Vocab
Category A
Which of the following?
Category B
MedTrak
100
This kind of patient is responsible for all charges for the visit.
What is self-pay?
100
This module in MedTrak also provides functionality to manage billing issues, track referrals, manage the authorization process for surgical procedures, and review company demographic changes.
What is pending module?
100
Payers would be included in the COMM INS (commercial insurance) financial class? Tricare Blue Cross/Blue Shield Medicare
What is Blue Cross/Blue Shield
100
The reason it is important for the MA to identify all equipment and supplies used for the patient.
What is for billing purposes?
100
This is when MedTrak will automatically print the patient's aftercare instructions and prescriptions.
What is after all open orders are complete?
200
These are for patients referred to a consultant or specialist.
What are consultations?
200
If the visit is within THIS period for a surgical procedure, then there are no charges for this visit.
What is global billing?
200
Patients is not responsible for any part of the charges for a visit to the health facility. A patient who fell at work and injured the left ankle. A patient with chest pain who has Medicare insurance. A patient without insurance who experienced a severe allergic reaction. A teenage who received a sports physical exam and is covered by her parent's insurance.
What is a patient who fell at work and injured the left ankle?
200
The person and/or people who reviews the aftercare instructions and medications with the patient before discharge.
Who is the MA or clinical staff?
200
How an incomplete encounter is defined in MedTrak.
What is results are pending for outside diagnostic tests or opinions from specialists?
300
This is for employees injured on the job.
What is occupational medicine?
300
Cases that are on hold, are typically employment physicals where the physician is waiting on some additional information form the patients' personal physician before clearing for work.
What are held cases?
300
Patients WILL be responsible for all the charges for a visit to the health facility? A patient who fell at work and injured the left ankle. A patient with chest pain who has Medicare insurance. A patient without insurance who experienced a severe allergic reaction. A teenager who received a sports physical exam and is covered by her parent's insurance.
What is a patient without insurance who experienced a severe allergic reaction?
300
This is when the nursing discharge occurs in the clinical workflow.
What is after the physician has prescribed medications?
300
This is where the MA would track the status of a patient who was referred to a cardiologist.
What is the referral dashboard?
400
Unbilled charges are posted to this.
What is an invoice?
400
Defined as awaiting approval or denial by the payer.
What is pending?
400
is NOT needed for billing if a medical workflow system like MedTrak is used. Superbill. New patient information form. Medical office privacy practices form. History and physical exam form.
What is superbill?
400
A patient with Medicare insurance is responsible for 20% of the charges for any office visit. THIS is the term for the patients responsibility.
What is coinsurance?
400
This category of the clinical workflow includes posting charges to a bill.
What is billing a patient?
500
These are defined as patient encounters for which the results are pending for x-rays, laboratory tests, or treatments, and opinions from referrals to specialists.
What are incomplete visits?
500
Defined as the physician reviewed the specialist's report and the referral can be closed.
What is completed?
500
Categories of clinical workflow includes payment collection by the front desk. Treating a patient. Registering a patient. Incomplete charting. Billing for the encounter.
What is Billing for the encounter?
500
This persons' charts must be reviewed by a supervising physician before the payer is billed.
What is a physician assistant?
500
If a patient has changed address since the previous visit, THIS category of incomplete visit will trigger a review by the billing editor.
What is demographics need review?