SCHEDULING
What Is modified wave booking?
When two patients come in one on the hour and one on the half hour
What Is reimbursement?
Payment form insurance companies
What is a statement?
A request for payment
A form sent to insurance companies to submit claims
What is a deductible?
Amount due by patient before insurance company will pay for covered benefits
What is a Matrix?
What is a DNR form?
A form that states patient does not want to be revived after experiencing a heart episode or other life-threating event
What is a general Journal?
Document where transactions are entered
What is divulge?
To make private or sensitive information known
What is a patients bill of rights?
A list of guarantees for people receiving medical care
Why is it important to get Preauthorization if the patients insurance requires you to do so?
Because the insurance company might not cover the test or procedure
What is a provisional diagnosis?
A temporary or working diagnosis
What three basic filing systems do medical practices generally use?
alphabetical by name
numeric
subject
What is UB-04 used for?
institutional claims
Before treating a patient a provider must always have what?
consent
What is an invoice?
A document that describes items purchased or services rended and shows the amount due
What is a key element of a patients medical record?
demographics sheet
What is the difference between a copayment and coinsurance
copayment is a fee collected at the time of service and coinsurance is the percentage of health care cost the patient is responsible for after the deductible
Who owns the patients medical record?
Physician/ provider
What is ACA?
Affordable Care Act
What should you tell a patient to bring on the first visit with the physician?
insurance card
photo identification
and referral if needed
What is the health care common procedure coding system?
(HCPCS)
A group of codes & descriptors used to represent healthcare procedure, supplies, products, and services
What is a Day sheet?
A daily record of financial transactions, including services rendered, chargers, and receipts.
* every transaction must be recorded on the day sheet
What records/ forms does OSHA require be kept so that they can keep track of work-related injuries?
OSHA form 300
OSHA Form 300 A
OSHA form 301
What is an Advanced Beneficiary Notice of Noncoverage?
(ABN)