Check in
Married, Military, no longer require parental guidance and financial support
What are reasons someone could be an emancipated minor?
Care that allows families caring for dependent chronically incapacitated patients some time off in their care giving responsibilities.
Respite care
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
Consent by law when a patient presents unconscious to the Emergency Department
Implied consent by law
A list of instructions that are given to a patient before their services?
What are prerequisites?
Treatment received by a patient at a hospital, clinic or dispensary. The patient does not require hospitalization.
Outpatient Care
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.
“consent by silence” as implied by no objection.
Implied Consent (In Fact)
PPO
What is Preferred Provider Organization?
Durable Power of Attorney for Healthcare, and Living Will
Advanced Directives
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
Which level of care?
Acute Inpatient setting provides behavioral health services to patients with severe and debilitating behavioral conditions or who may be in crisis mode.
Acute Psychiatric Care
Functions of an information system in a healthcare organization include:
a. Reviewing on-line job opportunities
b. Providing a safe, secure information network
c. Determining who the primary insurance carrier is d. Verifying the patient’s insurance information
b. Providing a safe, secure information network
COBRA
Insurance offered to employees after termination of departure from the company at a discounted rate