Check in
Married, Military, no longer require parental guidance and financial support
What are reasons someone could be an emancipated minor?
Wheelchairs, Translators, MARTII machines.
What are resources?
Deductible
What is the amount set by the insurance company that a member must pay before they start paying any benefits.
This is the act that requires hospitals to provide a medical screening exam and stabilizing treatment to every person presenting to an Emergency Department regardless of their ability to pay
What is EMTALA?
MSPQ
MEDICARE SECONDARY PAYER QUESTIONNAIRE. What is the screening process that is used to determine whether Medicare is primary or secondary when a patient has additional coverage?
The policyholder
Who is the subscriber?
Consent by law given when a patient presents unconscious to the Emergency Department.
What is implied consent?
AGE,DISABILITY,ESRD
What are criteria to be eligible for Medicare
FROI
First report of Injury used for workers compensation
Patient full legal name, date written, procedure, diagnosis, and signature of ordering provider
What is a valid order?
A list of instructions that are given to a patient before their services?
What are prerequisites?
The physician who wrote the order for service and is the physician in charge of the patient's care.
What is the attending physician?
IMM
IMPORTANT MESSAGE FROM MEDICARE. For Medicare patients that are being admitted to let them know their rights as a medicare patient if they are discharged too soon.
PPO
What is Preferred Provider Organization?
Guarantor
The person that is ultimately responsible for the bill
H.E.A.T
Hear, Empathize, Act, Take responsibility
Medicare form that must be signed for non-covered services
What is an ABN?
CMS
What is Center for Medicare and Medicaid
Respite
What is a place that allows families caring for dependent incapacitated patients some time off in their care responsibilities.
30 months
What is the # of months an ESRD patient must wait to have medicare as primary insurance?
COBRA
Insurance offered to employees after termination of departure from the company at a discounted rate