Telephone Etiquette
This is who should hang up the phone first
Who is the patient/caller?
Walk-in system, people are seen on first come/first served basis.
What is open hours scheduling?
ICD coding provides specific digits that correlate to the patient's ________________.
What is a diagnosis?
CPT codes provide specific numbers that correlate with the patient's ______________________.
What are procedures?
What is 3 years?
A fixed amount the patient pays per visit regardless of how much is owed.
What is a co-pay?
The correct term meaning screening or sorting calls based on emergencies.
What is telephone triage?
3 patients are scheduled at the beginning of each hour and the patients are seen in the order in which they arrive.
What is wave scheduling?
This is how many numbers are included in an ICD code.
What is 3-7?
This is how many numbers are in a CPT code.
What is 5?
Document or form required by many insurance companies in order to see a specialist.
What is a referral?
Type of insurance plan that covers people 65 years and older.
What is Medicare?
Items that should be included in a phone message.
What is date/time of call, name of caller, message, caller's phone number, who the call is for, name of person taking the call, and action to be taken?
Patients are schedule months to years in advance of their appointment.
What is advanced scheduling?
In general, the more specific the diagnosis, the ______________ the ICD code.
What is longer?
This CPT category is used to help collect data about the quality of care delivered.
What is CPT category 2?
What is a deductible?
Mr. and Mrs. Smith both have insurance for their children. Mr. Smith's birthday is 7/1/1967. Mrs. Smith's birthday is 4/2/1972. This is the person who carries the primary insurance.
Who is Mrs. Smith?
A medical assistant is taking a call from a patient. This is where emergencies should be directed immediately.
What is "to the provider"?
Groups of similar appointments are made on a specific day.
What is cluster or grouping scheduling?
ICD codes have both _____________ and _____________ in them.
What is numbers and letters?
This CPT category is a temporary code that covers new technology and procedures.
What is CPT Category 3?
The percentage of the total bill that the patient pays.
What is co-insurance?
This is the form that is used when Medicare refuses to cover a service.
What is the ABN form?
What is the correct medical term for "not mumbling"?
What is enunciation?
This is the information required to schedule an appointment.
What is patient's name, DOB, phone number, purpose of the visit, and insurance information?
This is the form that states all the diagnoses and procedures completed in a medical office. This form is used for billing purposes.
What is an encounter form or a superbill?
This is a name for a code that we add to the end of a CPT code indicating a special circumstance has occurred. Additionally, this is how many numbers are in this "special code".
What is a modifier and 2?
"Permission" received from the insurance company stating they will pay for a test or procedure. The provider often has to demonstrate "medical necessity".
What is a preauthorization or precertification?
This is the form that is used to bill insurance?
What is the CMS-1500 form?