Guarantor
Who is the person that is ultimately responsible for paying the patient’s bill?
What does Medicare Part A cover?
All Medicare beneficiaries admitted as in patients.
Who receives the
Important Message from Medicare?
An x-ray of the breast in a device that compresses and flattens it.
What is a mammogram?
What is the Advance Beneficiary Notice?
ABN
A type of Medicare health plan offered by contracting private companies, give all Part A and Part B benefits.
What is a Medicare Advantage plan?
The physician who supervises a patient’s care during an inpatient stay.
Who is the Attending Physician?
What is the Medicare B Part cover?
Outpatient Care and doctors' services
What is the meaning of acronym OCCM?
Office of Contact Center Management
A non-invasive test that is used to reflect underlying heart conditions by measuring the electrical activity of the heart.
Electrocardiogram
What is the meaning of acronym AIDET?
Acknowledge, introduce, duration, explanation, and thank you.
A physician who specializes in the diagnosis and treatment of cancer.
Who is an Oncologist?
Full name and date of birth.
What are Mayo Clinic primary search identifiers?
A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin.
What is a Deductible?
What is the Health Insurance Portability and Accountability Act?
HIPAA
A blood draw.
What is venipuncture?
What are Mayo Clinic Values?
RICH TIES
What 3 services does Ancillary care cover?
What is infusion Therapy?
When you receive medication through a needle or catheter
The individual who carries the insurance coverage.
Who is the subscriber?
What is the
Emergency Medical Treatment and Active Labor Act?
EMTALA
What is the meaning of ICN?
Individual Case Negotiation
GHP
What is Group Health Plan?
Treatment received by a patient in a hospital or clinic. The patient does not require hospitalization.
What is Outpatient Care?
What does NOA stand for?
Notice of Admission
A fixed amount the beneficiary pays for health care services, regardless of the actual charge; the amount is designated as the patient’s responsibility.
What is a co-pay?
Where do you document surgical authorizations in EPIC?
Auth/Cert
What the difference between POS 11 and POS 22?
POS 11- Bills for doctor services only
POS 22- Bills for doctor and Hospital
What is an LOA?
Letter of Agreement
Validating with third party payors that a given plan is active and ascertaining the patient’s deductible, co-pay, limitations and estimated cost.
What is Benefit Verification?