MOSS
January 1 to December 31st of the same year
What is when the MIPS performance year begins and ends?
Scheduling appointments and generating billing statements
What is the primary function of PM software?
Protecting the privacy and security of patient health information
What is the primary focus of HIPAA
The reason its important to update information on established patients
What is to maintain accurate contact and insurance details for billing and communication
The provider agrees to receive direct payment from the insurance plan
What is "accepts assignment" from an insurance plan?
To record and track a patients health information within a single medical practice
What is the primary purpose of an Electronic Medical Records?
American Recovery Reinvestment Act or ARRA
What is the legislature authorized CMS to provide incentive payments for EHR adoption?
Password protected access
What is a security measure implemented in EHR systems
To collect the patients demographic, contact, and insurance information
What is the purpose of the patient registration form?
A fixed amount paid by the patient for a covered service at the time of service
What is a copayment?
An EHR can be accessed and shared across mulitple healthcare organizations, while an EMR is typically confined to one practice
What is how an EHR differs from an EMR?
Office managers and administrative staff
Who are the typical users of a PM system?
A secure online platform for patients to access their medical information
What is a patient portal?
This is given to explain the clinics policies regarding the protection of their health information
What is the function of a privacy notice given to new patients?
A signed agreement from the patient stating they will be responsible for changes if a service is not covered by their insurance
What is a waiver?
100
What is the max score under MIPS performance scale?
Because the EMR serves as a legal document
What is why is accuracy critical when documenting information in the EMR?
This is another term for superbill and another term for EOB ( you must answer both)
What is an encounter form & remittance advice?
The insurance plan that is billed first for patient services
What is the primary insurance plan?
The percentage of the total MIPS score is attributed to the Quality category
What is 30%?
To list all scheduled appointments for a provider for a specific time period.
What is an appointment reference sheet?
Ability to track patient health data over time electronically
What is an advantage of using EMR's over traditional paper records?
This is to transform healthcare from fee-for-service to a value based
What is the primary goal of MIPS?
What is to ensure patient has coverage and to verify their plan details?
An out of pocket expense the patient must pay before the insurance company will pay for covered services
What is a deductible?