Insurance
The largest US government-funded insurance plan for low income individuals.
What is Medicaid?
Document provided after medical encounter that contains information about the healthcare provider and the service/diagnosis codes.
What is a superbill?
The ability of computer systems or software to exchange and make use of information.
What is interoperability?
Tax ID #?
What is EIN?
Dietitians are a cost, not a revenue stream.
What is false?
The amount of money an individual pays for an insurance policy.
What is an insurance premium?
When a beneficiary pays a portion of the payment made against a claim.
What is co-insurance?
Minimum US government standards for electronic health records.
What is Meaningful Use?
Identification number for healthcare providers.
What is NPI?
Full name of the US federal statute designed to extend health insurance coverage to millions of Americans.
What is the Patient Protection and Affordable Care Act of 2010?
Part of Medicare that covers RDN services.
What is Medicare Part B?
Alpha-numeric codes used to describe services provided by healthcare providers.
What are HCPC's codes?
Any information that may be used to identify a patient, including but not limited to name, date of birth, address, phone number or account number.
What is Protected Health Information or PHI?
Affordability, availability, accessibility, accommodation, acceptability
What is access to healthcare?
Health insurance credentialing agency.
What is CAQH?
Type of insurance plan in which beneficiaries receive full coverage at minimal cost when they use in-network providers in their health care plan, but can opt to receive services from out-of-network providers at a higher cost.
What is Preferred Provider Organization or PPO?
97803
What is the CPT code for a follow-up MNT session?
Method of payment for health services procedures (identified by HCPCs and CPT codes) in which a healthcare provider is paid for each service.
What is Fee-for-Service model?
The number of units an RDN could bill for a 39-minute MNT session.
What is 3?
Computer systems able to perform tasks that normally require human intelligence.
What is Artificial Intelligence?
Each patient has an ongoing relationship with a personal physician who leads a team that takes collective responsibility for patient care.
What is patient centered medical home (PCMH)?
A statement issued to the insured and the healthcare provider by an insurer to explain services provided, amounts billed, and payments made by a health plan.
What is an EOB?
Number of visits per year that Medicare covers for IBT for obesity.
What is 20?
A "Lean" process in which individuals trace their physical workflow by drawing lines.
What is a spaghetti diagram?