Patient Intake
This allows patients to communicate with the practice and providers using a secure username and password.
What is a patient portal?
A managed care referral should be used according to _________ _________ ____________.
What are insurance company guidelines?
They pay the Workers' Compensation premiums.
Who are the employers?
If an insurance carrier believes that a patient’s treatment was not _________ ________, they will not pay out benefits.
What is medically necessary?
_________ are prepared for transmission after all data elements have been entered.
What are claims?
This is the number of identifiers that should be used when verifying a patient.
What is 2?
Employees and dependents who join a managed care plan.
Who are the beneficiaries?
Of the federal programs providing healthcare, the largest is __________, which provides health insurance for citizens aged 65 and older.
What is Medicare?
When children are dependents on each parent's group health care plan, the primary insurance will be the parent with a birthday ________ in the calendar year.
What is first? (Earliest)
An insurance company that sells or administers an insurance contract is also known as the _____.
What is the Carrier?
Entering the specialist’s NPI number and number of visits requested into the patient’s insurance carrier’s website is known as this process.
What is Precertification?
When a PCP submits a ________, they are indicating to the insurance that a patient needs further care from another provider.
What is a referral?
_________ is a health cost assistance program.
What is Medicaid?
The medical assistant adheres to which provision to ensure the patient with multiple insurance plans is not reimbursed more than once for care received?
What is coordination of benefits?
Insurers include an explanation of benefits and or a __________ advice along with the payment.
What is remittance?
A patient must sign an ________ ___ _________form to allow the insurance company to pay the health care provider directly.
What is an assignment of benefits?
managed care delivery systems emphasize this ___________ to help control costs.
What is Utilization review?
Patients under the age of 65 who are blind or widowed or who have serious long-term disabilities, such as Kidney failure, may be entitled to _________.
What is Medicare?
A diagnosis code and a treatment code must be related , otherwise the insurance carrier will _______ the claim.
What is deny?
Direct data entry and the use of a _____________, are two ways to submit claims electronically to a payer.
What is a clearinghouse?
Before witnessing the signing of a patient consent form, the MA must ensure the patient understands the ________ and _________ of the procedure.
What are the risks and benefits?
A medical assistant must complete a managed care referral for a patient __________ their appointment.
What is before?
This federal healthcare program covers those who become injured and or disabled and can not work.
What is disability?
The patient _________ is what the patient owes after the insurance company has paid.
What is liability?
This is a 10 digit code that identifies the providers medical specialty.
What is Taxonomy number?