What are reasons someone could be an emancipated minor?
Married, Military, no longer requires parental guidance and financial support
Deductible
What is the amount set by the insurance company that a member must pay before they start paying any benefits.
When did the hospital side of UCSF Mission Bay open?
Sunday, February 1, 2015
RTE
Real-Time Eligibility
Who is the subscriber?
The individual who carries the insurance coverage.
This Medicare benefit provides coverage for inpatient hospital services, skilled nursing care, and home healthcare.
What is Medicare Part A?
Who is the President and CEO?
Suresh Gunasekaran
What are the criteria to be eligible for Medicare?
Age, Disability, ESRD
PPO
Preferred Provider Organization
Who is the attending physician?
The physician who supervises a patient's care during an admission stay.
Which SF Giants player is dedicated to BCH and visits patients often with his family?
Buster Posey
What is observation status?
This status allows the physician time to determine if admission is necessary or if patients can be safely discharged home. This reduces denials for unnecessary admissions and ensures that some payment is received for services rendered.
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.
What acceptable forms of identification are required during check-in? (please provide two examples)
Photo ID: Driver's License, Passport, Gov't ID Card, Private employment ID, Student ID with photo, Bank debit card, credit card with picture
Non-photo ID: Birth certificate, health insurance card, SSN
What is EMTALA?
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's a popular yearly patient event that is held every April in the auditorium?
Prom
Who is the Guarantor?
The person that is ultimately responsible for the bill
PRIDE
Professionalism, Respect, Integrity, Diversity, Excellence
Medicare form that must be signed for non-covered services
What is an ABN?
CMS
What is Center for Medicare and Medicaid
What is MSPQ?
MEDICARE SECONDARY PAYER QUESTIONNAIRE. Is the screening process that is used to determine whether Medicare is primary or secondary when a patient has additional coverage.
30 months
What is the # of months an ESRD patient must wait to have medicare as primary insurance?
COBRA
Consolidated Omnibus Budget Reconciliation Act: Insurance is offered to employees after termination or departure from the company at a discounted rate