SSC Facts
Insurance
SSC Terminology
Systems
Revenue Cycle
100

The conference room in the HR Hallway.

What is The Haven?

100

The amount a patient is responsible for at the beginning of the year

What is the Deductible?

100

The tenth revision to the International Classification of Diseases

What is ICD-10?

100

The main function of this system is scheduling

What is Cerner?

100

The part of the revenue cycle that is not done here

What is The Middle Cycle?

200

This is the website we use to clock in and out

What is Kronos?

200

This is how the primary insurance for a child is determined

What is The Birthday Rule?

200

A 1 to 4 digit code used for CHS facilities

What is COID?

200

This system receives and houses physician's orders

What is Order Facilitator?

200

The hospital department responsible for coding

What is HIM?

300

This is the name of the training room for Week 1 Orientation

What is the Academy?

300

The process a payer uses to review a claim to either pay or deny. Also known as the time period they have

What is adjudication?

300

The approval from an insurance company for a patient to receive a service or procedure

What is Authorization?

300

The scheduling system for Tennova facilities

What is Cerner?

300

This team's main goal is account's resolution

What is Customer Service?

400

The person who is the Director of HR and Training.

Who is John Walker?

400

This is when a payer determines that care or supplies are needed to treat an illness or condition

What is Medical Necessity?

400

The main reason why a patient is being seen

What is Chief Complaint?

400

The menu number you select in Pulse to update a patient's demographics

What is Menu 10?

400

These are part of what section on the revenue cycle, Charge Capture, Case Management, and HIM

What is The Middle Cycle?

500

The conference room in The Expansion

What is The Harmony

500

This is the amount that a patient and insurance company pay based on the contractual discount

What is Conrate?

500

The form used for Hospital Billing

What is a UB-04?

500

This system is used for CHS-14 facilities to update a patient's demographic information

What is PULSE?

500

This includes all administrative and clinical functions that lead to the capture, management and collection of patient revenue

What is the Revenue Cycle