Billing Fun
5 digit alphanumeric coding system designated for specific services and equipment?
What is HCPCS (Healthcare Common Procedure Coding System)
Healthcare for elderly, disabled, and those with ESRD.
What is Medicare.
Monthly, quarterly, or annual fee to keep insurance active.
What is a Premium.
Who works 300 claim edits?
What is coding
CPT
What is Current Procedural Terminology.
To determine whether a patient has health insurance coverage and will be able to receive health insurance benefits during a proposed time period is to?
What is Verify Eligibility.
Insurance that is paid for by a patient's employer used for work related injuries.
What is Worker's Compensation Insurance.
A deductible is...
A specific amount of money paid each year before policy benefits begin.
What is The Consecutive work queue
EOB
What is Explanation of Benefits.
Approval from an insurance plan prior to doing a medical procedure
What is Prior authorization
A government program in the United States that provides health insurance for adults and children with limited income and resources. This program is partially funded and primarily managed by state governments.
What is Medicaid.
A copay is...
A fixed dollar amount paid every time a patient obtains medical services.
Prebilled, insurance, and Self-pay buckets are located on this tab in Epic.
What is the Liability Bucket.
CMS
What is Centers for Medicare Medicaid Services.
Third party payors make payments based on care that is reasonable and necessary for the patient based on evidence-based clinical standards of care.
What is Medical Necessity.
An "all in one" alternative to original Medicare, also known as Medicare Part C.
What is Medicare Advantage
When the patient has more than one insurance policy, it is required that insurance companies coordinate the reimbursement of benefits to determine the primary and secondary carriers.
What is Coordination of Benefits?
You can search here to find provider notes about a visit.
What is the hospital chart.
Dx
What is Diagnosis.
A change to the patient account; adding to or subtracting from their total balance, that is neither a charge for services nor a payment is an?
What is an adjustment.
Policy that covers losses to a third party caused by the insured
What is liability insurance.
Coinsurance is...
The percentage under an insurance plan that the insured person pays toward a covered expense or service after the deductible is met.
You can edit a note that you make the same day by clicking on this icon in the history tab.
What is the pencil icon.
HIPPA
What is Health Insurance Portability and Accountability Act.