This is the patient's financial responsibility due at each visit.
What is a co-pay?
100
The health center's policy on HIPPA violations
What is Zero Tolerance?
100
A group of people who collaborate and interact to reach a common goal.
What is a team?
100
The physician who manages a patient's care.
What is a PCP?
200
Most insured patients must sign one of these at every visit.
What is a WAIVER?
200
A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin.
What is a deductible?
200
A Birth or Marriage Certificate; a Passport, a Travel Visa, Alien Registry card, Driver's Licenseor any other original court document.
What is considered legal documentation?
200
Attitude, Communication and Effort make up this card.
What is an ACE?
200
Treatment received by a patient in a hospital or clinic. The patient does not require hospitalization.
What is Outpatient Care?
300
This person carries the insurance coverage for themselves and/or their family.
Who is the SUBSCRIBER?
300
Approval from third party payors to provide specified care in a particular setting; written or electronic assurance that the services will be covered under the terms of the patient's health care plan.
What is Insurance Authorization?
300
Fraud committed or attempted using identifying information of another person without authority.
What is identity theft?
300
Underinsured/Uninsured patients are helped here.
What is the Enrollment department?
300
What Boston team is playing in the Playoffs?
Who are the Boston Celtics?
400
Validating with third party payors that an insurance is active and other information such as co-pay amount and deductible amounts.
What is Insurance Verification?
400
TPL
What is Third Party Liability?
400
This is done when a patient is identified in EPIC with 2 different Medical Record Numbers.
What is a Merge Request Form?
400
Our patient database.
What is EPIC?
400
ARM
What is Appointment & Referral Management?
500
This form allows us to bill the patient's insurance, release certain medical information related to that claim and then to receive payment directly from the insurance company for services rendered.
What is an AOB/ROI?
500
Prime, Second or Partial is entered here.
What is the Group Number field?
500
Fraud and abuse, billing practices, Antitrust, quality of care, managed c are, bribes and improper payments conflicts of interest, environmental concerns, and copywright and software licensing.
What are compliance issues?
500
The department who assigns PCP's to all Adult & Family Medicine patients.
What is Member Services?
500
EMTALA
What is Emergency Medical Treatment and Active Labor Act?