Insurance Types
A plan that covers only hospital costs
“What is a high-deductible health plan (HDHP)?”
“The person responsible for coordinating post-hospital care.”
“Who is the case manager?”
“The right to refuse treatment.”
“What is informed refusal?”
“The team member who manages post-hospitalization IV therapy orders”
Case Manager
What you document after every patient encounter.
“What is progress note?”
“A policy where you choose any provider, usually with higher premiums.”
“What is a preferred provider organization (PPO)?”
“A destination where patients with substance use disorders choose to go for continued help & support ”
“What is an inpatient rehabilitation facility?”
“The principle that personal health info stays private.”
“What is HIPAA?”
A patient can’t pay rent, they may struggle with this key factor in health.
What is stable housing?
“The form you use to authorize release of records.”
“What is a release of information (ROI) form?”
“A government program for low-income adults and children.”
“What is Medicaid?”
“The first step in discharge planning, done within 24 hrs of admit.”
“What is the initial assessment?”
“The legal document appointing someone to act if a patient can’t.”
“What is a durable power of attorney for healthcare?”
“The process of sharing patient info across settings.”
“What is care transitions?”
Document sent to insurance to request treatment for services.
"What is prior authorization?"
“A supplement to Medicare covering gaps like copays.”
“What is Medigap?”
“The document outlining home care needs after the hospital episode has concluded .”
“What is a discharge plan?”
"What is the AVS?"
“The right to receive an itemized hospital bill.”
“What is the right to an explanation of benefits (EOB)?”
When language barriers arise, you enlist this service to ensure accurate communication.
What is medical interpretation (or interpreter services)?
Avoid this type of language—it’s unprofessional and ambiguous.
"What is jargon or vague language?"
“Insurance for people under 65 who can’t get group coverage.”
“What is individual health insurance?”
“The meeting where family, nurse, provider, and case manager align on the plan.”
“What is the multidisciplinary discharge huddle?”
“The federal law governing safe hospital conditions.”
“What is the Emergency Medical Treatment and Labor Act (EMTALA)?”
Local organizations that provide essential services like food assistance, housing support, or transportation to patients in need.
"What are community resources?"
Documenting this early helps prevent readmissions and miscommunication.
" What is discharge planning?"