Policies
Insurance Terminology
Medicare
Acronyms
Patient Privacy
100

The day that non clinical staff can wear jeans.

What is Friday?

100

The amount you must pay out of pocket before your insurance starts to pay.

What is deductible?

100

This part of Medicare is Hospital only.

What is part A

100

OOK

What is opt out of Klara?

100

This 5 letter acronym stands for the law that protects patient health information.

What is HIPAA?

200

This type of patient must pay when they check in.

What is Private Pay?

200

A fixed amount you pay for a healthcare service, usually at the time of service.

What is copay?

200

This number is always 11 digits.

What is  Medicare ID number?

200

ROI

What is Release of Information?

200

Under HIPAA, this type of information includes names, birthdates, phone numbers and health conditions.

What is Protected Health Information or PHI?

300

The policy that tells the patient how we might use there personal information.

What is HIPAA?

300

A requirement to get approval from your insurer before receiving a specific treatment.

What is prior authorization?

300

Part C Medicare is also called this.

What is a MedAdvantage?

300

Bx

What is biopsy?

300

You should never do this with a patient's information - whether at the front desk, in an elevator or outside of work.

What is discuss or share it?

400

The no show policy is part of this policy.

What is the financial policy?
400

When multiple policies apply, this determines which insurance pays is primary and secondary.

What is Coordination of Benefits?

400

Part D coverage

What is prescription coverage?

400

OON

What is Out of Network?

400

Tis is what you should do if you accidentally send patient information to the wrong person.

What is report it to management immediately?

500

This program gives  employees the right to take unpaid, job-protected leave for certain family or medical reasons

What is FMLA?

500

This type of plan requires a primary care provider and referrals to specialists.

What is HMO?

500
Extra insurance that helps pay what traditional Medicare does not.

What is Supplemental or Medigap?

500

SCC

What is Squamous Cell Carcinoma?

500

The maximum penalty for a serious HIPAA violation can reach up to this much per violation

What is $50,000?