Insurance
Registration
Compliance
Acronyms
Codes
100

A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin.

What is a Deductible?

100

 Who is the person that is ultimately responsible for paying the patient’s bill? 

Who is the Guarantor

100

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?

100

IMM

WHAT IS IMPORTANT MESSAGE FROM MEDICARE.

100

Cardiac Arrest

What is a Code Blue.

200

The individual who carries the insurance coverage.

Who is the subscriber?

200

The physician who supervises a patient’s care during an inpatient stay.

Who is the Attending Physician?

200

Protects the use, storage and transmission of patient’s health care information in all forms, from paper to the growing trend toward electronic medical records.

What is HIPAA

200

MSPQ

WHAT IS MEDICARE SECONDARY PAYER QUESTIONNAIRE.

200
Non-Patient Injury (inside Building)

What is a Code 9.

300

A fixed amount the beneficiary pays for health care services, regardless of the actual charge; the amount is designated as the patient’s responsibility.

What is a co-pay?

300

What are Soarian's primary search identifiers?

What are Full name and date of birth.

300

Regulated by the Agency for Health Care Administration (AHCA), this is collected under the Admit Source field in the registration and indicates where the patient came from before presenting to the respective facility.

What is Point of Origin.

300

COBRA 

Insurance offered to employees after termination of departure from the company at a discounted rate

300

Hazardous Spill

What is a Code White.

400

AGE, DISABILITY, & ESRD

What are criteria to be eligible for Medicare.

400

To inform the patient that Medicare may not consider the health services being provided as medically necessary and that there is a good possibility that Medicare will not pay for the service provided and the patient may be billed for the service.

What is the
Advance Beneficiary Notice (ABN)?

400

This is a systematic review of patient access processes to ensure compliance.

What is an Audit.

400

AIDET

What is Acknowledge, Introduce, Duration, Explanation, Thank you.

400

Missing Child over 28 Days Old

What is a Code Adam.

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