Places
What is a SNF
Skilled nursing facility
What is the full term for ICD
International Classification of Diseases
Tracking and recording the patients treatment and transfers among the various departments in the hospital. Which Step 1, Step 2 or Step 3?
Step 2
Is a provider of health services, usually a physician practice.
Billing Provider
Federal health insurance program for people 65 years or older
Medicare
Covers all type of health services that do not require an overnight hospital stay.
Ambulatory care
is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.
CPT
Discharging and billing
Following the discharge of the patient from the facility and the completion of the patient's record.
Is this Step 1, Step 2, or Step 3
Step 3
In contrast, is the person or organization that receives payment for the claim.
pay-to-provider
provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities.
Medicaid
Getting care at home instead of being placed in a nursing home.
HHA Home Health Agency
The Healthcare Common Procedure Coding System is produced by the Centers for Medicare and Medicaid Services (CMS).
HCPCS
Admitting (registering) the patient
Entering personal and financial infoand verifying insurance.Is this Step 1, Step 2 or Step 3
Step 1
Is a physician or other entity such as a lab that has provided the care.
Rendering Provider
s a health care program of the United States Department of Defense Military Health System.
Tricare
A special approach for caring for people with terminal illness.
Hospice Care
What is the name of this form? _______ is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers
CMS 1500
What is the cycle call that hospitals use?
Revenue Cycle
A medical professional who diagnosed a patient.
Physician
refers to any health insurance coverage that is offered by a private entity instead of a state or federal government. Insurance brokers and companies both fall into this category
Private Insurance
facilities such as nursing homes that provide custodial care for patients with chronic disabilities and prolonged illnesses.
Long Term Care Facilities
What medical insurance covers 80% of a bill
Medicare
Hospital must submit a claims for the Medicare Part A, for reimbursement for part A what is the name of this form
CMS 1450
Works with claims and billing
Medical insurance specialist
A patient that have Medicare and their spouse have them covered under their private insurance as in Blue Cross Blue Shield, which one will be used as the primary?
Blue Cross Blue Shield