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Abandonment
What is discontinuing medical care without givine proper notice or competent replacement.
Benefit period
What is the time during which benefits are payable under a given insurance plan
Capitation
What is the fixed amount a provider receives
Daily Journal
What is a chronological record of bills received, bills paid, and payments and reimbursements received
Electronic Data Interchange (EDI)
What is the transfer of electronic information in a standard format
Active files
What is a section of medical charts for patients currently receiving treatment
Birthday rule
What is the health plan of the parent whose birthday comes first in the calendar year is designated as the primary plan
Certified mail
What is first-class mail that also gives the mail added protection by offering insurance, tracking and return receipt options
Day sheet
What is a daily record of financial transactions and services rendered
Electronic Health Record (EHR)
What is an electronic record of health-related information about a patient that conforms to nationally recognized interoperability standards that can be created, managed, and reviewed by authorized providers and staff from more than one health care organization
Advance Beneficiary Notice of Noncoverage (ABN)
What is a form provided to the patient if a provider believes that a service may be declined because Medicare might consider it unnessary
Business associates
Who are individuals, groups, or organizations, who are not members of a covered entity's workforce, that perform functions or activities on behalf of or for a covered entity
CHEDDAR
What is an organizational approach to keeping medical records:
Chief Complaint; History; Examination; Details, Drugs and dosages; Assessment; Return Visit Information
Deductible
What is the amount a patient must pay before insurance pays anything
Emancipated minor
What is a person younger than the age of majority (usually 18-21) who is married, in the armed forces, living apart from parents/guardian or is self-supporting
Advance Directive
What is a document that spells out what kind of treatment a patient wants in the event that he can't speak for himself
When a prescription reads "bid" it means this
What is twice a day
Closed files
What is section of medical charts for patients who have died, moved away, or terminated their relationship with the physician
Differential diagnosis
What is the process of weighing the probability that other diseases are the cause of the problem
Employer-based insurance
What is insurance that is tied to an individual's place of employment
Allowable amount
What is the limit that most insurance plans put on the amount that will be allowed for reimbursement for a service or procedure
The abbreviation of medicine for BP
What is blood pressure
Cluster or categorization booking
What is booking a number of patients who have specific needs together at the same time of day
Direct filing system
What is system in which the only information needed for filing and retrieval is the patient's name
Encounter Form
What is a document used to collect data about elements of a patient visit that can become part of a patient record or be used for management purposes
Assets
What are the properties owned by a business
Coinsurance
What is a form of cost-sharing that kicks in after the deductible has been met in a percentage (e.g., 80% paid by insurance; 20% by patient/guarantor)
Disbursement
What is the record of the funds distributed to a specific expense account
Equities
What is left of assets after creditors' liabilities have been subtracted.
Assignment of Benefits (AOB)
What is a form that authorizes health insurance benefits to be sent directly to providers
Consent
What is a patient's permission
Divulge
What is to make private or sensitive information known
Plan that describes tasks employees must perform if there is a risk of exposure to blood or other potentially infectious materials, and what procedures are in place to track employee exposures.
Audit Trail
What is a report that traces who has accessed electronic information
Copayment
What is a fixed fee for a service or medication, usually collected at the time of service or purchase
DNR form
What is the form that states that the patient does not want to be revived after experiencing a life-threatening event. Do Not Resuscitate
Administrative Services only (ASO) contract
What is a contact between employers and private insurers under which employers fund the plans themselves, and the private insurers administer the plans for the employers
Covered Entities
Double booking
What is the system in which two patients are scheduled to come at the same time to see the save provider/physician
Cross reference
What is a reference to corresponding information in a separate location