Insurance
A fixed sum that a beneficiary must contribute towards the cost of their health care before insurance benefits begin.
What is a Deductible?
Who is the person that is ultimately responsible for paying the patient’s bill?
Who is the Guarantor
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?
The individual who carries the insurance coverage.
Who is the subscriber?
The physician who supervises a patient’s care during an inpatient stay.
Who is the Attending Physician?
Protects the use, storage and transmission of patient’s health care information in all forms, from paper to the growing trend toward electronic medical records.
What is HIPAA
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?
What are Soarian's primary search identifiers?
What are Full name and date of birth.
Regulated by the Agency for Health Care Administration (AHCA), this is collected under the Admit Source field in the registration and indicates where the patient came from before presenting to the respective facility.
What is Point of Origin.
AGE, DISABILITY, & ESRD
What are criteria to be eligible for Medicare.
To inform the patient that Medicare may not consider the health services being provided as medically necessary and that there is a good possibility that Medicare will not pay for the service provided and the patient may be billed for the service.
What is the
Advance Beneficiary Notice (ABN)?
This is a systematic review of patient access processes to ensure compliance.
What is an Audit.