DAY TWO JEOPARDY

CHIGENERAL KNOWLEDGE

100

 THE ACRONYM CHI STANDS FOR

Catholic Health Initiatives

200

The state your facility is in is

Nebraska

300

TRUE OR FALSE

CHI IS A NOT-FOR-PROFIT HOSPITAL SYSTEM

TRUE

400

THIS IS THE SYSTEM CHI USES FOR DOCUMENTING PATIENT'S ACCOUNTS, FOR SCHEDULING APPOINTMENTS, AND MAINTAINING PATIENT DEMOGRAPHIC INFORMATION.

EPIC

500

THIS APPLICATION CREATES THE ESTIMATE USING CHI'S CONTRACTED RATES, THE CPT CODE(S), AND THE PATIENT'S INSURANCE BENEFITS

ClearIQ

CUSTOMERSERVICE

100

TRUE OR FALSE - CUSTOMER SERVICE JUST MEANS BEING POLITE TO PATIENTS

FALSE

200

THE ACRONYM HIPAA STANDS FOR

Health Insurance Portability & Accountability Act

300

PEOPLE MAY NOT REMEMBER AN EXACT CONVERSATION THEY HAD WITH YOU BUT WILL REMEMBER HOW YOU MADE THEM_______

FEEL

400

WE NEVER BLAME THESE PEOPLE WHEN WE ARE ALERTED TO AN ERROR 

TEAM MEMBER OR ANOTHER DEPARTMENT

500

OUR PATIENTS REALLY LIKE IT WHEN WE REMEMBER ___________ AFTER THEY TELL IT TO US THE FIRST TIME

THEIR NAME

eGUIDESCAVENGER HUNT

100

THIS TAB SHOWS INFO ABOUT THE MOST COMMON INSURANCE COMPANIES 

INSURANCE GUIDE

200

THIS ENTRANCE AT STE for a Mammogram is

Admissions

300

THIS IS THE LETTER A PATIENT WILL SIGN WHEN THEIR INSURANCE IS OUT OF NETWORK (OON)

NON-COVERED LETTER

400

TRUE OR FALSE - CORONARY CALCIUM SCORING IS A CT STUDY WHICH IS CONSIDERED SELF-PAY BECAUSE IT IS NOT COVERED BY INSURERS AT THIS TIME

TRUE

500

TRUE OR FALSE - You can schedule a breast biopsy at STE without transferring the caller to another department or team

FALSE

INSURANCEPAYOR TYPES

100

THIS INSURANCE IS A PROGRAM RUN BY FEDERAL STATE OR LOCAL GOVERNEMENTS IN WHICH PEOPLE HAVE SOME OR ALL OF THEIR HEALTHCARE COSTS PAID FOR BY THE GOVERNMENT

GOVERNMENT

200

THIS IS WHAT WE CALL PATIENTS WHO DO NOT HAVE INSURANCE OR CHOOSE NOT TO HAVE THEIR COVERAGE BILLED

"SELF PAY" OR "UNINSURED"

300

WHILE GROCERY SHOPPING, I SLIPPED ON A WET SPOT ON THE FLOOR.  ______ IS THE TYPE OF INSURANCE PAYER WHICH WOULD PAY FOR MY MEDICAL TREATMENT.

THIRD PARTY LIABILITY ("TPL")

400

YOU WOULD EXPECT TO SEE THIS TYPE OF COVERAGE ON AN ACCOUNT IF THE PATIENT WAS INJURED WHILE PERFORMING THEIR JOB DUTIES.

WORKERS COMPENSATION

500

THIS TYPE OF HEALTH INSURANCE IS PRIMARILY FUNDED THROUGH BENEFITS PLANS PROVIDED BY EMPLOYERS

PRIVATE/COMMERCIAL HEALTH INSURANCE

INSURANCEVERIFICATION

100

THE ACRONYM RTE STANDS FOR

REAL TIME ELIGIBILITY

200

INSURANCE COVERAGE CAN BE VERIFIED USING THESE 3 RESOURCES/TOOLS: _______

RTE, INSURANCE WEBSITE, PHONE CALL TO THE INSURANCE COMPANY

300

THIS TERM IS FOR THE AMOUNT OF MONEY WHICH MUST BE MET BEFORE THE INSURANCE PAYER AND THE PATIENT SHARE THEIR CO-INSURANCE PERCENTAGES

DEDUCTIBLE

400

What is required to be on an order to consider it valid?

Order Must Have

•  Patient's Name
• Patient’s Date of Birth
•  Date of Order
•  Test or Service
•  Reason for ordering the test or service (diagnosis)
•  Ordering Physician's Name
•  Ordering Provider Authentication (e.g., signature — signature stamps are not permitted electronically signed are valid)

500

THIS IS THE TERM FOR DETERMINING WHO PAYS FIRST WHEN A PATIENT HAS A PRIMARY INSURANCE AND A SECONDARY INSURANCE

COORDINATION OF BENEFITS