REGISTRATION
Who is responsible for the bills?
Guarantor
What is a co-pay?
This is the patient's financial responsibility due at each visit.
What does HIPAA stand for?
Health Insurance Portability and Accountability act
What is a team?
A group of people who collaborate and interact to reach a common goal.
What is a PCP?
The physician who manages a patient's care.
What is a consent form?
A form all patients must sign at their visit
What is a deductible?
A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin
What is considered legal documentation?
A Birth or Marriage Certificate; a Passport, a Travel Visa, Driver's License, or any other original court document.
What is an ACE?
Attitude, Communication and Effort make up this card.
What is Outpatient Care?
Treatment received by a patient in a hospital or clinic. The patient does not require hospitalization.
Who is the SUBSCRIBER?
This person carries the insurance coverage for themselves and/or their family.Who is the SUBSCRIBER?
What is Insurance Authorization?
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 identity theft?
Fraud committed or attempted using identifying information of another person without authority.
What is the Financial Advocates?
The team who helps Underinsured/Uninsured patients.
What is inpatient care?
The care a patient receives when they are admitted to the hospital.
What is Insurance Verification?
Validating with third party payors that an insurance is active and other information such as co-pay amount and deductible amounts.
What is Third Party Liability?
When someone else is responsible for the visit due to an accident or injury caused by someone else
What is a Merge Request Form?
This is done when a patient is identified in EPIC with 2 different Medical Record Numbers.
What is EPIC?
Our electronic medical records system
What is a specialist?
Someone who provides specialty care (OBGYN, Neurology, Oncology, Cardiology, ETC.)
What does PSR stand for?
Patient Service Representative
What is someone who is on someone else's insurance called?
A dependent
What are compliance issues?
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 is the department that your reach out to regarding your bill?
The Billing department
What does EMTALA stand for?
Emergency Medical Treatment and Active Labor Act