What is Health Insurance Portability and Accountability Act.
100
The provider's evaluation of a patient's condition and decision on a course of treatment to manage it?
What is Evaluation and Management?
100
Step 10 of the medical billing cycle.
What is Follow up payments and collections.
100
Person who buys an insurance plan.
What is policyholder?
100
PPO
What is preferred provider organization?
200
*Healthcare Access, Portability and Renewability.
* Preventing Healthcare Fraud and Abuse.
*Tax-Related Health Provisions.
*Application and Enforcement of group Health Plan Requirements.
*Revenue Offsets
What are the five provisions of HIPAA?
200
Record of patient a patient's financial transactions.
What is Patient Ledger?
200
Step 8 of the medical billing cycle.
What is monitor payer adjudication?
200
Private or government organization that insures or pays for healthcare on behalf of beneficaries.
Who is the thrid party payer?
200
HIT
What is health information technology?
300
HIPAA is designed to
*protect people's private health information.
*Ensure health insurance coverage for workers and their families when they change or lose their jobs.
*Uncover fraud and abuse.
*Create standards for electronic transmisson of healthcare transactions.
300
Utilization of certified EHR technology to improve quality, effciency, and patient safety.
What is Meaningful Use?
300
Step 3 of the medical billing cycle.
What is check in patient's?
300
Medical procedures that are not included in plan's benefits.
What are noncovered services?
300
UCR
What is usual, customary, and reasonable?
400
The security measures of HIPAA.
*Secure Internet connections
*Access control, passwords, and log files to keep intruders out
*Backups to replace items after damage
*Security policies to handle violations that do occur.
400
Person or entity that supplies medical or health services and bills for, or paid for, the services in the normal course of business.
What is The Provider?
400
The steps that lead to maximum, appropriate, timely payment for patients' medical services.
What is the medical billing cycle?
400
Illness or disorder that existed before the insurance coverage became effective.
What is preexisting condition?
400
RCM
What is revenue cycle management?
500
This is Specially protected under HIPAA.
What is Psychotherapy notes?
500
Health plan process of examining claims and determining benefits.
What is Adjudication?
500
Step 4 of the medical billing cycle?
What is review coding compliance?
500
The list of medical expenses covered by a health plan.