RAINBOW RUMBLE

A

1

A person who visits a doctor with ailment or health related issue to take the treatment from a physician.

Patient

2

What are the two types of providers 

Individual or non-institutional

Facility of Institutional

3

This a type of facility that provides Preventative, supportive, rehabilitative or therapeutic care is provided to a patient at home. 

Home health

4

These are provider in contract with the patient’s 

Insurance.

Participating Provider

B

1

What are the two types of Patient? 

1. New Patient 

2. Established Patient

2

The main task of this type of physician is to diagnose and assist patients with routine check-ups and examinations. They also can refer a patient to a specialist

PCP or Primary Care Physician

3

A type of facility for terminally ill patients with a life expectancy of not more than 6 months 

Hospice

4

These are provider not in contract with the 

patient’s insurance.

Non-Participating

C

1

It is an individual or institution which is licensed by the federal government to provide health care services.

Provider 

2

It is a medical doctor with advanced training in a specific area of medicine, focusing on diagnosing and treating particular health issues or conditions

SCP or Specialty care physician

3

This is a type of facility that is also called as Day Surgery or Same-Day-Surgery (SDS)

Ambulatory Surgery Centers

4

This is one of the Provider identifiers assigned by the Federal Government Issued for tax purposes

Federal Tax ID / Tax Identification Number (TIN)

D

1

RCM stands for? 

Revenue Cycle Management

2

This is a type of Hospital that handles routine care on short term basis

Acute care

3

This a type of facility that primarily provides in-Patient treatment usually for long-term basis 

Skilled Nursing Facility

4

This is one of the Provider identifiers ssued by the Insurance Company / Health Plan to their contracted providers

Provider Identification Number (PIN)

E

1

What are the 3 segments of RCM? 

Front, Middle and Back 

2

This is a type of Hospital that handles intensive care and long-term care 

Chronic Care

3

True or False:

It is ok to ask for the Patient's full 9-digit SSN

False

4

This is one of the Provider identifiers issued by CMS (Centers for Medicare and Medicaid Services)/HCFA

National Provider Identifier (NPI)