H to the I to the P to the A to the A
This is when a patient's chart is accessed for personal use.
What is a Breach?
This is where Health Insurance claims are processed.
What is a Clearinghouse?
The code used for billing patient services that fall under FQHC.
What is T1015?
The amount of time you have to file a claim to the insurance.
What is timely filing?
The 2 insurance companies that accept FQHC coding.
HINT: (one primarily serves adults >65, the other serves low-income of any age)
What is Medicare and Medicaid?
This information can only be accessed for business purposes.
What is a chart with Personal Health Information (PHI)?
The CPT codes 99201 - 99215 are payment for office or other what...
What are Evaluation and Management (E & M) codes?
FQHC providers use this form to bill Medicare Services.
What is UB-04?
The patient's out of pocket cost at the time of the visit.
What is a co-payment?
The behavioral health assessment code.
What is H0031?
When someone calls for billing information you must have what signed.
What is have a waiver/ROI signed?
The order of billing.
What is primary commercial insurance goes first and Medicaid goes second?
This is what you do when the system does not show processed or paid claims/encounter.
What is research unpaid claims?
Medical procedures that are not included in plan's benefits.
What are noncovered services?
When you do not understand the denial rejection.
What is call the insurance company?
If both parents work and have insurance coverage, the Birthday that comes first is the primary insurance holder.
What is the Birthday Rule?
The steps to lead to timely payment for patients' medical services.
What is the medical billing cycle?
This is what you call balance of money owed.
What is accounts receivable?
This timeframe jeopardizes timely filing limits.
What is your aging timeframes [90-180]?
A CLIA waived procedure code modifier.
What is a QW?
HIPAA stands for.
What is Health Insurance Portability and Accountability Act.
A two-digit alpha/numeric codes used to distinguish separate procedure codes.
What is a Modifier?
What is Follow up payments and collections?
This is a payment arrangement for services which we receive as a set amount regardless of the number of visits.
What is Capitation?
Used to add information to a CPT code to improve accuracy and specificity.
What is a modifier?