FCH History
The year the 1900 F Street location of the hospital opened
2012
This part of Medicare covers certain doctors' services, outpatient care, medical supplies, and preventive services.
Part B
A living will or durable power of attorney
Advanced Directive
Provides federal protections for personal health information
The Privacy Rule of the Health Information Portability and Accountability Act (HIPAA).
A metric that measures the outstanding accounts that remain incomplete due to coding or documentation gaps
Discharged, Not Final Billed Days
The year Chris Nichols became our CEO
2017
A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin
Deductible
When doing an admission, this is the responsible party for payment of services that may not be covered by insurance
Guarantor
A persons name, date of birth, address, and phone number
The process in which the chart is evaluated for completeness before the coding process begins.
Chart Abstraction
The year the 1325 H Street opened
1961
Hospital charges are billed on this type of form
UB-04
The form that needs signed after a Medicare patient has been admitted Observation
MOON form
The amount of times you can access your own or your immediate family members chart without signing a form in Medical Records.
None. Zip. Zilch. ZERO.
This system is used by physicians and other healthcare providers to classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care in the United States and this subset was rolled on October 1, 2015.
The first employed physician of Fillmore County Hospital in the new facility
Dr. Travis Stoner
This type of service is reimbursed on a fee-schedule basis
Professional fees
A patient presents to the ER after a MVA, and we obtain their MV insurance and their health insurance, which is BCBS. Who is the primary payer?
BCBS
This makes it illegal to submit false statements or documentation in order to collect money from the government
What is the False Claims Act?
A review of a patient's case by one or more physicians to evaluate another physician
Peer Review
The name of the original hospital built by Dr. Royal Woods and Dr. Joseph Bixby
Archer House
Medicare's first level of appeal
Redetermination
The questionnaire to determine if Medicare is the primary payer
Medicare Secondary Payer
A federal law that requires anyone coming to an emergency department to be stabilized and treated, regardless of their insurance status or ability to pay.
The Emergency Medical Treatment and Labor Act (EMTALA)
This is a medical code set that is used to report medical, surgical, and diagnostic procedures and service
CPT Code