Insurance
Medical Terminology
Business Office
Modality
General Information
100
A decision by a health insurance company that determines a service is medically necessary. 
What is an Authorization/Prior Authorization?
100
The alias name for lumbar
What is the lowback?
100

When speaking with patients or referring physician offices be sure to always ask for______.

What is the BIG 5? 
100

The exam in which 2 views is the standard.

What is a chest x-ray?
100
Online scheduling 

What is Health Post?

200
ZGN, ZGI, VAL, VEL are the 4 alpha prefixes that are considered OON for which insurance.
What is BCBS?
200

This body system has the following major structures:Mouth (Upper GI tract)

•Esophagus (Upper GI tract)

•Stomach (Upper GI tract)

•Small intestines (Lower GI tract)

•Large intestines (Lower GI tract)

•Liver

•Pancreas

•Gallbladder


What is the digestive system? 
200

Patient name, doctor signature, date(within 6 mos.) dx and procedure.  

What is a valid order? 
200

An exam done annually for females 40 and older. 

What is a screening mammogram?
200
The facility that does not see pedi patients for CT's.
What is Katy Rehab?
300
The federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease.
What is Medicare
300

What is the alias name for the ear?


What is the IAC? 
300

What rule states: "Schedule these procedures at least 3 business days out. " 


What is the Authorization rule? 
300

Scans study areas of the body such as chest, abdomen, pelvis or extremities w, w/o or w/wo. 

What are CT Scans? 
300

Call 281-529-2000 for patients with language barriers.

What is language line (MasterWord)?
400
The top 6 payors for Memorial Hermann
Who are Aetna, BCBS, Cigna, Medicaid, Medicare, and UHC? 
400

HSG is the abbreviation for what?

What is Hysterosalpingogram? 

400
Centralized Patient Access Services

What is CPAS?



400

Uses a strong Magnetic field and Radiofrequency waves to create an image.


What is an MRI?
400

1-877-704-8700

What is the scheduling dept. (CPAS) phone number?
500

The individual that is financially responsible for the balance and debt of the patient’s treatment.

What is a guarantor? 
500

The removal of a breast is called?

What is a mastectomy?

500
Name all high modality procedures that require auth. 

What are:

CT

MRI

Nuclear Medicine

PET CT

500

Please refer the patient back to their physician.

Patient must be pre-medicated by their physician 13 hours, 7 hours and 1 hour prior to appointment.

Please schedule accordingly.

Patient MUST bring driver.

What is Iodine Allergy Protocol? 
500

PFT - Pulmonary Function Test

What is a hospital exam?