HIPAA
Billing
Grab Bag
Reimbursement
TLAs
100
837 (i)
What is an Institutional Claim?
100
Another name for a charge ticket
What is a superbill?
100
10%
What is the targeted percentage of Days in AR greater than 90 days from the Collector Desktop?
100
Patient Responsibility/ Liability.
What is Deductible, Co-Pay, Co-Insurance?
100
DRG
What is Diagnostic Related Group?
200
October 1, 2015
What is the start date for ICD-10?
200
Two terms for payers not paying on a claim.
What are rejections and denials?
200
Jeff Darling's "little tool".
What is AccuReg? (an edit scrubber tool designed to provide a quality assurance for the demographic, insurance and related information obtained at registration.)
200
Payers use this when determining who is the primary or secondary payer.
What is Coordination of Benefits?
200
OPPS
What is Outpatient Prospective Payment System?
300
270/271
What is the HIPAA transaction code set for eligibility Inquiry and Response
300
Medical Services, Clinical Laboratory, Outpatient Hospital Services.
What does Medicare Part B cover?
300
The guidelines for the rules cashiers follow in all financial transactions?
What is Generally Accepted Accounting Procedures (GAAP)?
300
The term for when payment is never expected for services provided?
What is Charity Care?
300
ICD-10
What is International Classification of Diseases 10th revision?
400
278
What is an Authorization Code Set?
400
Long Term Care ancillary services combined with Room and Board.
What is Medicare A Consolidated Billing?
400
1894
What is the year Oneida City Hospital started operating?
400
Ambulatory Payment Group
What is the reimbursement methodology for outpatient services for NY Medicaid?
400
ACA
What is the Affordable Care Act?
500
An agreement that covers entities for viewing and manipulating PHI (Protected Health Information).
What is a (BAA) Business Associate Agreement?
500
An insurance policy term that pays for deductibles, co-payments, and co-insurances that the patient would normally be responsible for under Medicare.
What is Medigap?
500
According to the Fair Credit Billing Act, the patient must notify the hospital of any errors within _________ days after the statement has been mailed to the patient, and the hospital has ______ days to correct the error or prove the accuracy of the bill to the patient.
What are 60 days and 90 days?
500
The patient won't pay; not that the patient can't pay
What is the definition of Bad Debt?
500
HCPCS
What is Healthcare Common Procedural Coding System?
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