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Insurance
Acronyms
100

Married, Military, no longer require parental guidance and financial support 

What are reasons someone could be an emancipated minor?

100

Wheelchairs, Translators, MARTII machines.

What are resources?

100

Deductible

What is the amount set by the insurance company that a member must pay before they start paying any benefits.

100

This is the act that requires hospitals to provide a medical screening exam and stabilizing treatment to every person presenting to an Emergency Department regardless of their ability to pay

What is EMTALA?

100

MSPQ

MEDICARE SECONDARY PAYER QUESTIONNAIRE. What is the screening process that is used to determine whether Medicare is primary or secondary when a patient has additional coverage?

200

The policyholder 

Who is the subscriber?

200

Consent by law given when a patient presents unconscious to the Emergency Department.

What is implied consent?

200
This Medicare benefit provides coverage for inpatient hospital services, skilled nursing care, and home healthcare.
What is Medicare Part A?
200

AGE,DISABILITY,ESRD

What are criteria to be eligible for Medicare

200

FROI

First report of Injury used for workers compensation 

300

Patient full legal name, date written, procedure, diagnosis, and signature of ordering provider

What is a valid order?

300

A list of instructions that are given to a patient before their services?

What are prerequisites?

300

The physician who wrote the order for service and is the physician in charge of the patient's care.

What is the attending physician?

300
This status allows the physician time to determine if admission is necessary, reduce denials for unnecessary admissions, and ensure that some payment is received for services rendered.
What is observation status?
300

IMM

IMPORTANT MESSAGE FROM MEDICARE.  For Medicare patients that are being admitted to let them know their rights as a medicare patient if they are discharged too soon.

400
The unique number assigned to each patient, used to link individual episodes of care to one patient within the system.
What is an MPI# or CPI#?
400

PPO

What is Preferred Provider Organization?

400
Durable Power of Attorney for Healthcare, and Living Will
What are the the two types of advance directives?
400

Guarantor

The person that is ultimately responsible for the bill

400

H.E.A.T

Hear, Empathize, Act, Take responsibility 

500

Medicare form that must be signed for non-covered services

What is an ABN?

500

CMS

What is Center for Medicare and Medicaid 

500

Respite

What is a place that allows families caring for dependent incapacitated patients some time off in their care responsibilities.

500

30 months

What is the # of months an ESRD patient  must wait to have medicare as primary insurance?

500

COBRA

Insurance offered to employees after termination of departure from the company at a discounted rate