HIPAA
Under HIPAA, this must be signed by the patient before sharing PHI for non-treatment purposes.
What is a HIPAA authorization?
The process of managing a patient’s account from the beginning to the end.
What is Revenue Cycle Management?
A flat fee paid by the patient at the time of service.
What is a copay?
The first thing you should ask a patient when they arrive.
What is "Can I see your ID and insurance card?"?
This federal law protects patient privacy and health information.
What is HIPAA?
Locking computers and shredding PHI are examples of this type of safeguard.
What is a physical safeguard?
Revenue cycle must follow this federal privacy law.
What is HIPAA?
The amount the patient must pay before insurance starts paying.
What is the deductible?
The process of verifying patient information is current.
What is demographic verification or registration update?
In most states, this must be obtained before disclosing mental health records.
What is written patient consent?
Leaving a patient chart open on a public screen is a violation of this.
What is HIPAA Privacy or Security Rule?
Claims must be submitted within this time limit.
What is the timely filing limit?
The percentage of costs a patient pays after the deductible is met.
What is coinsurance?
New patients often fill out this paperwork before being seen.
What is a new patient packet or intake form?
This law prevents false or fraudulent healthcare claims to the government.
What is the False Claims Act?
HIPAA stands for?
What is the Health Insurance Portability and Accountability Act?
A denial occurs when this happens to a claim.
What is the insurance refuses to pay?
This term refers to money owed by the patient after insurance has paid its portion.
What is patient balance or out-of-pocket?
You must do this to confirm that the insurance is active.
What is insurance verification?
What program was implemented to find and correct improper Medicare payments paid to health care providers participating in fee-for-service Medicare?
What is Recovery Audit Contractor (RAC)?
The year HIPAA was enacted.
What is 1996?
The first step of the revenue cycle.
What is patient registration?
Services not included in a plan’s coverage.
What are non-covered services?
This is how you should respond when a patient is upset.
What is calmly, respectfully, and with empathy?
These two laws are often confused because both address financial conflicts in healthcare.
What are the Stark Law and Anti-Kickback Statute?