Scheduling
When a patient fails to cancel or does not keep their appointment,
What is a no-show
E1390
What is a HCPCS
No PCP referral required, wider network
What is a PPO
EKG
electrocardiogram
Heading, opening, body, closing
What are the four elements of a letter
Patient registration, provide directions to clinic, check insurance
What is a new patient ?
Document sent to patient details visit codes, adjustments payments made
What is an EOB
What is out of pocket maximum
Dx
diagnosis
sets the tone for the clinic-patient relationship
What is the first impression
Chart created all forms scanned and obtained seen within last 3 yrs
What is an established patient
99203
What is a cpt code
Percentage you pay after your deductible has been met
What is coinsurance
MRN
medical record number
Required to comply with HIPAA and ensure privacy of PHI
What is a covered entity
Patients seen in order received, does not need to make an appt.
What is open booking
Sent to insurance plan for payment for services provided
What is a claim for CMS 1500
Requires assigned PCP (gatekeeper) for specialists
What is an HMO
DNR
do not resuscitate
Provides a financial summary at the end of the day includes payments, adjustments, and outlines services
What is a day sheet
Before a patient is scheduled this must be done
What is verifying the patient
N60.22
What is a ICD-10 CM
Has Part A,B,C,D
What is Medicare
ABN
advanced beneficiary notice
Required to use when patient terminated from care shows proof of receipt when delivered
What is certified mail