Medicare
This plan for Medicare covers inpatient costs
What is Medicare Part A
The percentage of the allowed amount a patient pays after meeting the deductible.
What is coinsurance?
These are the procedures staff follow when computer systems are unavailable.
What are downtime procedures?
This prefix means “above normal” or “excessive,”
What is hyper-?
A question that can be answered with “yes” or “no” is this type.
What is a closed-ended question?
Medicare Part B
This intermediary “scrubs” claims for errors before forwarding them to payers.
What is a clearinghouse?
HIPAA stands for this.
What is the Health Insurance Portability and Accountability Act?
A patient who rolls up their sleeve for a blood draw is giving this type of consent.
What is implied consent?
This system books several patients at the start of each hour and sees them in order of arrival.
What is wave scheduling?
This Medicare plan is an all-in-one alternative to Original Medicare offered by private insurance companites
What is Medicare Part C
This document from the insurer details what was billed, what was paid, and what the patient owes.
What is an Explanation of Benefits (EOB)?
Confirming that a patient’s coverage is active and what it pays for before the visit is called this.
What is insurance eligibility and benefits verification?
The combining form cardi/o refers to this organ.
What is the heart?
In this scheduling type, patients arrive within a block of hours and are seen first come, first served.
What is open booking?
This type of Medicare coverage is specifically for prescription coverage
What is Medicare Part D
A fixed dollar amount a patient pays at the time of service.
What is a copayment?
This law requires practices to remove barriers and avoid discriminatory policies for people with disabilities.
What is the ADAAA (Americans with Disabilities Act Amendments Act)?
Of the EHR and the EMR, this is the one designed to be shared across multiple health care organizations.
What is the EHR (electronic health record)?
Deliberately scheduling two or more patients in the same time slot is called this.
What is double booking?
Medicare patients sign this form when a service may not be covered, acknowledging they may have to pay.
What is the Advance Beneficiary Notice (ABN)?
The amount of money you must pay out of pocket for covered medical services before your health insurance plan starts to share or pay the costs.
What is deductible?
This organization publishes the “Do Not Use” list of error-prone abbreviations.
What is The Joint Commission (TJC)?
Surgical removal or excision of an organ, tissue, or body part.
What is -ectomy
To avoid creating duplicate records, you verify these two things, such as name and date of birth.
What are two patient identifiers?