Day 1 Review
What is the HIPAA privacy rule?
The policy provides individuals the fundamental right to be informed of Privacy Practices of their health plans and most healthcare providers.
Who is the guarantor on an account?
The competent adult who signs all consent forms, consents to medical treatment on behalf of the patient and is financially responsible for all charges accrued for the visit?
Which resource tool is utilized to locate alias names for insurance I-plans?
Payor Profiles
What function is used to transfer patients within the same pavilion?
XFER
What screen can the patient class codes be located?
Visit Specific- Inpatient
Which consent states physicians bill separately from the hospital?
Financial Responsibility
Where can a user view activity on an account?
ADTP
Why do we have to answer the MSPQ?
To determine the coordination of benefits.
What function is used to update PCP information?
PCPU
How many hours do you have to click the FinThrive email link to complete set-up?
24 hours
Which consent makes a member's medical and health information available to a network of hospitals, physicians electronically?
MHIE/CCN
When do we use the function INHU?
The function is used to update the patient's insurance history.
If a patient has Medicare and Commercial insurance through current employment, which is primary?
Commercial
During downtime, memos can be viewed using what function?
MEMV
What online resource is available for employees to find additional information on various topics?
OneSource
What function is used to update the NOPP consent?
CPIU
What two fields must be completed when verifying//certifying insurance?
Mary Jones carries commercial insurance for her 8-year-old daughter, Susie Jones. If Susie is the patient, what is the relationship to patient?
Child
During downtime, what function can be used to post memos?
MEMB
Nazim is a 66-year-old male covered by BCBS through his current employment at Walmart and Medicare due to his age. His car was hit from behind when he was driving home.
What insurance is primary?
HMO/PPO Commerical
Which consent informs patients that they have the right to be treated with dignity and respect?
Patient Rights
When would someone who is not 18 be the guarantor on an account?
Pregnant minor for pregnancy-related service, married minor, emancipated minor, minor seeking treatment for drug overdose, suspected STD, etc.
What is COB and why is it important?
Determines coordination of benefits and which insurance is billed as primary or secondary.
TRUE or FALSE: During downtime registration, enter the date and time the patient was registered.
FALSE: During registration, enter the date and time that the patient actually arrived.
Clara is a delivery driver for UPS and arrived at the hospital for injuries related to a multiple vehicle accident while she was on her delivery route.
Which insurance is primary?
Workers Compensation