Registration
A responsible party and/or insured party who is not necessarily the patient.
Who is a "Guarantor"
The United States federal government health insurance program for Americans who are 65 years of age or older
What is "Medicare"?
Who discharges the patients in Cerner?
Who are the unit secretaries?
A document required before scheduling a service
What is an order
Hospital bills that have completed service but have not been billed to insurance yet
What is "Discharged, Not Final Billed" (DNFB)?
This is sometimes required by a patient’s insurance company to determine medical necessity, but does not guarantee benefits will be paid
What is "Pre-Certification:?
These are costs that are a patient's responsibility for hospitalization between day 61-90 days
What are "Medicare Coinsurance Days"?
What is the standard billing delay time?
What is 3 days
What service does not require an order?
What is a mammogram
Outstanding charges that are the patient's responsibility that have not been successfully collected which are eventually written off and sent to a collection agency
What is "Bad Debt"?
This is also known as a waiver of liability, and is a notice a provider should give you before your receive a service.
What is an "Advanced Beneficiary Notification" (ABN)?
This is a healthcare program that supports low-income families or individuals
What is "Medicaid"?
Who is responsible for submitting 3rd party insurance claims?
How many cath lab rooms do we utilize?
What is 2
An institutional paper claim form
What is the "UB04"?
A confirmation of coverage
What is "Eligibility"?
This payer does not required authorizations
What is Medicare
What is the minimum percentage we will negotiate with 3rd party insurance plans?
What is 55%
What question do we ask every MRI patient?
What is "Do they have metal in their body"?
A notice you receive from your insurance explaining the benefits received and not received
What is an EOB?
What does FAN stand for?
What is Facility Assistance Needed
What service almost always requires an authorization?
What is Inpatient
How much do we pay for every Medicaid missed on a Self Pay patient?
What is $100.
What do we do to all LWOT accounts that only have an ER level 1 account?
What is terminate and remove level charge.
The amount that an insurance policy holder has to pay out of pocket before the insurance begins paying?
What is the deductible