Show:
REGISTRATION
INSURANCE
Policies, Privacy and Compliance
Orgs
POTPOURRI
100
Guarantor
Who is responsible for the bills?
100
This is the patient's financial responsibility due at each visit.
What is a co-pay?
100
The health center's policy on HIPPA violations
What is Zero Tolerance?
100
A group of people who collaborate and interact to reach a common goal.
What is a team?
100
The physician who manages a patient's care.
What is a PCP?
200

Most patients must sign one of these at every visit prior to treatment.

What is a Consent for Treatment?

200
A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin.
What is a deductible?
200
A Birth or Marriage Certificate; a Passport, a Travel Visa, Alien Registry card, Driver's Licenseor any other original court document.
What is considered legal documentation?
200

Team managing documents, records, scanning and ROI.

What is HIM?

200
Treatment received by a patient in a hospital or clinic. The patient does not require hospitalization.
What is Outpatient Care?
300
This person carries the insurance coverage for themselves and/or their family.
Who is the SUBSCRIBER?
300
Approval from third party payors to provide specified care in a particular setting; written or electronic assurance that the services will be covered under the terms of the patient's health care plan.
What is Insurance Authorization?
300
Fraud committed or attempted using identifying information of another person without authority.
What is identity theft?
300

Team focused on assisting Underinsured/Uninsured patients.

What is PFS?

300

What did Shane bring to show & tell?

What are Rocks?

400
Validating with third party payors that an insurance is active and other information such as co-pay amount and deductible amounts.
What is Insurance Verification?
400
TPL
What is Third Party Liability?
400

This is done when a patient is identified in the host system with 2 different Medical Record Numbers.

What is a Merge Request Form?

400

Our patient database where registration occurs.

What is host system?

400

What does RCM stand for?

What is Revenue Cycle Management?

500

This form allows us to release certain medical information related to that claim, visit or account to identified or approved parties.

What is a ROI?

500

I am not an insured ID# but I may follow one.

What is a Group Number?

500
Fraud and abuse, billing practices, Antitrust, quality of care, managed c are, bribes and improper payments conflicts of interest, environmental concerns, and copywright and software licensing.
What are compliance issues?
500

The department who works to secure financial clearance for our scheduled patients.

What is the FCC?

500
EMTALA
What is Emergency Medical Treatment and Active Labor Act?