-Coverage with private insurance companies,
-Blue Cross Blue Shield (BCBS) Association,
-Local BCBS organizations,
-Customary maximum,
-Fixed fee schedule,
-Blue card,
-Kaiser Foundation Health Plan,
What is private health insurance
100
-Standard payment period is normally within 30 days,
-Open-book account,
-Written contract account,
-Single entry account,
-Double entry account,
-Hardship cases
What are collection policies and procedures
100
Provides an index of disease descriptions in the tabular list,
Provides an index in table format of drugs and chemicals that cause poisoning,
Provides and index of external causes of injury, such as accidents
What is Alphabetical Index – Volume 2
100
Personal computers,
Desktops,
Notebooks,
Palmtops,
Mainframes and minicomputers,
Supercomputers
The sender sends a message to the receiver and the receiver responds with feedback,
The message can be verbal or nonverbal,
The communication process can be broken by noise when it interferes with receiving the message
Bookkeeping systems,
Single entry,
Daily log of charges,
Patient ledger cards,
Payroll records,
Cash payment journal,
Petty cash records
What is accounting
300
V codes,
E codes,
Symbols,
Square, bullet, triangle, facing triangle
What is Special Codes
300
Being friendly, warm, and attentive
Verbalizing concern for patients,
Encouraging patients to ask questions
What is positive communication
400
Verify insurance information,
Complete the CMS-1500 claim form,
Base the claim on the superbill,
Use electronic claims submissions if possible,
Track insurance claims
What are steps in the claim process
400
Vendors,
Local vendors,
Catalog services,
Purchase requisitions
What is ordering and receiving supplies
400
Level I codes,
Level II codes,
Level III codes
What is Healthcare Financing Administration Common Procedure Coding System
400
RAM,
ROM,
Hard disk drive,
Diskette drives,
CD drives
What are storage devices
400
Hand gestures,
Eye contact,
Nodding,
Posture,
Attention to personal space,
Touch
What is non verbal communication
500
Claim is not for a covered contract benefit,
Patient’s preexisting condition is not covered,
Patient’s coverage has been canceled,
Workers compensation is involved,
No preauthorization was obtained,
Physician provided services before patient’s health ,insurance contract went into affect,
Carrier asks for additional information
What are reasons claims get denied
500
Administrative,
Stationery,
Typing paper,
Photocopy paper,
Medical records forms,
Clinical,
Towels,
Drapes,
Gowns,
Table paper
What are medical office supplies
500
Provider bills for services that were not provided,
A patient exaggerates an injury to get a settlement from an insurance company or a medical assistant is asked to change a date on a patient’s chart so that a service is covered by a health plan
What is fraud
500
Word processing,
Text editing,
Proofreading,
Database management,
Accounting and billing,
Spreadsheet,
Appointment scheduling
What are applications software
500
Empathy,
Respect,
Genuineness,
Openness,
Consideration and sensitivity