Patient scheduling
Two patients booked for same timeslot is called what type of booking?
What is Double Booking
True or False - A patient must be with a practice for more than a year to be considered an established patient.
What is false
In the insurance industry, a request for payment of covered benefits.
What is a Claim
In health care, a system established to adjust physician fees based on a patient’s household income; patients with a lower household income pay less than patients with a higher household income.
What is a sliding scale
URQ
What is upper right quadrant
What type of scheduling sees a set number of patients scheduled for same time period, Patients are seen in order of arrival are
What is wave or modified wave scheduling
Paul was last seen by Dr. Carson five years ago. When scheduling his next appointment, what kind of a patient will the assistant consider him (established, new, lapsed or absent?
What is a new patient
In health care, the person who is financially responsible to pay a medical bill.
What is a Guarantor
A coding system used to track morbidity and mortality; the basis of coding systems used to identify diagnoses and inpatient procedures for insurance purposes.
What is a ICDS - 10 code
UTI
What is urinary tract infection
What electronic tool used by many healthcare facilities to communicate with patients and give them access to information about their health care.
What is Patient Portal
This is an electronic version of a patient’s medical record that is used by a single healthcare facility; may include information such as medical history, diagnoses, treatment plans, medications, immunization records, vital signs measurements, and imaging, test, and laboratory results.
What is an EMR
In the insurance industry, a monthly payment made to purchase insurance coverage.
What is a premium
The first insurer to pay benefits when a patient is covered by more than one policy.
What is primary insurance
N/S
What is "no show"
A formal order from a primary care provider for a patient to see a medical specialist or receive medical services.
What is a referral
These standards established by CMS to create incentives for the use of electronic health records (EHR).
What is meaningful use
In healthcare insurance, a set amount that must be paid by the subscriber for a covered service.
What is a copayment
In health insurance, an individual who receives insurance benefits due to a relationship to the subscriber (e.g., a child or spouse).
What is a dependant
f/up
What is "follow - up
Terminating a patient/provider relationship requires the following steps (otherwise is considered this)
The relationship may be terminated if either party is dissatisfied.
The patient may terminate by simply not returning to the provider’s practice.
The provider must legally continue to provide care until the relationship is terminated.
The provider must notify the patient of the termination formally in writing.
The termination letter should state the end date of the relationship.
The patient must be given time to find a new provider (e.g., 30 days).
The termination letter must be sent by certified mail with return receipt requested.
A copy of the termination letter and the return receipt should be placed in the patient’s medical record.
What is Abandonment
This is a federal agency within the US Department of Health and Human Services that is responsible for Medicare and Medicaid, among many other responsibilities.
What is the Center for Medicare and Medicaid Services (CMS)
A summary of coverage provided by an insurer to the subscriber and the healthcare provider after an insurance claim is made, including what portion of the charges are covered by insurance and what portion must be paid by the patient.
What is Explanation of Benefits
A course of action that should be taken every time a certain situation occurs.
What is a policy
What is "complains of"