Scheduling
In which scheduling method are multiple patients booked at the top of the hour and seen as they arrive?
Wave scheduling
What is the administrative side of an EHR called?
Practice Management System (PMS)
What organization oversees Medicare and Medicaid
CMS (Center for Medicare & Medicaid Services)
The type of billing code that describes the condition, cause, manifestation, location, severity, and type of injury or disease
ICD-10
The percentage of cost the patient is responsible for
Coinsurance
What should be included in a voicemail message?
Name, date/time, practice name, callback number
How many years before a patient becomes "new" again?
3 years
How are documents arranged inside a paper chart?
Reverse chronological order
If an ABN was not signed before service and Medicare denies the claim, who is responsible?
the provider
What billing code would be used for medical supplies?
HCPCS
Amount paid before insurance begins coverage?
deductible
When supplies are delivered what must be checked immediatly upon delivery?
Correct items and quantities
What scheduling method involves booking groups of patients with similar needs together?
Clustering
Where are electronic health records typically stored?
Cloud storage
When is an Advanced Beneficiary Notice required?
When a service may not be covered by medicare/medicaid
The type of billing code that describes the medical procedures and services provided
CPT code
What does eligibility verification confirm?
Patient has active coverage
What agency is responsible for inspecting, evaluating, and ensuring a safe work environment?
OSHA
How long is a typical established patient visit?
15 minutes
What is the first step in patient check-in?
Verify patient identity
What does A/R aging report help identify?
Older unpaid debts
The type of billing code used for hospital and inpatient visits
ICD-10-PCS
What does preauthorization indicate?
Service is covered and medically necessary
Is a separate signed release required for a referral under HIPAA?
No
What is the purpose of screening during a scheduling call?
Determine signs/symptoms and urgency
What documents are typically scanned into the system at check-in?
Insurance card and photo ID
What type of audit is performed during an inpatient stay?
Concurrent audit
What type of code is this: U07.1
ICD-10
Does precertification guarantee payment?
No
What is normally required when a pt needs a service outside the scope of their PCP?
Referral
Why must time be blocked off on a provider schedule? Give 2
Lunch, vacation, meetings, hospital rounds
What should be highlighted on the AVS before the patient leaves?
Follow-up appointments or tests
A large healthcare facility bills pts with MRN 1-500 on week 1, 501-1000 on week 2, etc; what type of billing does this describe?
Cycle billing
What type of code is this: 36415
CPT
Why might a patient choose a lower-tier plan?
Lower monthly premium
Instruct the pt to call 911 or call 911 while they are on the phone