INSURANCE
Provide the difference between Co-Insurance and Co-Payment
•Co-Payment: A flat fee that is paid for any services, appointments prior to services are rendered. Amounts are determined by the type of service the patient is receiving and the patient’s insurance company
•Co-Insurance: A percentage of payment that the patient is responsible for once insurance begins to pay for covered services. Represented in the form of a percentage
Provide the 3 different types of safeguards used to ensure HIPAA is protected
Technical, Physical, Administrative
If the word contains a prefix, suffix and root word then you will move the suffix (once defined) to the front of the word and define the word from left to right
Provide the 5 stages of grieving
Denial
Anger
Bargaining
Depression
Acceptance
How many children does Megan have?
2 (3 if you include my husband)
1 boy- Benjamin 16
1 girl- Rayne 14
1 Husband- AJ 36
An amount outline by the patient’s insurance that the patient must pay out of pocket before the insurance begins to pay for covered services
Deductible
Provide 3 ways to protect HIPAA when using computers
Never share passwords
Ensure to always lock your workstation when you leave
Update passwords on a regular basis
Do not guess passwords that are easily guessed
Do not share computer screens or information with anyone who is not authorized access to the information
Define
Otorhinolaryngologist
Someone who studies ear, notes and throat
Provide the 4 pillars of ethics
Autonomy
ØFreedom to determine one’s own actions and decisions
Nonmaleficence
ØTo do no harm
Beneficence
ØTo do good
Justice
ØTo treat patients fairly and give them care that is due and appropriate
How many dogs does Megan have?
4!
Bruno, Arnold, Nobu and JoJo
TRUE OR FALSE
An allowed amount is the max amount on which payment is based on for services
True
Many offices have _______ outlined for common types of correspondence and letters that are sent from that office
Templates
Define the following
BID
TID
QID
Two times per day
Three times per day
Four times per day
Define the following:
A program within a business that detects and prevents violations of state and federal laws
Compliance program
Name 1 time my husband has interrupted class
Yelling at this game
Asking for step by step instructions for dinner
Provide 4 Items that can be found on an EOB
Service/Product Description
Amount Billed
Network discount
Copays
Deductible
Amount paid by health plan
Total owed
What style of letter has everything left aligned?
Block style letter
Interpret the following order:
Take Motrin 600mg PO Q6H PC PRN
Take Motrin 600mg every 6 hours after meals as needed
Provide the 3 types of negligence as well as the term related to who within the medical office will be held responsible for all staff member's actions
ØMalfeasance: performance of an unlawful, wrongful act
ØMisfeasance: improper performance of a lawful act
ØNonfeasance: failure to act when one had a legal duty to act
Respondeat superior ( Latin: "let the master answer"; plural: respondeant superiores) is a doctrine that a party is responsible for (has vicarious liability for) acts of their agents.
How long has Megan been a nurse?
12 years!
Explain the difference between Tricare and CHAMPVA
Tricare is coverage for active and retired service members and their families
CHAMPVA is coverage for service members and their families that have suffered a permanent disability and/or death
TRUE OR FALSE
When completing a letter/correspondence of behalf of a provider the correct way to indicate that to the recipient is:
Dr. James Riley, Megan Watkins, MAA
jr/MW
When completing a correspondence on behalf of the provider, the MAA's initials will come after the provider's and will be lower cased while the provider's initials are fist and capitalized
TRUE OR FALSE
Mortality means death
Morbidity means illness
True!
Remember when used as co-morbidities (Co-existing illnesses)
Provide the 4 standards of HIPAA
Four standards
ØStandard 1 related to transactions and code sets
ØStandard 2 related to the Privacy Rule
ØStandard 3 related to the Security Rule
ØStandard 4 related to unique identifiers
•National Provider Identifier (NPI)
•Health Plan Identifier (HPI)
Employer Identification Number (EIN)
What is the one thing Megan is not able to do as a nurse?
Eye drops
😢😒🤷♂️👀