benefit
Scheduling three patients at the same time for the same provider
What is double booking
Indicates where a visit or procedure was performed
What is a place or service (PPO) code
What program would an MOA use to create a database
What is Microsoft Access
Groups of healthcare providers who work together to coordinate high-quality patient care for Medicare recipients
What is an Accountable Care Organizatiom (ACO)
States that the patient does not want to be revived after experiencing life threatening events
What is Do not Resuscitate (DNR)
What should a MOA do each time each time during check in
What is obtaining verbal confirmation Of demographic information
Submit claims for hospital services/procedures (it is discontinued)
what is a Ub-04
What disease do a patient have if they have high concentrations of fat lipids in the blood
What is a Hyper-lipid-emia
A patient who presents with symptoms that include jaundice, swollen joints, leg ulcers, enlarged liver, and aching bones may be suffering from what condition
What is sickle cell anemia
Practices explains to patients how their informations will be used an protected by the medical office
What is a Notice of Privacy Practice
Failure to exercise treatment which causes patient harm
What is negligence
Procedure classification published by the USA for classifying procedures performed in hospital inpatient health care settings
ICD-10-PCS
How many provisions does HIPAA have and what are they
Two provisions- Accountability and Portilbility
A provider who is in contract/in network with a third party payer
what is a participating provider (PAR)
The document us an explanation of benefits that goes to the provider to breakdown how payment was made; it is sent along with payment to the provider p
What us a Remittence Advice
What specialist should a patient be referred to for carcinoma
What is an oncolgist
Universal claim form to bill third party carriers
What is the CMS-1500
Who should sign as a witness after the physician signs a patient‘s advance directive
What is a non-affiliated individual
Medicare that covers both in patient and outpatient services
What is Medicare Part C